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March 4, 2015

Homework Help: MEDICAL CODING AND BILLING

Posted by JULES on Wednesday, November 3, 2010 at 3:41am.

THIS IS A QUESTION FROM PENN FOSTERS FINAL EXAM 40976200 NUMBER 4 ON PART B.

YOU'RE AN INPATIENT CODER IN A HOSPITAL. YOU'VE JUST CODED A MEDICARE PART A RECORD WITH A DIAGNOSTIC-RELATED GROUP (DRG) REIMBURSEMENT OF $12000. 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 GET RESOLVED?

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