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Test bank for contemporary nursing 8th edition chapter 7 by cherry

Test bank for contemporary nursing 8th edition chapter 7 by cherry

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TEST BANK FOR CONTEMPORARY NURSING 8TH EDITION CHAPTER 7 BY CHERRY TEST BANK FOR CONTEMPORARY NURSING 8TH EDITION BY CHERRY Chapter 07: Paying for Health Care in America: Rising Costs and Challenges Cherry and Jacob: Contemporary Nursing: Issues, Trends, and Management, 8th Edition MULTIPLE CHOICE 1. An older adult client was admitted to the hospital with the condition classified as “pneumonia.” Reimbursement for care was based on a predetermined fixed price. What is this classification system referred to as? a. Diagnosis-related groups (DRGs) b. Subjective symptom management c. Acuity classification system d. Organized managed care ANS: A DRGs are used in reimbursement for health care services based on a predetermined fixed price per case or diagnosis in 468 categories. Under DRGs, each Medicare client is assigned to a diagnostic grouping based on his or her primary diagnosis at hospital admission. Medicare limits total payment to the hospital to the amount preestablished for that DRG. DIF: Comprehension 2. The precise classification of clients according to the highest diagnosis-related group (DRG) has created a new role for nurses, known as a _____ nurse. a. case management b. quality assurance NURSINGKING.COM c. utilization review d. cost-control ANS: C Hospital-based utilization review nurses review medical records to determine the most appropriate DRG for clients. Financial gains can be made through careful diagnosis of clients according to their highest poten ...
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