Reimbursement Methodologies Flashcards
Retrospective payment
Fee for service
Managed care capitation
Episode of care
Self pay
Fee for service
Global payment
Episode of care
Traditional managed care
Fee for service
Prospective payment
Episode of care
What prospective payment system uses the HRG adjustments as the means of determining reimbursement?
Home health prospective payment system
What reimbursement methodology determines reimbursement based on past events?
Retrospective payment system
What prospective payment system uses ambulatory payment classifications as the means of determining reimbursement?
Outpatient prospective payment system
Which reimbursement method uses a relative value unit to determine the amount of reimbursement that a physician receives.
RBRVS
What is the only government program considered to be health insurance?
Medicare
