Answer to Question 1
1
Explanation: 1. Discounted fee-for-service is a payment method that offers to pay the provider a specific percentage of the provider's usual charge, or a reduced rate.
2. A per diem rate is reimbursement that is fixed, based on each day in a healthcare facility.
3. DRGs are a statistical prospective payment system that classifies care or diagnoses into groups that then are used to identify payment rates.
4. Capitation is a prepayment to a provider to deliver healthcare services to enrollees of a health plan.
Answer to Question 2
1, 2, 4, 5
Explanation: 1. This is a true statement regarding the third-party payer system. This power can be misused or can be misinterpreted by the insured.
2. When individuals decide to join an insurance plan, they put a specific amount of money into the pool or the insurance fund. The third-party payer is responsible for managing and administering this money.
3. The financial risk for healthcare is carried by the patients, the providers, and the third-party payers.
4. The third-party payer is the organization that pays or underwrites coverage for healthcare for another business or entity.
5. These strategies have been developed for this very purpose.
The three stages of a specific immune response.
Inhibition as a primary method of succession in the marine intertidal zone.
Body Part, Method of Examination, and Equipment Used During the General Physical Examination Cont.
Testing for Glucose in Urine Using the Tablet Method
Performing Venipuncture Using the Vacutainer Method
Organ-Specific Toxicity