What do diagnosis-related groups (DRGs) establish?
1. The nursing care plan
2. Pretreatment diagnosis billing categories and fee schedule
3. Private health insurance premiums
4. The need for the primary care physician to be consulted
Correct Answer: 2
DRGs are part of a classification system used to reimburse hospitals. Using DRGs, a hospital is paid a predetermined amount for a patient with a specific diagnosis. Nursing care plans are individualized based on Maslow's hierarchy of needs. Private health insurance premiums are monies charged to patients to provide insurance coverage selected by the patient. Physician consultations are made based on patient needs and not the established DRG.
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