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Laddisandhu520 Laddisandhu520
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6 years ago
A physician receives a set amount of money to provide care to a given group of clients for a set period of time. Which of the following terms is being described?
 
  a. Retrospective reimbursement
  b. Prospective reimbursement
  c. Fee-for-service
  d. Capitation
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wrote...
6 years ago
ANS: D
Capitation describes the practice of paying physicians and other practitioners a set amount to provide care to a given client or group of clients for a set period of time and amount of money. This is similar to prospective reimbursement for health care organizations. Prospective reim-bursement is the method of paying an organization whereby the third-party payer establishes the amount of money that will be paid for the delivery of a particular service before offering the ser-vices to the client. Retrospective reimbursement is the method whereby fees for the delivery of health care services in an organization are set after services are delivered. Fee-for-service is the traditional method of paying the health care practitioner; the practitioner determines the costs of providing a service, delivers the service, and submits a bill for the delivered service to a third-party payer who then pays the bill.
wrote...
6 years ago
So very smart
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