In order for the healthcare provider to receive payment from Medicare,

QUESTION

In order for the healthcare provider to receive payment from Medicare, the client’s medical record must include which documentation?

1. An evaluation of the quality of care
2. Permission from the client to use health data in governmental research
3. Correct diagnosis-related group
4. A discussion of the pathophysiology of the client’s major medical diagnosis

ANSWER:

Correct Answer: 3

The correct diagnosis-related group is essential to receive payment from Medicare. Additionally, there must be documentation that the appropriate care was given for the healthcare provider to receive payment. There is no requirement for an evaluation of quality of care, a discussion of the pathophysiology, or permission for use of data in governmental research.