Omi midterm Study guides, Class notes & Summaries

HCFA - correct answer Health Care Financing Administration administers Medicare program; to handle great number of claims HCFA contracted with insurance companies for claims management, became fiscal intermediaries cost reimbursement: more care=more revenue; payer totally responsible/at risk for cost of care PPS - correct answer Prospective Payment System uses the pt primary diagnosis to categorize them into D...