Diagnosis-related group refers to a
1. Classification system that groups patients into categories and is used to establish health care payments under Medicare.
2. Fiscal payment system that uses an intermediary such as an insurance company.
3. Negotiated, prepaid fixed fee for each covered individual or family in a health care plan.
4. Prepaid and coordinated fee-for-service health care plan designed to encourage greater control over the use and cost of health care services.
Question 2
Capitation is
1. A negotiated, prepaid fixed fee for each covered individual or family in a health care plan.
2. A predetermined amount or percentage of the cost of covered services that the beneficiary will pay.
3. A specified flat fee per unit of service or time that the individual pays.
4. Fiscal payment by an intermediary such as an insurance company.
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