Exam (elaborations)

(Capella) BHA4009 Health Care Reimbursement Systems - Midterm Readiness Exam Guide

0 purchase

Course
NURSING

Institution
Capella University

(Capella) BHA4009 Health Care Reimbursement Systems - Midterm Readiness Exam Guide(Capella) BHA4009 Health Care Reimbursement Systems - Midterm Readiness Exam Guide(Capella) BHA4009 Health Care Reimbursement Systems - Midterm Readiness Exam Guide

[Show more]

Preview 3 out of 19 pages

View example

Uploaded on September 13, 2024
Number of pages 19
Written in 2024/2025
Type Exam (elaborations)
Contains Unknown

capella bha4009 health care reimbursement system

$14.49

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

BHA4009

Health Care Reimbursement Systems

MIDTERM READINESS EXAM
GUIDE
Q&S

©2024/2025

,1. Which of the following models focuses on the payment
structure that incentivizes health care providers for quality
of care rather than quantity?
- A) Fee-for-Service
- B) Value-Based Care
- C) Capitation
- D) Pay-for-Performance
- Correct Answer: B) Value-Based Care
Rationale: Value-Based Care emphasizes outcomes
and quality, rewarding providers for delivering high-quality
services.

2. In which reimbursement model do providers receive a
set amount per enrolled patient, regardless of the number of
services provided?
- A) Fee-for-Service
- B) Capitation
- C) Global Budget
- D) Cost-Plus
- Correct Answer: B) Capitation
Rationale: Capitation is a payment arrangement where
providers are paid per patient, regardless of how many
services they provide.

3. What is the primary purpose of the Relative Value Unit
(RVU) system in health care reimbursement?
- A) To standardize patient outcomes
- B) To determine the cost of services
- C) To establish payment rates for health care providers
- D) To improve patient satisfaction
- Correct Answer: C) To establish payment rates for
©2024/2025

, health care providers
Rationale: RVUs help determine reimbursement rates
based on resource costs, time, and complexity involved in
providing a service.

4. Which of the following is a risk-sharing mechanism
commonly used in Accountable Care Organizations
(ACOs)?
- A) Bundled Payments
- B) Fee-for-Service
- C) Capitation
- D) Shared Savings
- Correct Answer: D) Shared Savings
Rationale: Shared Savings programs in ACOs allow
providers to share in cost savings achieved through
improved efficiency and quality.

5. Which federal program provides health coverage for
individuals with low income, primarily focusing on families
and children?
- A) Medicare
- B) Medicaid
- C) TRICARE
- D) CHIP
- Correct Answer: B) Medicaid
Rationale: Medicaid is designed to provide health care
coverage for low-income individuals and families.

### Fill-in-the-Blank Questions

6. The ________ Adjustment Factor is used to determine
reimbursement rates to account for geographic differences
in the cost of providing services.
©2024/2025

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller mayphd. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

68175 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Seller

Exam (elaborations) ·