Author Question: All of the following statements are true of MS-DRGs, EXCEPT A. a patient claim may have multiple ... (Read 83 times)

ap345 · **on:** Jun 27, 2018

All of the following statements are true of MS-DRGs, EXCEPT
A. a patient claim may have multiple MS-DRGs.
B. the MS-DRG payment received by the hospital may be lower than the actual cost of providing
the services.
C. special circumstances can result in a cost outlier payment to the hospital.
D. there are several types of hospitals that are excluded from the Medicare inpatient PPS.

Question 2

Which code represents complicated LeFort III open treatment of craniofacial separation that required the use of multiple surgical approaches?
a. 21431
b. 21432
c. 21433
d. 21435