In order for the healthcare provider to receive payment from Medicare,the client's medical record must include which documentation?
A)An evaluation of the quality of care
B)Permission from the client to use health data in governmental research
C)Correct diagnosis-related group
D)A discussion of the pathophysiology of the client's major medical diagnosis

Question

Quizplus · Accepted Answer

Medicare payment is based on the Correct Diagnosis-Related Group (DRG) which is determined by the client's diagnosis and treatment received.

Additional Note: While A (an evaluation of the quality of care) and D (a discussion of the pathophysiology of the client's major medical diagnosis) may be included in the client's medical record, they are not necessary for Medicare payment. B (permission from the client to use health data in governmental research) is also not relevant to Medicare payment.

In Order for the Healthcare Provider to Receive Payment from Medicare,the