Capitation fee - Study guides, Class notes & Summaries

Test Bank for Medical-Surgical Nursing 5E Holly Stromberg Chapter 01: Caring for Medical-Surgical Patients Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition MULTIPLE CHOICE 1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs b. To define the scope of LPN/LVN practice c. To improve the quality of care provided by the LPN/LVN d. To limit the LPN/LVN employment placement ANS: B While improv...

Principles of Healthcare Reimbursement 9 & 10 Questions and Answers 100% Verified How do government programs like Medicare and Medicaid impact healthcare reimbursement? Government programs like Medicare and Medicaid set specific reimbursement rates and guidelines that providers must follow for services rendered to eligible patients. What are the two main types of reimbursement methods in healthcare? The two main types of reimbursement methods in healthcare are fee-for-service and ...

TEST BANK : MEDICAL SURGICAL NURSING: CONCEPTS & PRACTICE 3RD EDITION BY deWit (CHAPTER 1-48)Chapter 01: Caring for Medical-Surgical Patients Chapter 02: Critical Thinking and the Nursing Process Chapter 03: Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy Chapter 04: Care of Preoperative and Intraoperative Surgical Patients Chapter 05: Care of Postoperative Patients Chapter 06: Infection Prevention and Control Chapter 07: Care of Patients with Pain Chapter 08: Care of Patients wi...

Reimbursement Ch. 4,5,6 Questions and Answers Rated A+ What are the main types of health care reimbursement methods? The main types of health care reimbursement methods include fee-for-service, capitation, and bundled payments. How does fee-for-service reimbursement work? Fee-for-service reimbursement works by paying providers for each individual service or procedure they perform. What is capitation in the context of health care reimbursement? Capitation is a payment model ...

Healthcare Reimbursement Final Exam Questions and Answers Already Passed What is the difference between direct and indirect costs in healthcare? Direct costs are expenses directly tied to patient care, such as salaries and medical supplies, while indirect costs are overhead expenses, like administrative salaries and utilities. What role do diagnosis-related groups (DRGs) play in reimbursement? DRGs categorize hospital cases into groups that determine the fixed payment amount for i...

Healthcare Reimbursement Methodologies Chapter 1: Questions and Answers 100% Pass What is healthcare reimbursement? Healthcare reimbursement is the process by which healthcare providers receive payment for the medical services they provide to patients. How do healthcare reimbursement methodologies affect patient care? Reimbursement methodologies influence how providers deliver care by creating incentives for specific types of services or treatments and by affecting the cost t...

_____ is the recording of all treatments, diagnoses, and other medical services. It is commonly done electronically but may be done on paper. - ️️charge capture ____ is the process of translating treatments, diagnoses, and other medical services into established alphanumeric codes so that they can be submitted as part of a claim. - ️️coding When a healthcare organization such as a physician group receives a per-head fee for each individual enrolled in a plan, it is known _____. A c...

Comprehensive Test- Principals of Healthcare Reimbursement and Revenue Cycle Management Review with Complete Solutions What is the primary function of revenue cycle management in healthcare? The primary function of revenue cycle management is to oversee and optimize the financial processes from patient registration to final payment, ensuring timely and accurate reimbursement. How does patient registration impact the revenue cycle? Patient registration is crucial because accura...

Reimbursement Methodologies » Healthcare Reimbursement Questions and Answers Already Passed How does reimbursement methodology affect healthcare provider behavior? Reimbursement methodologies incentivize healthcare providers to manage costs, deliver efficient care, and focus on patient outcomes, depending on the specific model in place. What is the impact of diagnosis-related groups (DRGs) on hospital reimbursement? DRGs determine the amount hospitals will be reimbursed based on ...

CNML Test Exam Questions Revised With Correct Answers < Updated & Already Passed > DRGs - ANSWER : Diagnostic-Related Groups: payment rate based on specific diagnoses Prospective Payment System - ANSWER : Used by Medicare-participating hospitals: pretreatment diagnosis billings based on DRGs; rate decided ahead of time between insurance companies and hospitals Exclusive Provider - ANSWER : Used by HMO's: insurance coverage for contracted providers or institutions ...