Hospitals
Hospitals
Hospitals
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Managing the Bundle: Readmissions<br />
significantly add to cost of episode<br />
Average Medicare Episode Paid by Readmission Status for Select MS-DRGs<br />
(30-Day Episode)<br />
Average Medicare Episode Paid<br />
$35,000<br />
$30,000<br />
$25,000<br />
$20,000<br />
$15,000<br />
$10,000<br />
$5,000<br />
Surgical<br />
Medical<br />
$0<br />
247 470 481 192 194 291<br />
MS-DRG<br />
Episode With a Readmission<br />
Episode Without a Readmission<br />
247: Percutaneous cardiovascular procedure with drug-eluting stent w/ MCC 192: Chronic obstructive pulmonary<br />
disease without CC/MCC<br />
470: Major joint replacement or reattachment of lower extremity w/o MCC 194: Simple pneumonia & pleurisy w CC<br />
481: Hip & femur procedures except major joint w CC 291: Heart failure & shock<br />
w MCC<br />
Source: Dobson | DaVanzo Analysis, 30-day episodes, 2007-2009 5% Medicare claims<br />
67<br />
2012 AAMC Annual Meeting