Wiki Hospital Billing HELP

[ahunemuller]

Have a question for all you hospital billers out there. One of my providers asked a question of me that I cannot help with because I have only done outpatient/office billing. If a hospital uses a diagnosis on a patient of infection of non union of fibula. Does the hospital get reimbursed more for the infection than if it were just a non union and there was no infection? Do you know how much different? What plays a factor in how much they pay?

 

[ca.ac.russo@gmail.com]

The hospital only gets paid per line item on outpatient and DRG weight for inpatient. This also is different per payer as well. So I would need to know the patient status and payer to give you a definent answer.

 

[ahunemuller]

Medicare inpatient. Is there a variance in payment with diagnosis of infected nonunion distal humerus fracture vs comminuted distal humerus fracture? What would that variance in payment be?