Any topic (writer’s choice)

1. Explain the different types of general reimbursement methodologies below, describe how the provider is reimbursed under each of the methods using health care examples.

2. Explain what the provider can do to maximize reimbursement, provide health care examples.

Fee for service methods: a. Cost based reimbursement

b. Charge based reimbursement

c. Prospective Payment – Per procedure

– Per diagnosis

– Per diem

– Bundled payment

3. What is the primary difference between fee-for-service reimbursement and capitation?

4. What is the key to profitability for capitation?

5. Describe how Medicare pays for inpatient services?

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