Assignment: Diagnosis Related Group

Assignment: Diagnosis Related Group

Assignment: Diagnosis Related Group

Permalink: https://collepals.com/assignment-diagnosis-related-group/

Match the health care definition with the term
(Points : 13)

 

Potential Matches:
1 : Cost sharing
2 : Managed Care Organizations (MCO)
3 : Fee-for-Service (FFS)
4 : Diagnosis Related Group (DRG)
5 : Cultural Competency
6 : Capitation
7 : Prospective Payment System (PPS)
8 : Pay-for-performance
9 : Centers for Disease Control (CDC)
10 : Public Health
11 : Explanation of Benefits (EOB)
12 : Nostrum
13 : Gatekeeping

 

    Answer
    [removed] : Managed care’s way of classifying patients by diagnosis, average length of hospital stay, and therapy received
    [removed] : Summarizes what the insurance company paid the provider, how much the patient owes, and provides an up-to-date status of the patient’s annual deductible and out of pocket expenses
    [removed] : Employees become part of their employer’s group insurance plan and the employer subsidizes the monthly premiums
    [removed] : Emphasized environmental sanitation to stop the spread of epidemic diseases
    [removed] : Each individual service or treatment is paid and billed separately
    [removed] : A derogatory term for a medicine, especially an ineffective one, prepared by an unqualified person
    [removed] : Involves bundled payments when physicians are paid for a series of treatments that are not billable individually
    [removed] : Preventing unnecessary specialized care
    [removed] : Global mission of health protection, prevention, and preparedness
    [removed] : Practice of recognizing that different groups have unique health experiences and needs
    [removed] : Enter into contracts with hospitals and healthcare professionals to provide healthcare to the beneficiaries in exchange for a negotiated rate per patient
    [removed] : Amount of payment is determined prospectively, before the service is rendered
    [removed] : Reimbursement models aimed at improving the quality, efficiency, and overall value of health care

 

 

 

 

 

Match the real word example with the term
(Points : 13)

 

Potential Matches:
1 : Nostrum
2 : Fee-for-Service
3 : Public Health
4 : Capitation
5 : Diagnosis Related Group (DRG)
6 : Gatekeeping
7 : Prospective Payment System (PPS)
8 : Pay-for-Performance
9 : Cost Sharing
10 : Explanation of Benefits (EOB)
11 : Managed Care Organization (MCO)
12 : Cultural Competency
13 : Centers for Disease Control (CDC)

 

    Answer
    [removed] : Hospitals, skilled nursing facilities and home health agencies are reimbursed on an “episode of care basis”
    [removed] : Dr. Thomas exams a patient named Jan. Jan’s health insurance provider is Blue Cross Blue Shield. Services provided included a Chest X-ray, yearly physical, and removal of a mole. Dr. Thomas receives reimbursement for each service rendered
    [removed] : Dr. Thomas exams a patient named Jen. Jen’s health insurance provider is HealthPlus of Michigan. Services provided included a yearly physical, removing a mole and ordering of labs and chest x-ray. Dr. Thomas receives reimbursement based on a contracted discounted rate
    [removed] : Jan receives a report from the health plan listing the blood work, chest x-ray and physical she received at her primary care physician’s office
    [removed] : Mr. Jenkins owns a hardware in 1880s and starts to treat patients
    [removed] : Dr. Thomas receives the same amount per patient per month whether the patient is receiving services or not
    [removed] : Jan goes to the primary care physician in order to receive a referral to a specialist
    [removed] : Jan is in severe pain evidenced by Nursing assessment of raised blood pressure, facial grimacing, and holding abdomen. However, she does not complain of pain
    [removed] : Dr. Thomas reports to this entity that she has diagnosed a patient with Tuberculosis
    [removed] : Jan is employed by ACME Tile, receives health insurance as a benefit and contributes $100/month to the premium
    [removed] : Promotes a Youth advertising campaign to promote healthy eating and exercise
    [removed] : Patient presents to the ER with COPD and is admitted to the hospital. The hospital is reimbursed based on the COPD Diagnosis
    [removed] : Dr. Thomas educates and advises patients on quitting smoking, exercise, and health eating. Dr. Thomas receives reimbursement for meeting quality measures

 

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.

Related Posts

All Rights Reserved Terms and Conditions
College pals.com Privacy Policy 2010-2018