Posted by Anonymous on .
You’re an inpatient coder in a hospital. You’ve just coded a Medicare Part A record with a diagnosis related group (GRG) reimbursement of $12,000. You notice in the hospital’s computer billing system that the patient’s charges are $19,500. That’s $7,500 more than the hospital will be reimbursed. How does the difference between the charges and the DGR reimbursement become resolved?