under Medicare Part B, all of the following statements are true and are applicable to nonparticipating physician providers, EXCEPT
Answer(s): B
Under Medicare, a beneficiary has lifetime reserve days. All of the following statements are true, EXCEPT
Answer(s): C
The term used to describe a diagram depicting grouper logic in assigning MS-DRGs is
Once all data are posted to a patient's account, the claim can be reviewed for accuracy and completeness. Many facilities have internal auditing systems. The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. The auditing system identifies data that have failed edits and flags the claim for correction. These "internal" auditing systems are called
Answer(s): A
To compute the reimbursement to a particular hospital for a particular MS-DRG, multiply the hospital's base payment rate by the
Answer(s): D
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