Network Management – Hospitals & Institutions
Please define each term in a complete sentences.
1. Reimbursement methods
2. Straight charges
3. Discount on charges
4. Straight discount on charges
5. Sliding scale discount on charges
6. Per Diem Charges
7. Straight per diem charges
8. Sliding per diem
9. Differential by day in hospital
10. Diagnosis Related Groups
11. Medicare Severity Diagnosis-Related Groups
12. Case Rates and Package Pricing
13. Capitation of Percentage of Revenue
14. Contract Capitation
15. Periodic Interim Payments and Cash Advances
16. Package Pricing or Bundled Charges
17. Ancillary Services
18. Network Maintenance
AND LASTLY: Find an academic article on DRG’s (2015 or later) and cost control. Have they reduced costs? Paraphrase and compare to textbook. (I’m not able to find info in textbook “Health Insurance and Managed Care” -what they are and how they work.
Preferred language style Simple (Easy vocabulary, simple grammar constructions)
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