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.

Comprehend the frameworks proposed by Jurgen Habermas, including critical knowledge and communicative action.

Grasp Immanuel Wallerstein's World-Systems Theory and its classification of global geo-economic zones.

Identify the characteristics of Fordism and Post-Fordism.

Understand David Harvey's critiques of Marxism.

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Definitions:

Lender

An individual, institution, or entity that provides funds to another with the expectation that the funds will be repaid, often with interest.

Utility Function

A mathematical representation that ranks an individual's preferences over a set of goods and services.

Interest Rate

The share of a loan subject to interest charges to the borrower, typically denoted as an annual percentage of the loan's outstanding sum.

Nominal Interest Rate

The stated interest rate on a loan or investment, not adjusted for inflation.