Capitation Study guides, Class notes & Summaries

Steps used to control costs of managed care include: - Answer Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - Answer Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - Answer HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a s...

Complete Solutions Manual for Government and Not-for-Profit Accounting: Concepts and Practices, 9th Edition 9e by Michael H. Granof, Saleha B. Khumawala, Thad D. Calabrese. ISBN-13: 3898 1 The Government and Not- for- Profit Environment 1 How Do Governments and Not- For- Profits Compare With Businesses? 2 In Practice: Why Is State And Local Government Accounting Important? 6 What Other Characteristics of Governments and Not- For- Profits Have Accounting Implications? 9 How Do Gove...

MHA 706 Midterm- Lord 2024 Exam with Complete Solutions Rated A+ Proprietorships & Partnerships: Pros & Cons - Correct Answer Pros: Ease of Information, Subject to a few regulations, no corporation income taxes. Cons: Limited life, difficult to transfer, unlimited life, difficult to raise capital. Corporations: Pros & Cons - Correct Answer Pros: Unlimited life, easy transfer of ownership, limited liability, ease of raising capital. Cons: Cost of formation and reporting, double or triple ta...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Contribution Margin correct answers Difference between marginal revenue and marginal cost. Break-even point correct answers Level of sales volume of a product producing the exact amount of contribution margin needed to cover fixed costs. Overhead correct answers Indirect Costs Activity-based costing (ABC) correct answers Method of determining product costs using cost drivers or activity measures, which cause indirect costs to be incurred. Three main types of Cost standards. correct a...

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage HMO Conventional PPO and POS H...

Steps used to control costs of managed care include: correct answers Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify correct answers Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage correct answers HMO Conventional PPO and POS HDHP/SO plans - high-deductible health...

HFMA's CSAF 2021, Certified Specialist Accounting And Finance Study Guide 2024. Contribution Margin - ANSWER Difference between marginal revenue and marginal cost. Break-even point - ANSWER Level of sales volume of a product producing the exact amount of contribution margin needed to cover fixed costs. Overhead - ANSWER Indirect Costs Activity-based costing (ABC) - ANSWER Method of determining product costs using cost drivers or activity measures, which cause indirect costs to be incu...

CNML Test 2024 Questions With 100% Verified Solutions.

AMCA CERTIFICATION TEST - MEDICAL ASSISTING STUDY GUIDE - SET A latest 20221) Which of the following is considered a parasitic infection? A. Lyme disease B. Rabies C. Ringworm D. Malaria ... 2) Aspirin and acetaminophen are examples of: A. Analgesics and antipyretics B. Antitussives and decongestants C. Antihistamines and antiemetics D. Antidotes and antibiotics ... 3) Demerol 75 mg, IM every 4 hours, as needed for severe pain, is what type of medication order? A. Single...

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...