Author Question: For certain categories of encounterbased hospital outpatient services, Composite APCs result in ... (Read 60 times)

cabate · **on:** Jul 12, 2018

For certain categories of encounterbased hospital outpatient services, Composite APCs result in ___________________ ____.
A) only a single payment for certain common combination services provided on the same day of service
B) individual payments for each service provided during the outpatient visit
C) additional payments for hospital supplies and technical assistance
D) zero payments due to the fact that these services are not covered by Medicare

Question 2

List two patient level factors that allow inpatient psychiatric facilities to receive per diem payments.

debra928 · **Reply #1 on:** Jul 12, 2018

Answer to Question 1

A

Answer to Question 2

Any two of the following:
the patient's age (increasingly higher rates for patients age 45 and older through age 80 and above)

variable per diem adjustments (higher per diem payments for the first days of the patient's stay, gradually decreasing through the 22nd day of hospitalization, with no further decrease beyond that point)

the Medicare Severity diagnosis related group (MS-DRG) for the stay

certain comorbidities. (Only one comorbidity adjustment is made for each comorbidity category, but adjustments for more than one comorbidity category are possible.)