ReimbursementCâu 69 / 100
In the Medicare Physician Fee Schedule, the payment for a service is calculated by:
a.Multiplying the billed charge by the deductible
b.Adding the copay to the coinsurance
c.Multiplying the total relative value units by a conversion factor (after geographic adjustment)
d.Dividing the allowed amount by the number of diagnoses
Giải thích
Medicare payment equals the sum of geographically adjusted relative value units multiplied by a national conversion factor expressed in dollars. The conversion factor translates the relative values into an actual payment amount. Understanding this formula clarifies why identical services can pay differently across regions.
Luyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- A copayment (copay) is best described as:
- A deductible is:
- The Resource-Based Relative Value Scale (RBRVS) determines physician payment based on:
- Diagnosis-Related Groups (DRGs) are used mainly to determine reimbursement for:
- Ambulatory Payment Classifications (APCs) are the basis for Medicare payment in the:
- Under a capitation payment arrangement, a provider is paid:
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