Attachments III.pdf

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Attached to
Comprehensive Medical Services (FCI Fort Worth)
Solicitation number
RFP-FTW-0007
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Attachment III

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Other files

File Type Posted
Amend 1.pdf PDF
Answers.pdf PDF
RFP FTW-0007 Questions.pdf PDF
Sol Part 1.pdf PDF
Attachment IV Tech Proposal Summary.pdf PDF
Sol Part 2.pdf PDF
Attachment I-Medical Classification.pdf PDF
Issue Solicitation.pdf PDF
Attachment V Past Performance Questionnaire.pdf PDF
Attachment II Outcome Measures.pdf PDF

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

CBSA 23104 - Fort Worth - Arlington, TX

Urban Area Payment Formula

Labor-related portion of the National Adjusted Operating Standardized Amount (NAOSA)(Full Update)(Table 1a or 1b, Federal Register )

X Wage Index for the Area (Table 4A for Urban Areas, Federal Register )

= Wage adjusted labor related portion

+ Nonlabor-related portion of the NAOSA (Full Update)(Table 1a or 1b, Federal Register )

= Wage Adjusted Rate

X DRG Relative Weight (Table 5, Federal Register )

= Basic MS-DRG Payment for CBSA 23104 - Fort Worth - Arlington, TX

Index Figures

Obtained from the Federal Register, VOL 72, No. 162, Wednesday, August 22, 2007; Federal Register, VOL 72, No. 195, Wednesday, October 10, 2007; and Federal Register, VOL 72, No. 227, Tuesday, November 27, 2007 for discharges on/after October 1, 2007.

National Adjusted Operating Standardized Amounts (NAOSA) - Table 1b (full update)

Labor-related portion: $3,094.17 Nonlabor-related portion: $1,896.43

Wage Index for Urban Areas by CBSA - (Table 4A)

Fort Worth - Arlington, TX (23104): .9637

MS-DRG Relative Weight (Table 5)

MS-DRG 75, Viral Meningitis w CC/MCC: 1.5369

Application For MS-DRG 075 (example)

$3,094.17 (Labor-related portion of the NAOSA) X .9637 (Wage Index for the Area) + $1,896.43 (Nonlabor-related portion of the NAOSA) = $4,878.28 (Wage Adjusted Rate) X 1.5369 (MS-DRG Relative Weight) = $7,497.43 (Basic MS-DRG Payment for Fort Worth - Arlington, TX Hospitals, MS-DRG 075)

Payment for MS-DRG 075 under the contract would be $7497.43 plus or minus any premium or discount established as the contract rate.

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