A ________ is an action taken when the results of monitoring indicate a loss of control or when predetermined action levels are exceeded

Software that is used to calculate the DRG payment group is called a(n):

A) claims processing system. B) grouper. C) accounts receivable system. D) database.

The insurance company that should be billed first is called the ____________________ payer.

Fill in the blank(s) with the appropriate word(s).