Hospitals are currently paid less if a patient is discharged and readmitted within 30 days for a
Question:
Hospitals are currently paid less if a patient is discharged and readmitted within 30 days for a related diagnosis. This is an example of:
- A. Payment for service provided
- B. Payment for quality measurement
- C. Payment for coinsurance
- D. Payment for deductible
29. Which of the following is not an emerging payment model?
- A. Patient Centered Medical Home
- B. ACO
- C. Bundled Payment
- D. DRG
30. Which of the following is NOT an incentive to provide more services?
- A. Capitation
- B. Charge-based reimbursement
- C. Per diem
- D. Per procedure
31. The party ultimately responsible for payment for healthcare services is:
- A. Medicaid
- B. The insurer
- C. The patient
- D. The provider accounts receivable staff
32. Population health management challenges clinicians to shift their business model to all of the following EXCEPT:
- A. From solo practitioner to collaborative, multi-disciplinary colleague
- B. From treatment volume to preventative health care in a population
- C. From fee-for-service to payment for quality outcomes
- D. From physician practice to entrepreneur
33. When using the accrual basis of accounting, revenue is recognized:
- A. At the time of claim generation
- B. At the time of cash receipt
- C. At the time services are performed
- D. At the time of discharge
34. A "line of credit" from a bank is:
- A. A financial partnering strategy to strengthen an entity's financial position
- B. A strategy for strengthening an entity's credit rating
- C. A strategy for access to additional funding to meet immediate cash needs
- D. A financial strategy for balancing specific line items in a budget
35. A budget, in terms of a healthcare entity, is a:
- A. Set of benchmarks
- B. Reporting tool
- C. Financial tool
- D. Management tool
36. The term "cost" in health care can mean all of the following EXCEPT:
- A. The amount a patient owes
- B. The amount paid on an invoice for a supply
- C. The amount paid to employees for salaries
- D. The amount paid for a service
Statistics Informed Decisions Using Data
ISBN: 9780134133539
5th Edition
Authors: Michael Sullivan III