Question: What is a payment system? Define Prospective cost-based rates and Prospective price-based rates. How does CMS reimburse services performed in Hospital Inpatient (DRGs)? Hospital Outpatient

  • What is a payment system? Define Prospective cost-based rates and Prospective price-based rates.
  • How does CMS reimburse services performed in Hospital Inpatient (DRGs)?
  • Hospital Outpatient (APCs)?
  • Physician Office (RBRVS)?

References

GREEN, M. (2020). UNDERSTANDING HEALTH INSURANCE: A guide to billing and reimbursement 2020. CENGAGE LEARNING.

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