ReimbursementCâu 70 / 100
Diagnosis-Related Groups (DRGs) are used mainly to determine reimbursement for:
a.Physician office visits
b.Outpatient laboratory tests
c.Retail prescription drugs
d.Inpatient hospital stays, by grouping cases with similar clinical characteristics and resource use
Giải thích
DRGs classify inpatient admissions into groups that are expected to consume similar hospital resources, and each group carries a fixed payment weight. This prospective payment method pays a set amount per admission rather than per service. It creates an incentive for efficient inpatient care.
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Câu hỏi liên quan cùng chủ đề
- A deductible is:
- The Resource-Based Relative Value Scale (RBRVS) determines physician payment based on:
- In the Medicare Physician Fee Schedule, the payment for a service is calculated by:
- Ambulatory Payment Classifications (APCs) are the basis for Medicare payment in the:
- Under a capitation payment arrangement, a provider is paid:
- In a fee-for-service reimbursement model, the provider is paid:
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