Question

#5 Reimbursement rates based on the anticipated care needs of patients result in reduced risks to facilities and to payers. Health care facilities and payers determine anticipated care needs by reviewing types and/or categories of patients treated by a facility as part of __________ management.
a. chargemaster

b. capitation

c. case-mix

d. claims

Answer 1

Answer:

C

Explanation:

Review of types and categories of patients treated by a facility provides information on the compositions of patient cases being treated.  It is called case mix management. So the answer is C.