Which of the following criterion is now used for deciding the amount of the reimbursement before care is provided?

Question

Quizplus · Accepted Answer

As a result of rising health costs,Congress passed a law in 1983 that mandated an end to cost-plus reimbursement and instituted a prospective payment system (PPS)for inpatient hospital services to shift the cost incentives away from the providing of more care and toward more efficient services.The basis for prospective reimbursement is the 468 diagnosis-related groups (DRGs).There is not a Medicare panel that determines the actual cost of services.Payments are determined in advance based on DRGs and are not determined by the budget of the federal government.Hospital and health care provider feedback do not influence the prospective reimbursement,rather,the third-party payer establishes the amount of money that will be paid for the delivery of a particular service before offering the services to the client.

Which of the Following Criterion Is Now Used for Deciding