Categories established by the federal government to determine how much a hospital will be reimbursed for the care of a patient with a particular condition or multiple conditions are

Question

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Diagnosis-related groups are established by the federal government to determine the appropriate reimbursement for a hospital based on the diagnosis(es) of a patient. This system is commonly used in Medicare and Medicaid. Fee schedules are more commonly used for determining reimbursement for individual services, and formulary tiers and diagnostic codes are not used for reimbursement purposes in hospitals.

Categories Established by the Federal Government to Determine How Much