HEALTHCARE REIMBURSEMENT METHODOLOGIES {HIMT 2350} EXAM |GUARANTEED ACCURATE ANSWERS
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Course
HEALTHCARE REIMBURSEMENT METHODOLOGIES HIMT
Institution
HEALTHCARE REIMBURSEMENT METHODOLOGIES HIMT
ACO - Accountable Care Organization (pg. 18) - ACCURATE ANSWERS are primary care-led physician and hospital organizations that voluntarily form networks
ACA - Affordable Care Act (pg. 17) - ACCURATE ANSWERS consists of the PPACA and the Health Care and Education Reconciliation Act of 2010
All...
ACO - Accountable Care Organization (pg. 18) - ACCURATE
ANSWERS✔✔ are primary care-led physician and hospital
organizations that voluntarily form networks
ACA - Affordable Care Act (pg. 17) - ACCURATE ANSWERS✔✔
consists of the PPACA and the Health Care and Education
Reconciliation Act of 2010
Allowable Charge (pg. 10) - ACCURATE ANSWERS✔✔ represents the
maximum or average amount the third-party will reimburse for the
providers services
, Bad Debt (pg. 16) - ACCURATE ANSWERS✔✔ are services for which
healthcare organizations expected, but did not receive, payment
Block Grant (pg. 12) - ACCURATE ANSWERS✔✔ a fixed amount of
money given or allocated for a specific purpose
Bundling (pg. 12) - ACCURATE ANSWERS✔✔ combines into a single
prospective payment all services, labs tests and medical supplies needed
for a single condition ie. dialysis
Capitated Payment Method (pg. 11) - ACCURATE ANSWERS✔✔ a
method of payment in which the third-party payer reimburses the
provider a fixed, per capita amount for a period
per member per month (PMPM)
Capitation (pg. 11) - ACCURATE ANSWERS✔✔ the actual volume or
intensity of services provided to each patient has no effect on the
payment
Case (pg. 13) - ACCURATE ANSWERS✔✔ are patients, residents or
clients who receive health services for a condition or a disease
can be a flat rate or multiple rates
Case-based Payment (pg. 13) - ACCURATE ANSWERS✔✔ providers
receive a fixed, preestablished payment for each case
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