Healthcare Finance & Clinical Operations
Pure Edge Computation
Hospital Readmissions Reduction Program (HRRP) Penalty Calculator
Models statutory CMS payment adjustments for hospital chief financial officers and clinical quality directors.
Formula:
Penalty% = min(3.0%, (Weighted ERR - 1.0) * 0.85); DRG Reduction = Base DRG * Penalty%
Model Parameters
Outputs & Underwriting Summary
Calculation Status
COMPUTED
Verified Model
CMS Penalty Percentage
2.89%
Weighted ERR: 1.034
Annual DRG Payment Reduction
$1,300,500.00
Net Retained: $43,699,500.00
Weighted Excess Readmission Ratio of 1.034 triggers a 2.89% CMS payment adjustment factor. This reduces inpatient base operating DRG reimbursement by $1,300,500.00, leaving $43,699,500.00 retained.
Skrino Computational & Analytical Suite
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Models premerger reporting obligations under the Hart-Scott-Rodino Antitrust Improvements Act and 2023 FTC/DOJ Merger Guidelines.
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