Patient 72341 is admitted as an inpatient for delivery. Length
Patient 72341 is admitted as an inpatient for delivery. Length of stay is three days. The charges for the encounter are $10,425.00. The cost of the encounter is $5,848.45. Which payer will reimburse the hospital the highest amount?CMS uses which reimbursement methodology for inpatient psychiatric facility services payment system because a specific payment rate is established for each day of the admission?Dr. Ward is an endocrinologist who is part of the City Endocrinologist Specialists practice. Super Payer reimburses City Endocrinologist Specialists $450 per month for each of the 250 beneficiaries assigned to their care. Which type of reimbursement methodology is Super Payer using to reimburse City Endocrinologist Specialists?Dr. Jones is a podiatrist who performs over 100 bunionectomies a year. Several of Dr. Jones’ patients are insured by Super Payer. Super Payer reimburses Dr. Jones one amount for the preoperative visit, the surgery, and routine post-operative follow-up visits. Which reimbursement methodology does Super Payer use to reimburse Dr. Jones?Which government-sponsored program is designed to provide managed care to the frail elderly population?The coverage gap, which is a period of expanded cost-sharing, is applicable to which part of Medicare?The coverage gap, which is a period of expanded cost-sharing, is applicable to which
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