The DRG was developed in 1970’s by Yale University and was adopted since that time to the DRGs is being used in the health care delivery system that is now used to manage as diagnosis identifies to describe the patient care’s diagnosis in an acute care hospital (Bielby, Judy A.,2010). The DRG system’s formation has now become ICD 9 as of this year ICD 10 Codes that offers a systematic way to group patients with similar diagnosis to provide a guideline for pay levels for services rendered.
The Capitated system is a fixed amount of money that is set by the payer for each patient. The agreed amount is what the payer has agreed to pay the physician for their services. The amount is determined by the selected payor, however, if the balance
The Capitated system is a fixed amount of money that is set by the payer for each patient. The agreed amount is what the payer has agreed to pay the physician for their services. The amount is determined by the selected payor, however, if the balance