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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
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
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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.
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.
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