Describe how the providers can get reimbursed for their services with this financing/payment system & from the provider perspective, what does this mean in terms of incentives and utilization/ordering of services? a. physician fee-for-service b. prospective payment c. HMO capitation
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1. Describe how the providers can get reimbursed for their services with this financing/payment system &
from the provider perspective, what does this mean in terms of incentives and utilization/ordering of services?
a. physician fee-for-service
b. prospective payment
c. HMO capitation
Step by step
Solved in 3 steps
- Which of the following are set up to monitor all areas of care that tend to cause problems? a. Internal Report Forms b. Quality indicators c. Sentinel events d. Threshold valuesR3Describe how the financial bailout offered by the health care providers models their commitment to delivering health care services to their rural community. Give an example of when providers, professionals, and patients have pooled their collective resources to either create or maintain a health care delivery system.
- BCBS providers can cancel health insurance coverage if: A Rates of coverage are increased Premiums are not paid C) Enrollees health deteriorates All of the aboveThe acronym for Long Term Care Providers’ Prospective Payment system methodologies is: a. APCs b. OPPS c. RBRVS d. RUGsdescribe the difference between primary, secondary, and supplementary insurance. Do you feel having secondary and/or supplementary insurance is a benefit for the patient or more trouble than it is worth? Explain your answer.
- Look up 2 or 3 electronic health care resources. Examples include websites, mobile applications, or multimedia resources used by health care consumers for their medical needs. 1. Describe the websites, mobile applications, or multimedia resources you researched. 2. Describe how health care providers use these resources to enhance their products and services. 3. Explain the implications of using these resources in the health care industry. What are the implications for the consumer?Explain how the patient perspective revenue cysle differs from the provider perspective revenue cycle in ensuring revenue integrityQ: What is the goal of accountable care organizations (ACOs)? A. ACOs are a good idea, but in reality nobody is held accountable B. ACOs were created to control rising healthcare costs C. ACOs share information through cooperation across providers therefor avoiding duplicate tests, procedures and services D. All of the above E. B and C
- An important function of Urgent Care centers is that:A. Fills gaps in the delivery system B. Increases the quality-of-care deliveryC. Eliminates the need for ED careD. Provides specialized surgical servicesDescribe the differences between the federal Medicare program and the Medicaid program in massachussetts and how they impact financial reimbursement from the perspective of the healthcare systemPatient monitoring systems include: A Selection applications B Pharmacy applications C Social media applications D Fitness applications