Complete and submit Ch 3 Review questions from text, 1-8
3.1 Briefly describe the major third-party payers.
3.2 a. What are the primary characteristics of managed care organizations (MCOs)?
b. Describe two different types of MCOs.
3.3 What is the difference between fee-for-service reimbursement and capitation?
For
3.4 What is pay for performance?
3.5 Describe provider incentives and risks under each of the following reimbursement methodS:
a. Cost-based
b. Charge-based, including discounted charges
c. Prospective payment
a. Capitation
3.6 Briefly describe the coding systems for diseases (diagnoses) and procedures.
3.7 How does Medicare reimburse hospitals for inpatient stays?
3.8 How does Medicare reimburse physician services?
B.
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