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Therefore, all patients admitted for a surgical procedure such as hernia repair would be charged the same amount regardless of actual cost to the hospital.

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Medical diagnosis diagnosis based on information from sources such as findings from a physical examination, interview with the patient or family or both, medical history of the patient and family, and clinical findings as reported by laboratory tests and radiologic studies.diagnosis-Related s (DRG) a system of classification or ing of patients according to medical diagnosis for purposes of paying hospitalization costs.

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If a patient's hospital bill should total less than the amount paid by Medicare, the hospital is allowed to keep the difference.

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In 1983, amendments to Social Security contained a prospective payment plan for most Medicare inpatient services in the United States.


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