Based on the patient volume, which MS-DRG brings in the highest "total" reimbursement to the hospital?

Based on the patient volume, which MS-DRG brings in the highest "total" reimbursement to the hospital?

• A. A. 470
• B. B. 247
• C. C. 392
• D. D. 871

Answer: (A)

In assessing the total reimbursement a hospital receives based on patient volume and specific MS-DRGs, it is essential to consider both the relative weight of the MS-DRG and the number of cases associated with it. The selected answer indicates MS-DRG 470, which typically represents a high-volume diagnosis related to conditions such as "Major Joint Replacement or Reattachment of Lower Extremity" (categorizations may vary slightly by coding updates). This MS-DRG generally carries a higher relative weight, translating into a substantial payment under the Medicare reimbursement system. When hospitals treat a high volume of cases under this DRG, the cumulative reimbursement can be significant, making it a lucrative option in terms of revenue. High patient volume combined with a relatively high payment weight results in maximized financial returns for the healthcare facility, positioning MS-DRG 470 as the highest contributor to total hospital reimbursement among the options presented. The ability to generate greater revenue effectively reflects hospitals' strategic focus on treating common, high-reimbursement conditions, which balances both patient care and financial sustainability.

In assessing the total reimbursement a hospital receives based on patient volume and specific MS-DRGs, it is essential to consider both the relative weight of the MS-DRG and the number of cases associated with it. The selected answer indicates MS-DRG 470, which typically represents a high-volume diagnosis related to conditions such as "Major Joint Replacement or Reattachment of Lower Extremity" (categorizations may vary slightly by coding updates). This MS-DRG generally carries a higher relative weight, translating into a substantial payment under the Medicare reimbursement system.

When hospitals treat a high volume of cases under this DRG, the cumulative reimbursement can be significant, making it a lucrative option in terms of revenue. High patient volume combined with a relatively high payment weight results in maximized financial returns for the healthcare facility, positioning MS-DRG 470 as the highest contributor to total hospital reimbursement among the options presented.

The ability to generate greater revenue effectively reflects hospitals' strategic focus on treating common, high-reimbursement conditions, which balances both patient care and financial sustainability.