Mr. Gomez is a patient on Medicare receiving care in a hospital following cardiac surgery. What method would be used to determine payment for the services provided for this client?
A) Resource utilization groups
B) Minimum data sets
C) Capitation
D) Diagnosis-related groups
Ans: D
Diagnosis-related groups (DRGs) are used to determine the payment for each
Medicare client admitted to the hospital. Payment is not determined using resource allocation
groups, minimum data sets, or capitation.
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