Attachment 5-Computation of MS-DRG Rev_SET.pdf

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COMPREHENSIVE MEDICAL SERVICES - FDC SEATAC
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15BFA024R00000020
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This document is Attachment 5 - Computation of Basic MS-DRG Payment for a federal contract opportunity. It provides details on how the Centers for Medicare and Medicaid Services calculates the operating federal rate for MS-DRG (Medicare Severity Diagnosis Related Group) payments under the contract. The calculation involves applying the labor-related standardized amount, wage index, and MS-DRG relative weight to determine the base payment amount for MS-DRG 076 (Viral Meningitis w/o CC/MCC). The contract opportunity is for Comprehensive Medical Services at the Federal Detention Center (FDC) in SeaTac, Washington, issued by the Department of Justice Bureau of Prisons Field Acquisition Office. The payment calculation is applicable for discharges on/after October 1, 2024.

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Attachment 5: Computation of Basic MS-DRG Payment FDC SeaTac - Comprehensive Medical Services

15BFA024R00000020

Attachment 5 Computation of Basic MS-DRG Payments (i.e., Operating Federal Rate)

CBSA Code 42644-Seattle-Bellevue-Everett-WA

Calculation of the Operating Federal Rate:

Step 1: Select the applicable average standardized amount for the full update

Step 2: Multiply the labor-related portion of the standardized amount by the applicable wage index for the geographic area

Step 3: For hospitals in Alaska and Hawaii, multiply the nonlabor-related portion of the standardized amount by the applicable cost-of-living adjustment factor

Step 4: Add the amount from Step 2 and the nonlabor-related portion of the standardized amount (adjusted, if applicable, under Step 3)

Step 5: Multiply the final amount from Step 4 by the relative weight corresponding to the applicable MS-DRG

Index Figures: Obtained from the Centers for Medicare and Medicaid Services for discharges on/after October 1, 2024

Step 1 Enter CBSA Code in Cell B29 42644

Table 4A, Wage Index for Rural Areas by CBSA Table: 1.1884

Area Name: Seattle-Bellevue-Kent, WA

Table 1A or 1B (Full Update) National Adjusted Operating Standardized Amount:

Labor-related: $4,466.00 Non-labor-related: $2,140.51

Table 5, MS-DRG Relative Weight (MS-DRG 76, Viral Meningitis w/o CC/MCC): 0.9169

Step 2 Labor-related x Wage Index 5,307.39$

Step 3 Only applicable for HI & AK

Step 4 Total of Step 2 + Non-labor related 7,447.90$

Step 5 Total of Step 4 x MS-DRG Relative Weight 6,828.98$

Payment for MS-DRG 076 under the contract would be 6,828.98$ plus or minus any premium or discount established as the contract rate.

File details come from the government source that posted it. Updated .