Question

The core clinical data set definitions are incorporated into the inpatient prospective payment.

A)True
B)False

Answer 1

The core clinical data set definitions are indeed incorporated into the inpatient prospective payment system, which is used by Medicare to determine hospital payments based on DRGs.

Step-by-step explanation:

The statement that the core clinical data set definitions are incorporated into the inpatient prospective payment system is True. The inpatient prospective payment system (IPPS) is used by Medicare to determine the payment to hospitals for inpatient stays. Under the IPPS, each stay is categorized into a Diagnosis-Related Group (DRG), which is based on the patient's clinical data, including diagnoses and procedures. The core clinical data, such as the principal diagnosis, secondary diagnoses, surgical procedures, comorbidities, and complications, all contribute to defining the DRG, which then determines the payment amount.