- type of hospital room used
- drugs administered
- medical supplies
- procedures performed by doctors, nurses, anesthesiologists, radiologists, etc.
The claim is sent to the insurance company which then uses computer software to bundle all the charges together
you debunked yourself
just writing covid on a random form does not trigger high reimbursements.
i quoted you above that shows this
the reimbursements are based on the actual procedures included during the stay being packaged up
so a simple swab test for covid will not trigger your DRG177 with MCC
because a patient who was mild would not have the same treatment severe patient
a patient with a gunshot wound dying of a gunshot wound based injuries who happen to also have a cough wouldnt trigger the same procedures as someone with ARDS
so if you think someone with just a cough would get a hospital compensated for a 24day stay in a critical care ward under comatose protocol.. you are very very much mistaken.
the most a hospital can tweak without it being flagged up is bed pan/bed baths and additional bodily fluid sampling.
but hey america is known for the scammers and greedy people so i can see why you think its actually simple. but the reality is that there are repercussions to certain extreme errors.
hospitals can actually lose alot. as can individual doctors
but yea america ia america and thats why im glad im a brit.
but if you want to start toeeing the conspiracy party line.you can always ask the relatives of patients that died and ask them why the patient went into hospital