Question

In the Medicare program, which term describes the payment for hospital services based on flat fees determined by the diseases and problems treated during the hospital admission?

Answer 1

The correct answer is; Prospective payment system.

Further Explanation:

The prospective payment system was implemented by the Medicare program to pay hospitals a flat fee for certain services performed. The coding process is very important to this service so that the payment is made for the fixed price. The codes that are primarily used are;

• Ambulatory Payment Classification for all outpatient claims
• Current Procedural Terminology for any other outpatient claims
• Diagnosis-related groups for all impatient claims

The program was made so that hospitals would lower prices for the patients but the prices have kept rising over the years. In 2000, there was a new change in the law and this gave patients a fixed fee for going to an approved outpatient care faculty such as urgent care clinics. The clinics that are used must be part of the Federally Qualified Health Centers.

Learn more about the Medicare program at brainly.com/question/932602

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