Premier Healthcare Alliance Launches MS-DRG Reimbursement Calculators to Help Members...
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Premier Healthcare Alliance Launches MS-DRG Reimbursement Calculators to Help Members Highlight Avoidable Financial Loss Cardiovascular, Orthopedic and Spine Calculators Are Designed to Compare the Individual Hospital Cost to the National Average Medicare Reimbursement Rate CHARLOTTE, N.C.--(Business Wire)-- The Premier healthcare alliance has launched a set of reimbursement calculators to help member hospitals compare the individual hospitals' costs to the reimbursement offered under the Medicare Severity Diagnosis Related Group (MS-DRG) system. Available for cardiovascular, orthopedics and spine implants, the calculators can assist in reducing the number of inaccurate claims that result in lowered Medicare reimbursement without impacting the quality of patient care. The calculators automatically compare national average base reimbursement rates to the payment for a particular MS-DRG. In addition, hospitals can populate their individual reimbursement rates for a more customized report. The calculators also track reimbursement trends by displaying both the percentage and dollar amount changes in reimbursement payments from year to year. "The changes in MS-DRG reporting present a challenge to hospitals nationwide, in particular from a coding standpoint," said Michael Schroeder, Material Services Assistant Surgical at SSM St. Mary's Health Center in Madison, WI. "By utilizing the calculators from Premier, we were able to avoid some of these potential pitfalls that could have had a negative effect on our bottom line." "With these calculators, our alliance hospitals will be able to track the areas in which reimbursement has changed," said Mike Alkire, president of Premier Purchasing Partners. "This allows them to weigh options along the lines of cost and make changes as needed." DRGs were developed for Medicare to classify hospital cases into groups expected to have similar hospital resource use. MS-DRGs were created to more accurately account for the severity of a patient's condition. The MS-DRG prospective payment system went into effect in October 2007. About Premier Inc., 2006 Malcolm Baldrige National Quality Award recipient Serving more than 2,000 U.S. hospitals and 53,000-plus other healthcare sites, the Premier healthcare alliance and its members are transforming healthcare together. Owned by not-for-profit hospitals, Premier operates one of the leading healthcare purchasing networks and the nation's most comprehensive repository of hospital clinical and financial information. A subsidiary operates one of the nation's largest policy-holder owned, hospital professional liability risk-retention groups. A world leader in helping healthcare providers deliver dramatic improvements in care, Premier is working with the United Kingdom's National Health Service North West and the Centers for Medicare & Medicaid Services to improve hospital performance. Headquartered in San Diego, Premier has offices in Charlotte, N.C., Philadelphia and Washington. For more information, visit www.premierinc.com. Premier Inc. Alven Weil, 704-733-5797 Alven_weil@premierinc.com Copyright Business Wire 2008
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