A hospital is not able to be reimbursed for care a particular client received while in the emergency department.The client came in with chest pain,which was later diagnosed as gastric reflux.Which problem with documentation might have caused the lack of reimbursement?
A)The client's record contained an incorrect DRG.
B)The client was charged for an ECG.
C)A code cart was opened and the client was charged for medications opened but not used.
D)The physician made a diagnostic mistake.

Question

Quizplus · Accepted Answer

The client's record contained an incorrect DRG (Diagnosis-Related Group), which is used for billing and reimbursement purposes. If the DRG does not accurately reflect the patient's condition and treatment, it can lead to issues with reimbursement.

A Hospital Is Not Able to Be Reimbursed for Care