Free CCMC Healthcare reimbursement Questions and Answers
What is the purpose of value-based reimbursement in healthcare?
Value-based reimbursement models aim to improve healthcare quality and patient outcomes by linking payment to the effectiveness and efficiency of care, rather than the volume of services provided.
Which of the following is a common reimbursement model used in healthcare?
Various reimbursement models exist, including capitation, retrospective cost-based reimbursement, and fee-for-service. Each model represents a different approach to paying for healthcare services.
What is a Diagnosis-Related Group (DRG) in the context of healthcare reimbursement?
DRGs are used to classify hospital cases into groups that are expected to have similar hospital resource use, and they are a key component of the reimbursement process for hospitals.
Which of the following best describes the capitation payment model?
Under capitation, healthcare providers receive a set fee per patient per time period, which incentivizes cost control and efficient care management.
In a fee-for-service reimbursement model, how are healthcare providers compensated?
In a fee-for-service model, healthcare providers are compensated for each individual service or procedure they perform, encouraging quantity of care.