Medicare reimburses in-hospital costs based on a set payment for ...

[shenderson6]

Medicare reimburses in-hospital costs based on a set payment for a diagnostic related group (DRG). This means the hospital is reimbursed for a fixed amount based on the diagnosis and projected cost for care.
 
  As a result of this system the hospital can make a profit or a loss. Select the responses that describe when a profit for care of the client can be achieved.
 
  A) All of the hospitalization charges are less than projected.
  B) The client receives incompatible blood so the hospital does not get charged for it.
  C) The client is discharged before the approved discharge date.
  D) The nursing care results in the client reaching outcomes for recovery, without complication, after the projected timetable.

Question 2

One of the newest concepts in providing long-term care is called aging in place. What is the best description of this type of care?
 
  A) Clients move to an independent living apartment or home, then have access to increasing health care services as needed, provided within the health care community where they live.
  B) Clients move into the nursing home, and access more and more services as required in the same facility.
  C) A long-term-care facility, associated with a hospital, that provides acute care services as needed so the client can return to long term care.
  D) Clients are maintained in their own homes with home health care.

[k.lashomb]

Answer to Question 1

Ans: A, C
The hospital will make a profit when cost of hospitalization is less than the reimbursement assigned for the severity of illness and projected care costs. If the client is discharged earlier than projected the hospital keeps the total reimbursed. Incompatible blood is a preventable error, for which the hospital is not reimbursed. Reaching outcomes after the approved time results in additional cost to the hospital.

Answer to Question 2

Ans: A
The best description of aging in place is the type of care where the client moves into an independent living space, and then has access to more services, such as assisted living and/or skilled care, that are part of the health care community in which they live.

[shenderson6]

Both answers were spot on, thank you once again

[k.lashomb]

Great! Please up vote