Which of the following statements is true about the do-not-pay list?
1. If a patient develops a complication, Medicare will reimburse for all services.
2. If a patient develops complications, Medicaid will reimburse for all services.
3. If a patient has certain complications during the hospital stay, Medicare will not reimburse the hospital at the higher rate for the treatment.
4. If a patient develops a preventable complication, Medicare will demand the immediate transfer of the patient to a different health care setting.
3
Rationale: Under the do-not-pay rules, if patients develop certain medical problems during their hospital stay, Medicare will not reimburse the hospital at the higher rate for the treatment of the complication. However, it will still pay for treatment related to the primary diagnosis and other complications not on the list. The physicians who provide that care are not under the rule.
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