BHA4009 Health Care Reimbursement Systems Comprehensive Exam Guide Q & A 2026 (Complete And Verified Study material) (35pages) LEARNEXAMS

1. What is the primary purpose of the Diagnosis-Related Group (DRG) system in healthcare reimbursement? A. To standardize patient care B. To ensure equal access to healthcare C. To provide a framework for health education D. To classify hospital cases for payment Answer: D. The DRG system is used to classify hospital cases into groups for the purpose of payment. It helps to ensure that hospitals are reimbursed based on the diagnoses and procedures, rather than the length of stay. 2. Which legislation introduced the Resource-Based Relative Value Scale (RBRVS)? A. The Affordable Care Act B. The Social Security Amendments of 1983 C. The Balanced Budget Act of 1997 D. The Medicare Prescription Drug, Improvement, and Modernization