A client's spouse is concerned about the cost of hospitalization. ...

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A client's spouse is concerned about the cost of hospitalization. The nurse says, Since your spouse is on Medicare, the hospital will be paid according to the DRG. What does the nurse mean by this statement?
 
  1. Medicare will pay the total cost for the care provided.
  2. Medicare will pay an average of the total costs.
  3. Medicare will pay based on the usual cost of the treatments provided.
  4. Medicare will pay based on a set amount for the specific condition for which the client was hospitalized.

Question 2

The nurse manager's goal is to adequately staff the unit and use minimal supplementary staff. The manager has added the cost of this supplementary staff to the unit's operating budget.
 
  A colleague informs the manager it should have been added to which budget? 1. The personnel budget
  2. The operating budget
  3. The revenue budget
  4. The fixed budget

[gcook]

Answer to Question 1

4
Rationale 1: Total cost is the amount of the charges for which the client is billed. Medicare reimbursement does not equal this amount.
Rationale 2: An average for the costs is not a payer amount used by the health care industry.
Rationale 3: Medicare does not pay based upon the usual cost of the procedure.
Rationale 4: Medicare payment for inpatient services is currently made at a predetermined specific rate for each Medicare recipient based on the patient's diagnosis. Care is classified into diagnosis-related groups (DRGs).
Global Rationale:

Answer to Question 2

1
Rationale 1: The personnel budget projects the salary costs that will be paid and charged to the cost center in the budget period.
Rationale 2: The operating budget is the organization's statement of expected revenues and expenses for the coming year.
Rationale 3: The revenue budget represents the patient care income expected for the budget period.
Rationale 4: Because the salary cost of supplementary staff is an unknown, the costs are variable, not fixed.
Global Rationale:

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TYSM

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Gracias!