The Outpatient Prospective Payment System (OPPS), which uses __________ to calculate reimbursement, is implemented for billing of hospital-based Medicare outpatient claims.
a. ambulatory payment classifications
b. diagnosis-related groups
c. outcomes and assessment information
d. resource utilization groups
Question 2
The Financial Services Modernization Act (FSMA) (or Gramm-Leach-Bliley Act) prohibits sharing of medical information among health insurers and other financial institutions for use in making __________ decisions.
a. credit
b. financial
c. payment
d. reimbursement