ReimbursementCâu 71 / 100
Ambulatory Payment Classifications (APCs) are the basis for Medicare payment in the:
a.Hospital outpatient prospective payment system
b.Inpatient DRG system
c.Physician fee schedule
d.Retail pharmacy benefit
Giải thích
APCs group outpatient hospital services that are clinically similar and require comparable resources, assigning a payment rate to each group under the outpatient prospective payment system. Multiple APCs can apply to a single outpatient visit. This is the outpatient facility counterpart to the inpatient DRG system.
Luyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- The Resource-Based Relative Value Scale (RBRVS) determines physician payment based on:
- In the Medicare Physician Fee Schedule, the payment for a service is calculated by:
- Diagnosis-Related Groups (DRGs) are used mainly to determine reimbursement for:
- Under a capitation payment arrangement, a provider is paid:
- In a fee-for-service reimbursement model, the provider is paid:
- A patient's total 'out-of-pocket maximum' represents:
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