Nurse Manager

Category - Finances

Medicare reimbursement is a type of what type of reimbursement?
  1. Retrospective
  2. Prospective
  3. Capitation
  4. MDS
Explanation
Answer: B - Medicare reimbursement is considered a prospective reimbursement system. Health care facilities are reimbursed at a fixed amount according to the patient’s diagnosis, any necessary procedures, and the acuity level of the patient. Medicare reimbursement is NOT based on the actual costs of services provided to the patient. Prospective reimbursement aims to contain costs.
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