The following statements are about various reimbursement arrangements that health plans have with hospitals. Select the answer choice containing the correct statement.
A) A sliding scale per-diem charges arrangement differs from a sliding scale discount on charges arrangement in that only a sliding scale per-diem charges arrangement is based on total volume of admissions and outpatient procedures.
B) Under a typical reimbursement arrangement that is based on diagnosisrelated groups (DRGs) , if the payment amount is fixed on the basis of diagnosis, then any reduction in costs resulting from a reduction in days will go to the health plan rather than to the hospital.
C) A negotiated straight per-diem charge requires payment of a single charge for a day in the hospital, regardless of any actual charges or costs incurred during the hospital stay.
D) A straight discount on charges arrangement is the most common reimbursement method in markets with high levels of health plans.
Correct Answer:
Verified
Q29: The Newfeld Hospital has contracted with the
Q30: The provider contract that Dr. Zachery Cogan,
Q31: The Poplar Company and a Blue Cross/Blue
Q32: The Kayak Company self funds the health
Q33: The Kayak Company self funds the health
Q35: With regard to capitation arrangements for hospitals,
Q36: In order to calculate a simple monthly
Q37: Reconciliation is the process by which a
Q38: The Marble Health Plan sets aside a
Q39: A stop-loss contract may provide that claims
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents