Aclient is admitted with chest pain. a series of diagnostic tests are ordered, and the client undergoes coronary artery bypass grafting. the cost of care for this client is increased because of a four-pack-per-day smoking history that resulted in extension of the client's intensive care unit (icu) stay by 3 days because of respiratory problems. the case manager realizes that under the terms of the diagnosis-related group (drg) payment system for this diagnosis:

Answer;

Although the cost of care for this client was greater than the DRG reimbursement amount, the hospital will be reimbursed only at the set fee.

Explanation;

-A Diagnosis-Related Group (DRG) is a statistical system of classifying any inpatient stay into groups for the purposes of payment.

-It divides possible diagnoses into more than 20 major body systems and subdivides them into almost 500 groups for the purpose of Medicare reimbursement.

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interphase

the period of cell growth when the cell synthesizes new molecules and organelles. the cell is not dividing and it constitutes the majority of the time spent in the cell cycle

prophase

changes occur in the nucleus and cytoplasm. the chromatin condenses to form structures (sister chromatids) visible with a light microscope and the mitotic spindle begins to form, but the nucleus is still in tact

prometaphase

the nuclear envelope fragments and the spindle microtubules attach to the kinetochores of the sister chromatids

metaphase

all the cell's duplicated chromosomes are lined up at an imaginary plane equidistant between the poles of the mitotic spindle

anaphase

begins when sister chromatids separate from each other and ending when a complete set of daughter chromosomes arrives at each of the two poles of the cell

telophase

the daughter nuclei form at the two poles of a cell

cytokinesis

the division of a cytoplasm to form two separate daughter cells. usually occurs during telophase during mitosis. this and mitosis make up to mitotic (m) phase of the cell cycle