A Hospital Is Not Able to Be Reimbursed for Care

question 17

Multiple Choice

A hospital is not able to be reimbursed for care a particular client received while in the emergency department. The client came in with chest pain, which was later diagnosed as gastric reflux. A problem in documentation that may have caused the lack of reimbursement would be which of the following?

• A) The client's record contained an incorrect DRG.
• B) The client was charged for medications the client did not use.
• C) The client was charged for an ECG.
• D) The physician made a diagnostic mistake.

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Definitions:

Encoding Failure

A situation where information does not enter the brain's long-term memory and hence cannot be recalled later.

Implicit Memory

Implicit memory refers to the unconscious retention of information, which influences behavior without conscious recollection.

Ebbinghaus Forgetting Curve

A hypothesis that describes the decrease in ability of the brain to retain memory over time, where memories are lost exponentially with time.

Implicit Memory

A type of long-term memory that enables us to perform tasks without conscious awareness of these previous experiences.