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You're an inpatient coder in a hospital. You've just coded a Medicare Part A record with a diagnosis-related group 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 DRG reimbursement become resolved?



im so lost on this question.

  • Health -

    my thoughts on this was that it was basically a wright off by the hospital....but im not sure!! as i said before im kinda lost on this question!!

  • Health -

    Hopefully the patient has a Supplemental Insurance Plan?

    Sra

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