Author Question: What is diagnosis-related group billing (DRG)? a. Under DRG, a flat rate payment is made based on ... (Read 61 times)

jeatrice · **on:** Jun 27, 2018

What is diagnosis-related group billing (DRG)?

a. Under DRG, a flat rate payment is made based on the patient's diagnosis rather than the hospital's itemized billing.
b. If the hospital can treat the patient for more, it keeps the savings.
c. If treatment costs less, the hospital must absorb the loss.
d. The patient is responsible for the excess amount.

Question 2

The maximum liability consists of which of the following expenses?

a. Those not covered by the plan
b. Those that the insured is legally obligated to pay
c. Those that can be verified by claims examiners
d. Those that are not covered by supplemental insurance