Question: In the APC system, an outlier payment is paid when which of the following occurs? Question 64 options: The cost of the service is greater

In the APC system, an outlier payment is paid when which of the following occurs? Question 64 options: The cost of the service is greater than the APC payment by a fixed ratio and exceeds the APC payment plus a threshold amount. The LOS is greater than expected. The charges for the services provided are greater than the expected payment. The total cost of the all services is greater than the sum of APC payments by a fixed ratio and exceeds the sum of APC payments plus a threshold amount.Which one of the following statements characterizes the RBRVS payment system? Question 65 options: One intent of the RBRVS payment system was to decrease the number of family practitioners. ICD-9-CM codes trigger payment in the RBRVS payment system. RVUs can easily be rescaled as changes in technology occur. RBRVS payment system reflects the skill and resources required for each procedure

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