Author Question: Medicare payment for a client admitted to the hospital is determined by a system that bases its ... (Read 36 times)

Lobcity · **on:** Jul 8, 2018

Medicare payment for a client admitted to the hospital is determined by a system that bases its payment on the actual diagnosis known as diagnosis-related groups (DRGs). This classification system pays a provider by:

1. The total cost for the care provided.
2. An average of the total costs.
3. The usual and customary charge.
4. A set amount for a specific condition.

Question 2

The nursing supervisor states, I really don't have the time to delegate this task to a nurse manager. I can do it faster What is the most likely basis for this statement?

1. The nursing supervisor does not have time to delegate.
2. The nursing supervisor's job description needs to be redefined.
3. The nursing supervisor feels that he or she can do the job faster.
4. The nursing supervisor is concerned that staff is ill-prepared to assume additional responsibilities.

Toya9913 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

4
Explanation: 1. Medicare payment for inpatient services is made at a predetermined specific rate for each
Medicare recipient based on the patients diagnosis. Care is classified into diagnosis -related
groups (DRGs). The total cost is the bill for the care that was rendered. An average for the costs
is not a payer source used by the health care industry. The usual and customary charge is a
term payers use to determine the appropriate costs for a procedure.

Answer to Question 2

4
Rationale 1: It is the responsibility of the supervisor to develop the staff. Failing to delegate is the time waster.
Rationale 2: An effective manager's role is to develop staff in such roles as delegate.
Rationale 3: The fact that the nurse supervisor could do the job faster does not help to facilitate staff development.
Rationale 4: Even though it may appear that these statements are straightforward and that the supervisor is just trying to save time, statements such as this often suggest a lack of trust and confidence in the abilities of the staff.
Global Rationale: