What is capitation - Study guides, Class notes & Summaries
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Medical Billing and Reimbursement Systems Chapter 6 with Complete Solutions
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Medical Billing and Reimbursement 
Systems Chapter 6 with Complete 
 
Solutions 
 
How does the fee-for-service reimbursement model work? 
 
 The fee-for-service model reimburses healthcare providers for each service performed, 
allowing them to bill separately for every procedure or visit. 
 
What is capitation in medical billing? 
 Capitation is a reimbursement model where healthcare providers receive a fixed amount per 
patient for a specific period, regardless of the number of services provi...
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Principles of Healthcare Reimbursement 9 & 10 Questions and Answers 100% Verified
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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 ...
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Reimbursement Ch. 4,5,6 Questions and Answers Rated A+
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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 ...
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AMCA CERTIFICATION TEST - MEDICAL ASSISTING STUDY GUIDE - SET A latest 2022
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AMCA CERTIFICATION TEST - MEDICAL ASSISTING STUDY GUIDE - SET A latest 20221) Which of the following is considered a parasitic infection? 
A. Lyme disease 
B. Rabies 
C. Ringworm 
D. Malaria 
... 
 
 
 
2) Aspirin and acetaminophen are examples of: 
A. Analgesics and antipyretics 
B. Antitussives and decongestants 
C. Antihistamines and antiemetics 
D. Antidotes and antibiotics 
... 
 
 
 
3) Demerol 75 mg, IM every 4 hours, as needed for severe pain, is what type of medication order? 
A. Single...
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Healthcare Reimbursement Final Exam Questions and Answers Already Passed
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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...
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Reimbursement Methodologies » Healthcare Reimbursement Questions and Answers Already Passed
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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 ...
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WGU C425 Final Exam Questions With 100% Verified Answers | Latest Update 2023/2024 |
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WGU C425 Final Exam Questions With 100% Verified Answers | Latest Update 2023/2024. What Is Health? - ANSWER--U.S. health care has followed a medical/biomedical model. 
- It assumes illness or disease thereby emphasizing clinical diagnosis and medical in 
the treatment of disease or its symptoms. 
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It emphasizes 
• Clinical diagnosis and medical interventions to: 
- Treat disease or its symptoms. 
- Have a clinical diagnosis and medical interventions. 
Largely governed by the medical model/...
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Comprehensive Test- Principals of Healthcare Reimbursement and Revenue Cycle Management Review with Complete Solutions
- Exam (elaborations) • 25 pages • 2024
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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...
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Healthcare Reimbursement Methodologies Chapter 1: Questions and Answers 100% Pass
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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...
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COMLEX ETHICS LEVEL 2 EXAM 2024 WITH 100% ACCURATE SOLUTIONS
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What is respondeat superior or vicarious liability? - ANSWER ☑☑it is when an employer is responsible for the actions of their employees. Both terms essentially mean the same thing. 
 
what is res ipsa loquitur? - ANSWER ☑☑it is when a physician acts negligently to lead to an accident. 
the thing speaks for itself 
 
Example is if a physician prescribes the wrong medication leading to injury or leaves a scalpel inside someone . 
 
What is contributory negligence? - ANSWER ☑☑it is...
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