Understanding Health Insurance: A Guide to Billing and Reimbursement (MindTap Course List)
Understanding Health Insurance: A Guide to Billing and Reimbursement (MindTap Course List)
14th Edition
ISBN: 9781337554220
Author: Michelle A. Green
Publisher: Cengage Learning
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In the late 20th century, many methods were used to pay physicians for services rendered. The most popular methods include all the following except payment       as a base salary.     according to a schedule of fee-for-service (FFS).     based on usual, customary, reasonable (UCR) charges.     based on resource based relative values(RBRVs).     based on patient outcomes.
Coordination of benefits (COB) includes:   Reimbursement when a patient is covered by more than 1 health plan    Reimbursement for non-covered services   Reimbursement for not medically necessary services   Reimbursement for diagnosis mismatch
The Centers for Medicare & Medicaid Services (CMS) is responsible for Accountable Care Organizations (ACOs). Describe one of the types of ACOs available to providers. Reply to at least two (2) classmates, with a minimum of 75 words each post.   Why is it so important to accurately code diagnoses and procedures as this relates to the ACOs?
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