Cca exam prep 2 Study guides, Class notes & Summaries

CCA EXAM PREP Domain - 2 Reimbursement methodologies Questions and Answers Latest (2024 / 2025) (Verified Answers)

What are possible "add-on" payments that a hospital could receive in addition to the basic Medicare DRG payment? A. Additional payments may be made to locum tenens, increased emergency room services, stays over the average length of stay, and for cost outlier cases. B. Additional payment may be made to critical access hospitals, higher than normal volumes, unexpected hospital emergencies, and for cost outlier cases. C. Additional payments may be made to increased emergency room services,...

What are possible "add-on" payments that a hospital could receive in addition to the basic Medicare DRG payment? A. Additional payments may be made to locum tenens, increased emergency room services, stays over the average length of stay, and for cost outlier cases. B. Additional payment may be made to critical access hospitals, higher than normal volumes, unexpected hospital emergencies, and for cost outlier cases. C. Additional payments may be made to increased emergency room services,...

CCA EXAM PREP 2022/2023 Solved 100% Correct What are possible "add-on" payments that a hospital could receive in addition to the basic Medicare DRG payment? A. Additional payments may be made to locum tenens, increased emergency room services, stays over the average length of stay, and for cost outlier cases. B. Additional payment may be made to critical access hospitals, higher than normal volumes, unexpected hospital emergencies, and for cost outlier cases. C. Additional payments may ...

CCA EXAM PREP 2022/2023 Solved 100% Correct

PPS - Prospective Payment System What is prospective payment system? - Payment for all care delivered during an episode of care based on pre-determined fixed amount (DRGs). Influenced by care setting. What are the 4 types of Prospective Payment Systems? - Capitation, global payment method, case-rate methodology, and bundled payment. Capitation - System of payment used by managed care plans in which physicians and hospitals are paid a fixed, per capita amount for each patient enrolled ov...

PPS - ANSWER-Prospective Payment System What is prospective payment system? - ANSWER-Payment for all care delivered during an episode of care based on pre-determined fixed amount (DRGs). Influenced by care setting. What are the 4 types of Prospective Payment Systems? - ANSWER-Capitation, global payment method, case-rate methodology, and bundled payment. Capitation - ANSWER-System of payment used by managed care plans in which physicians and hospitals are paid a fixed, per capita amount ...

CCA Exam Prep 2023/2024 (100+) Questions Solved Correct 100% PPS - ANSWERProspective Payment System What is prospective payment system? - ANSWERPayment for all care delivered during an episode of care based on pre-determined fixed amount (DRGs). Influenced by care setting. What are the 4 types of Prospective Payment Systems? - ANSWERCapitation, global payment method, case-rate methodology, and bundled payment. Capitation - ANSWERSystem of payment used by managed care plans in which phy...

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