AMT's Registered Medical Assistant (RMA) 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

Which of the following is a statistical system used for classifying inpatient stays into payment groups?

RBRVS

DRG

The correct choice is based on the fact that the system known for classifying inpatient stays into payment groups is the Diagnosis-Related Group (DRG) classification system. This system groups hospital cases into categories that are expected to have similar hospital resource use, which helps determine the amount of reimbursement that a hospital will receive for a patient's stay.

DRG is significant in healthcare management as it allows for a standardized payment mechanism for inpatient hospital services, improving efficiency and cost-effectiveness. It’s widely used in Medicare and Medicaid programs in the United States, influencing how hospitals manage their resources and care delivery.

In comparison, the other options serve different purposes. The Resource-Based Relative Value Scale (RBRVS) focuses on establishing payment rates for outpatient services based on the resources required, but it is not specific to inpatient stays. Current Procedural Terminology (CPT) codes are used for outpatient procedures and services, detailing the medical procedures performed but not classifying inpatient stays. The Relative Value Scale (RVS) was an early attempt to categorize services but is not the system currently in use for inpatient payments. Thus, DRG is the system specifically designed for the classification of inpatient stays into payment groups.

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CPT

RVS

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