Under the DRG method of reimbursement, an acute care hospital is paid

a. a per-diem rate based on the DRG classification
b. a fixed amount for a particular DRG classification
c. a fixed amount for each day of care
d. an amount based on the use of resources in treating a patient

b

Health Professions

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A point-of-service (POS) plan allows members to:

A. choose a health maintenance organization (HMO) or preferred provider organization (PPO) option each time they seek care. B. receive medical care from any in-network or non-network provider. C. do both a and b. D. do neither a nor b.

Health Professions

The individual who purchases an insurance policy is known as the:

A) employee. B) guarantor. C) patient. D) policyholder.

Health Professions