Payment Systems in Healthcare ACTUAL QUESTIONS AND CORRECT ANSWERS

Payment Systems in Healthcare ACTUAL
QUESTIONS AND CORRECT ANSWERS


Inpatient Prospective Payment System (IPPS) - Correct answers✔✔Classification system based
on DRGs for acute inpatient hospitals.



Diagnosis-Related Groups (DRGs) - Correct answers✔✔Categorize patients based on diagnoses,
treatments, age, and resource use.



Case Mix Group (CMG) - Correct answers✔✔System for inpatient rehabilitation facilities based
on patient assessment.



Inpatient Rehabilitation Facilities-Patient Assessment Instrument (IRF-PAI) - Correct
answers✔✔Assessment tool classifying patients in rehabilitation facilities.



Per Diem Rate - Correct answers✔✔Payment system for inpatient psychiatric facilities based on
daily rates.



Long-Term Care Hospitals - Correct answers✔✔Facilities using a per-discharge system with
MS-DRG patient classification.



Outpatient Prospective Payment System (OPPS) - Correct answers✔✔Payment system for
outpatient hospital services based on APC.