Match the Type of Reimbursement Method with the Correct Description

question 28

Multiple Choice

Match the type of reimbursement method with the correct description below.

-Dollar amount owed to a participating provider for health care services rendered to a plan member according to a fee schedule set by the managed care plan.

• A)Ambulatory payment
• B)Bed leasing
• C)Capitation or percentage of revenue
• D)Case rate
• E)Diagnosis-related groups (DRGs)
• F)Differential by day in hospital
• G)Differential by service type
• H)Fee schedule
• I)Flat rate
• J)Per diem
• K)Periodic interim payments (PIPs) and cash advances
• L)Withhold
• M)Reinsurance stop-loss
• N)Charges
• O)Discounts in the form of sliding scale
• P)Sliding scales for discounts and per diems

Understand the importance of accurate punctuation for clear communication.

Identify proper capitalization in names of people, places, and specific titles.

Differentiate between correct and incorrect punctuation in compound and complex sentences.

Apply rules of capitalization and punctuation to enhance reading comprehension.

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Definitions:

Corporation Not Bound

Indicates a scenario where a corporate entity is not legally obligated or tied to an agreement or contract.

Pre-Incorporation

Activities and agreements that occur before the formal legal establishment of a company.

Employment Contract

A legally binding agreement between an employer and an employee that outlines the terms and conditions of employment.

Promissory Note

A financial instrument that contains a written promise by one party to pay another party a definite sum of money either on demand or at a specified future date.