One Reimbursement Method That Health Plans Can Use for Hospitals

question 149

Multiple Choice

One reimbursement method that health plans can use for hospitals is the ambulatory payment classifications (APCs) method. APCs bear a resemblance to the diagnosis-related groups (DRGs) method of reimbursement. However, when comparing APCs and DRGs, one of the primary differences between the two methods is that only the APC method

• A) is typically used for outpatient care
• B) assigns a single code for treatment
• C) applies to treatment received during an entire hospital stay
• D) is considered to be a retrospective payment system

---

Definitions:

Self-Monitoring

The practice of observing and regulating one's own behavior in social settings to adapt to the situation or fulfill social expectations.

CD Recording

The process of capturing sound on a compact disc as a form of audio storage or distribution.

Coding Systems

Methodologies or sets of rules used to encode or classify information for purposes such as data processing or communication.

Trust

Confidence or reliance in the integrity, strength, ability, or character of a person or concept.