Packaged Reporting

Impact of MS-DRGs and regulations for FY2008
Profound changes for many hospitals

AHD's proprietary methods for analyzing regulatory impact are a recent innovation and are unique in the industry.  IPPS reimbursement is determined at the claim level and then summarized to provide a reliable estimation of payment under various regulatory scenarios.  Reimbursement calculations based on actual claims data and detailed reimbursement calculations provide a reliable measure of IPPS payment and can be summarized to suit various interests.

Final Medicare regulations for FY2008  include a complete replacement of the current DRG system with a new system intended to provide more precise classification based on patient severity of illness (MS-DRGs). In addition to new MS-DRGs, there is continued phase-in of relative weights based on a cost-based hospital-specific relative value (HSRV) weighting methodology as well as changes in reimbursement for outliers and transfers. These changes result in significant redistributions of Medicare reimbursement:

reclassification into higher or lower weighted MS-DRGs
changes in relative weights (i.e. phase-in of HSRV weighting)
changes in outlier thresholds and payments
changes in payment for transfers

This Packaged Report (Excel Workbook and Datasets) provides a comprehensive package of information based on the most recent and reliable data currently available. It has been designed by experts in Medicare reimbursement, patient classification systems, and information technology. It includes summary information, preformatted reports, and data that can be imported into your own applications as desired.  It can include up to 20 designated hospitals and up to 5 groups for comparison.

The cost of the Packaged Report is $2,800 for one hospital plus $200 for each additional hospital included.  Comparison groups (e.g. all hospitals in specified area) are separately priced depending on specifications.

Details, samples, and pricing (pdf)
Other Packaged Reports available
   
IMPACT REPORTING -
our unique approach

AHD uses historical billing data and computes Medicare reimbursement for each claim based on finalized and/or proposed regulations for the periods being studied.  These calculations include all reimbursement components:
Hospital blended rates, including geographic differentials, local area wage indexes, etc.
Adjustments for disproportionate share
Adjustments for transfers,
Outlier payments

This detailed approach supports comprehensive determinations of regulatory impact.  It also enables detailed analysis of each component.

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20% Discount for Subscribers