Question 39 Which acronym does not stand for an ambulatory facility payment methodology? A APCS APGS EAPGS D) New ld Jive Secure Sign Question 40 1 Pc In commercial payer-hospital contracts that contain a provision for outliers, how are outliers usually determined by hospitals? A Based on cost-accounting (B) Based on a Resource Based Relative Value Scale Based on the chargemaster D None of the above Question 41 1 Point Payers usually do not use a consistent payment methodology or amounts for different products such as HMOS. PPOS. Medicare Advantage plans, and POS plans. True False Question 43 1 Poin A participating provider is permitted to balance bill a member for any amount above the amount paid under the payer's fee schedule. True False 1 Point Question 44 Which of the following is rarely if ever involved in payment for prescription drugs? A Average Wholesale Price B copally Coinsurance (D) Capitation Question 45 Payers usually pay the same amount for ancillary services regardless of where those services are provided. True False Question 39 Which acronym does not stand for an ambulatory facility payment methodology? A APCS APGS EAPGS D) New ld Jive Secure Sign Question 40 1 Pc In commercial payer-hospital contracts that contain a provision for outliers, how are outliers usually determined by hospitals? A Based on cost-accounting (B) Based on a Resource Based Relative Value Scale Based on the chargemaster D None of the above Question 41 1 Point Payers usually do not use a consistent payment methodology or amounts for different products such as HMOS. PPOS. Medicare Advantage plans, and POS plans. True False Question 43 1 Poin A participating provider is permitted to balance bill a member for any amount above the amount paid under the payer's fee schedule. True False 1 Point Question 44 Which of the following is rarely if ever involved in payment for prescription drugs? A Average Wholesale Price B copally Coinsurance (D) Capitation Question 45 Payers usually pay the same amount for ancillary services regardless of where those services are provided. True False