Why would diagnosis related groups (DRGs) fail to provide equitable reimbursement for rehabilitation?
Equitable reimbursement for rehabilitation cannot be made on the basis of DRGs, because many factors other than those considered by the DRG system determine the patient's functional level and, thus, his or her recovery.
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The best way to be sure that an intended action will NOT be subject to investigation as fraud is to:
base the decision on past practices. obtain an advisory opinion from the Office of Inspector General (OIG) and Centers for Medicare and Medicaid Services (CMS). submit the claim, and request an explanation if denied. get the advice of an attorney.
(n) ________audit is frequently done by a third party if fraudulent billing is suspected.
Fill in the blank(s) with the appropriate word(s).
In the long term, a national debt that steadily increases is ______ for the United States economy.
Fill in the blank(s) with the appropriate word(s).
You are on the scene with a 72-year-old man with chest pain. The patient is complaining of shortness of breath but also refuses to go to the hospital, even after multiple attempts urging him to go. Which of the following should you do next?
A) Stay with the patient until he loses consciousness. B) Fully inform the patient about his situation and the implications of refusing care. C) Inform the patient that he is having a "heart attack" and must be taken to the hospital for evaluation. D) Contact medical direction for orders to restrain the patient.