16-) Which of the following statements about Diagnosis-Related Groups (DRGS) is false? DRGS are used to standardize prospective payments by applying the formula "payment case weight x adjusted payment rate", where the case weight represents the relative cost of a case in the DRG classification system and the adjusted payment rate converts that weight into a monetary value. Prospective payments calculated through DRGS are a way of introducing supply-side cost sharing O MS-DRGS stands for Medicare Severity-Diagnosis-Related Groups. They are the DRG classification system used by Medicare since 1983 to calculate prospective payments. There are over 750 MS-DRGS and each is assigned a relative weight to approximate the resource usage of the average case within that diagnosis category. Roughly speaking, MS-DRGS are similar to another classification system used by Medicare called Resource- Rased Relative Value Scale (RBRVS). In fact, the MS-DRG classification system is used to calculate payments
16-) Which of the following statements about Diagnosis-Related Groups (DRGS) is false? DRGS are used to standardize prospective payments by applying the formula "payment case weight x adjusted payment rate", where the case weight represents the relative cost of a case in the DRG classification system and the adjusted payment rate converts that weight into a monetary value. Prospective payments calculated through DRGS are a way of introducing supply-side cost sharing O MS-DRGS stands for Medicare Severity-Diagnosis-Related Groups. They are the DRG classification system used by Medicare since 1983 to calculate prospective payments. There are over 750 MS-DRGS and each is assigned a relative weight to approximate the resource usage of the average case within that diagnosis category. Roughly speaking, MS-DRGS are similar to another classification system used by Medicare called Resource- Rased Relative Value Scale (RBRVS). In fact, the MS-DRG classification system is used to calculate payments
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question

Transcribed Image Text:16-) Which of the following statements about Diagnosis-Related Groups (DRGS) is false?
DRGS are used to standardize prospective payments by applying the formula "payment - case weight x
adjusted payment rate", where the case weight represents the relative cost of a case in the DRG classification
system and the adjusted payment rate converts that weight into a monetary value.
Prospective payments calculated through DRGS are a way of introducing supply-side cost sharing.
MS-DRGS stands for Medicare Severity-Diagnosis-Related Groups. They are the DRG classification system
used by Medicare since 1983 to calculate prospective payments.
There are over 750 MS-DRGS and each is assigned a relative weight to approximate the resource usage of the
average case within that diagnosis category.
Roughly speaking, MS-DRGS are similar to another classification system used by Medicare called Resource-
Based Relative Value Scale (RBRVS). In fact, the MS-DRG classification system is used to calculate payments
to physicians while RBRVS is used to calculate payments to hospitals.
Expert Solution

This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution!
Trending now
This is a popular solution!
Step by step
Solved in 4 steps

Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.Recommended textbooks for you

Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders

Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,

Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders

Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,

Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science

Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders

Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning