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Explain the drg system and how it is used in healthcare

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Reference no: EM13875650

Our national healthcare debate does not revolve around the availability and quality of medical services. The concerns are more about the cost of healthcare-both for the direct consumer and for the intermediate payment providers (insurance companies and government payment systems like Medicare and Medicaid). These payment costs from users should reflect the total costs incurred by the physicians and medical providers plus a reasonable markup percentage.

Read the article attached above titled "Costing Practices in Healthcare" and provide clear and comprehensive answers to the questions below. Do NOT copy and paste from the article. Put all answers in your own words showing me you understand the concepts and can clearly and concisely verbalize the answers.

You may need to do some research outside the article in order to understand some of the issues presented. Use Google or another search engine to find definitions or explanations of terms. For deeper explanations, use the Library EBSCO search engine and read additional articles. Make sure your sources are reliable and provide a list of references at the end of your paper. Use APA format for the citations within the paper and references at the end of the paper. For guidance on APA format, go to

https://owl.english.purdue.edu/owl/resource/560/02/ .

1. What is DRG? How are DRG groups determined?

2. Explain the DRG system and how it is used in healthcare. What role does a DRG system play in insurance and Medicare/Medicaid payments to medical service providers?

3. What is the difference between infrastructure costs and operating costs? Give examples of each cost.

4. What is a medical controller? Who is qualified for this position? How would a medical controller assist a hospital?

5. What role does the medical clinician have in the design of the costing system?

6. After considering the importance of cost management, in your opinion should managerial accounting and costing methods be incorporated into the formal education of doctors and other medical service providers? Why?

Reference no: EM13875650

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