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Match the Type of Reimbursement Method with the Correct Description

Question 28

Multiple Choice

Match the type of reimbursement method with the correct description below.

-Dollar amount owed to a participating provider for health care services rendered to a plan member according to a fee schedule set by the managed care plan.


A) Ambulatory payment
B) Bed leasing
C) Capitation or percentage of revenue
D) Case rate
E) Diagnosis-related groups (DRGs)
F) Differential by day in hospital
G) Differential by service type
H) Fee schedule
I) Flat rate
J) Per diem
K) Periodic interim payments (PIPs) and cash advances
L) Withhold
M) Reinsurance stop-loss
N) Charges
O) Discounts in the form of sliding scale
P) Sliding scales for discounts and per diems

Correct Answer:

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