C428 WGU Exam Questions and Answers| ALREADY PASSED |2024 LATEST UPDATE

C428 WGU Exam Questions and Answers| ALREADY PASSED |2024 LATEST UPDATE The 4 C's (Finance Activities) ------*Costs monitor costs *Cash------ keep enough cash *Capital------ raise needed capital(money) to invest *Control-----control resources Accountable Care Organization Accountable Care Organizations(ACOs) are groups of Medicare providers and suppliers that work together to coordinate care for traditional Medicare patients. Their goal is to deliver seamless, high-quality care instead of the fragmented care that often results from a fee-for-service payment system. The following group of providers can form an ACO: physicians or certain non-physician practitioners in group practices, hospitals employing physicians, certain critical access hospitals, federally qualified health centers, and rural health clinics Beneficiary Insurers usually refer to the patient for which services are paid as the beneficiary Benefit payment Once the insurer has determined the claim is appropriate, a payment is made to the provider. This payment is officially termed a benefit payment Bundled payments A bundled payment is a single prospective payment by a health plan to all providers involved in a patients episode of care where the providers divide the payment among themselves