Please check my answer thanks you for your help :)
You are a Health information mangement professional and you are doing Medicare coding to help you assign reimbursement classifications to episodes of care you would use a fee schedule.
True or False
I said false
I think that you would use DRG grouper not to sure tho
To check whether your answer is correct, let's break down the question and provide some clarification:
The question asks whether a Health Information Management (HIM) professional, who is performing Medicare coding to assign reimbursement classifications to episodes of care, would use a fee schedule.
In healthcare, a fee schedule is a predetermined list of prices or charges for services provided. It indicates the amount that will be reimbursed by the payer for a specific service, such as a medical procedure or examination. However, in the context of Medicare coding, the answer is usually false.
When coding Medicare cases, the HIM professional typically uses the Diagnosis Related Group (DRG) grouper system. The DRG grouper is a classification system used to categorize patients based on their diagnoses, procedures performed, and patient characteristics. It assigns each case to a specific DRG, which then determines the reimbursement classification of the episode of care. The reimbursement rates are established based on the assigned DRG, not a fee schedule.
Therefore, your answer of false, with the clarification that a DRG grouper is used instead of a fee schedule, seems to be correct.