Question

Please write 4 paragraphs with each paragraph containing 50-60 words.

5. From the provider’s perspective, how would you evaluate the common methods of reimbursement?

Answer 1

From the provider's perspective, the best way to be reimbursed is charges followed by charges minus a discount, cost plus a percentage for growth, cost, per diem, per diagnosis, and per capital. From the provider's perspective, reimbursement based on the "per's" is less desirable because providers not only take on cost risk, but also take on utilization risk (how often the patient seeks the provider and how oftenthe provider orders products and services for the patient)