Homework Answers
Answer: Option 3
Rationale: Bundling payments are a single payment for healthcare related service like clinical servuce, episode of care, and payment per hospital discharge.
Per diem, unlike bundling payments is not a single payment but a daily allowance.
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Which of the following is not a method of bundling payments? Payment for a clinical service...
D Question 13 2 pts Which of the following statements about prospective payments is false? Prospective...
D Question 13 2 pts Which of the following statements about prospective payments is false? Prospective payment: Is determined at the end of the treatment. Is a fixed amount determined beforehand. May be bundled, based on per episode of care. May be per diagnosis May be per diem (day).
Which payment model provides the least financial risk for payers and the most financial risk for...
Which payment model
provides the least financial risk for payers and the most financial
risk for providers?
Question 14 1 pts What service line does more than half of all NHS expenditures go towards? Acute hospital care, including hospital-based physician services O Primary care services Acute hospital care, excluding hospital-based physician services Community & public health services Question 15 1 pts 60% of all primary care physicians working for the NHS are on nationally negotiated contracts. Which payment models are...
Problem 5 Which statement is FALSE about the methods of hospital payment? A. In per diem,...
Problem 5 Which statement is FALSE about the methods of hospital payment? A. In per diem, the insurer is at not risk for the number of services B. In the past, insurance companies made fee-for-service payments to C. With capitation payment, hospitals are at risk for admissions, the D. With DGR, Medicare is at risk with the number of admissions performed on any given day private hospitals based on the principle of "reasonable cost." length of stay, and the resources...
hi i need help with those homework questions please help me with it be clear Question...
hi
i need help with those homework questions please help me with it be
clear
Question 5 1 pts Which payment model reimburses organizations and/or providers based upon the number of days treatment was given? Per diem Capitation Salary Fee-for-service Question 6 1 pts What does the term prospective mean? It is when the reimbursement amount for a service or group of services are set in advance It means that patient's have to call their insurance company ahead of their...
public health Question 21 A healthcare professional may be compensated in a number of ways, depending...
public health
Question 21 A healthcare professional may be compensated in a number of ways, depending on where care is delivered, the nature of the patient's insurance, and the type of institution where the professional works. Which of the following is not a currently accepted method of Not yet answered Points out of 1.00 compensation? Flag question Select one: O A. Time-basis fee, in which compensation is based exclusively on the amount of the time a healthcare professional spends with...
Which compensation method may encourage unnecessary care? Group of answer choices 1.Capitation 2.Fee-for-service 3. Episode of...
Which compensation method may encourage unnecessary care? Group of answer choices 1.Capitation 2.Fee-for-service 3. Episode of care 4. None of these is correct.
Ashley attended an in-service education program about the outpatient prospective payment system (...
Please show the amounts I should be adding.
Ashley attended an in-service education program about the outpatient prospective payment system (OPPS) where she learned that certain Medicare Part B services are paid according to ambulatory payment classifications (APCs), which group services according to similar clinical characteristics and in terms of resources required. A payment rate is established for each APC and, depending on services provided, hospitals may be paid for more than one APC for a patient encounter. As part...
Which of the following is an example of price bundling? Select one: a. Charging relatively more...
Which of the following is an example of price bundling? Select one: a. Charging relatively more for razor blades than razors. b. A cable company sells the monthly service at $75/month and adds HBO for $25, even though the two normally go for $90 and $40, respectively. c. In 2018, Microsoft sold four editions of Microsoft Windows, each with a different level of features. d. A hotel in Vegas offers a room for $50 per night, while the exact same...
Which of the following statements about fee-for-service reimbursement is incorrect? Payment may be cost based. Payment...
Which of the following statements about fee-for-service reimbursement is incorrect? Payment may be cost based. Payment may be charge based. Payment may be on a prospective basis (specified beforehand). Payment may be based on the number of covered lives. Payment may be on a per visit basis.
(Spts) 14) Al of the following activities are steps in medical necessity and utilization review EXCEPT:...
(Spts) 14) Al of the following activities are steps in medical necessity and utilization review EXCEPT: Initial clinical review Peer clinical review Appeal consideration Administrative review 15) All of the following activities are service management tools used in controlling costs EXCEPT: (Spts) Applying an episode-of-care payment system Determining medical necessity and utilization review Assigning the primary care provider as gatekeeper to specialized services through referrals and prior authorizations Case and prescription management 16) Which of the following is a disadvantage...
D Question 13 2 pts Which of the following statements about prospective payments is false? Prospective payment: Is determined at the end of the treatment. Is a fixed amount determined beforehand. May be bundled, based on per episode of care. May be per diagnosis May be per diem (day).
Which payment model
provides the least financial risk for payers and the most financial
risk for providers?
Question 14 1 pts What service line does more than half of all NHS expenditures go towards? Acute hospital care, including hospital-based physician services O Primary care services Acute hospital care, excluding hospital-based physician services Community & public health services Question 15 1 pts 60% of all primary care physicians working for the NHS are on nationally negotiated contracts. Which payment models are...
Problem 5 Which statement is FALSE about the methods of hospital payment? A. In per diem, the insurer is at not risk for the number of services B. In the past, insurance companies made fee-for-service payments to C. With capitation payment, hospitals are at risk for admissions, the D. With DGR, Medicare is at risk with the number of admissions performed on any given day private hospitals based on the principle of "reasonable cost." length of stay, and the resources...
hi
i need help with those homework questions please help me with it be
clear
Question 5 1 pts Which payment model reimburses organizations and/or providers based upon the number of days treatment was given? Per diem Capitation Salary Fee-for-service Question 6 1 pts What does the term prospective mean? It is when the reimbursement amount for a service or group of services are set in advance It means that patient's have to call their insurance company ahead of their...
public health
Question 21 A healthcare professional may be compensated in a number of ways, depending on where care is delivered, the nature of the patient's insurance, and the type of institution where the professional works. Which of the following is not a currently accepted method of Not yet answered Points out of 1.00 compensation? Flag question Select one: O A. Time-basis fee, in which compensation is based exclusively on the amount of the time a healthcare professional spends with...
Please show the amounts I should be adding.
Ashley attended an in-service education program about the outpatient prospective payment system (OPPS) where she learned that certain Medicare Part B services are paid according to ambulatory payment classifications (APCs), which group services according to similar clinical characteristics and in terms of resources required. A payment rate is established for each APC and, depending on services provided, hospitals may be paid for more than one APC for a patient encounter. As part...
Which of the following is an example of price bundling? Select one: a. Charging relatively more for razor blades than razors. b. A cable company sells the monthly service at $75/month and adds HBO for $25, even though the two normally go for $90 and $40, respectively. c. In 2018, Microsoft sold four editions of Microsoft Windows, each with a different level of features. d. A hotel in Vegas offers a room for $50 per night, while the exact same...
(Spts) 14) Al of the following activities are steps in medical necessity and utilization review EXCEPT: Initial clinical review Peer clinical review Appeal consideration Administrative review 15) All of the following activities are service management tools used in controlling costs EXCEPT: (Spts) Applying an episode-of-care payment system Determining medical necessity and utilization review Assigning the primary care provider as gatekeeper to specialized services through referrals and prior authorizations Case and prescription management 16) Which of the following is a disadvantage...
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