QUESTION IMAGE
Question
59
multiple choice 1 point
to control costs, medicare developed ————as the basis for reimbursing hospitals for services provided.
physician fee schedules
the diagnostic and statistical manual
diagnosis - related groups
ambulatory care guidelines
Brief Explanations
- Physician fee schedules are for physician payments, not hospital reimbursement.
- The Diagnostic and Statistical Manual is for mental disorder diagnosis, not cost - control in Medicare hospital reimbursement.
- Ambulatory care guidelines are for outpatient care, not the basis of hospital reimbursement.
- Diagnosis - related groups (DRGs) were developed by Medicare to categorize patients and determine hospital reimbursement based on the patient's diagnosis, treatment, etc., which helps control costs.
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diagnosis - related groups