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| The medical staff absolutely must have a sense that it is heard and can have shared ownership of certain projects, such as practice protocols for high-cost, high-volume diagnosis-related groups and a medical staff development plan. Shortly thereafter, the passage of the Social Security Amendment Act instituted a prospective cost reimbursement system for Medicare recipients based on predetermined rates for 474 distinct diagnosis-related groups (DRGs) (Preston et al. case rates, per diems, capitation, and diagnosis-related groups (DRGs). |
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