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

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Definitions:

Hybrids

Entities that are a mixture or combination of two different elements, often referring to biological hybrids, technological mixtures, or cultural fusions.

Jan Nederveen Pieterse

A scholar in globalization studies, known for his work on globalism and cultural hybridity.

Global Cultures

The phenomenon of increasingly shared norms, values, practices, and cultural expressions across the world, facilitated by processes of globalization.

Local Cultures

The unique characteristics, traditions, and practices of smaller, geographically defined communities within larger societies.