All of the following statements are true of MS-DRGs, EXCEPT
A) A patient claim may have multiple MS-DRGs.
B) The MS-DRG payment received by the hospital may be lower than the actual cost of providing the services.
C) Special circumstances can result in an outlier payment to the hospital.
D) There are several types of hospitals that are excluded from the Medicare inpatient PPS.
Correct Answer:
Verified
Q383: When appropriate, under the outpatient PPS, a
Q384: Under the APC methodology, discounted payments occur
Q385: If the physician's standard fee for a
Q386: To compute the reimbursement to a particular
Q387: Home health agencies (HHAs) utilize a data
Q389: Assume the patient has already met his
Q390: The occurrence of an OCE (outpatient code
Q391: This is the difference between what is
Q392: The term "hard coding" refers to
A) HCPCS/CPT
Q393: To monitor timely claims processing in a
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