Categories established by the federal government that determine how much hospitals will be reimbursed for caring for a patient with a particular medical condition are known as
A) predetermined coverage groups.
B) age and diagnosis groups.
C) fee-for-service groups.
D) diagnosis-related groups.

Question

Quizplus · Accepted Answer

Diagnosis-related groups (DRGs) are the categories established by the federal government that determine how much hospitals will be reimbursed for caring for a patient with a particular medical condition. Each DRG has a fixed payment amount, based on the average cost of treating a patient in that category. This system was introduced in the 1980s as a way to control healthcare costs and promote efficiency in hospital care.

Categories Established by the Federal Government That Determine How Much