Question:

How does the difference between the charges and the DRG reimbursement become resolved?

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You're an inpatient coder in a hospital. You've just coded a Medicare Part A record with a DRG 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?

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2 ANSWERS


  1. It's a contractual write-off at the hospital.


  2. it is written off by the hospital. That's who DRG works...  

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