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December 10, 2021

Healthcare Reimbursement

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Healthcare is reimbursed in a variety of ways. The prospective payment method is one of those ways. This paper will be about the prospective payment method where diagnosis-related groupings (DRGs) forms the basis for payment.

1. Research and explain the origin, purpose, and description of DRGs.

2. Include what payment is based on.

3. Identify the benefits and problems with reimbursement via this method.

4. Explain how you as a nurse-manager can help manage costs and maximize your facility’s reimbursement from DRGs.

5. The paper should contain an opening, a body, and a conclusion, and be 3-4 pages long.

6. Page requirement does not include the title or references page(s)

7. 3-4 professional references are required.

Attached are some resources to help you complete the reimbursement assignment due on Sunday

https://www.verywellhealth.com/how-does-a-drg-determine-how-much-a-hospital-gets-paid-1738874 (Links to an external site.)

https://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/Design_and_development_of_the_Diagnosis_Related_Group_(DRGs).pdf (Links to an external site.)

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS (Links to an external site.)

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