Epic RHB390 Practice Exam

Where is the standard DRG rate stored?

On the contract line In the fee schedule In the locale master file In the payer policy

Correct Answer:

On the contract line

Explanation:

The standard DRG rate is stored on the contract line because DRG pricing is a negotiated amount tied to a specific payer contract. It represents the agreed payment for a given DRG under that contract and is therefore kept within the contract’s pricing details. The fee schedule generally holds per-service charges, not bundled DRG payments; the locale master file contains location and master data, not payer-specific pricing; and payer policy covers rules and coverage rather than the negotiated rate itself. So the contract line is the appropriate place for the standard DRG rate.

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