Answer the following statements true (T) or false (F)

1. Hospitals and physicians’ offices use the same type of claim form.
2. The Diagnosis Related Group system (DRG) is a fee for service system.
3. Seven variables are responsible for DRG classification.
4. The CDM lists the drugs the patient is taking.
5. An example of an inpatient is a patient who is confined in the hospital for more than 24 hours.

(False) (Physicians’ offices use the CMS-1500, whereas hospitals use the UB-04.)
(False) (It is a prospective pay system.)
(True)
(False) (The CDM is a comprehensive list of items billable to a hospital patient. It is organized by revenue codes, procedure codes, descriptions, and medical record data.) It is commonly maintained in HIS (health information system).
(True)

Health Professions

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