Question

In: Nursing

Which of the following is NOT true regarding retrospective reimbursement? A)In a retrospective or cost-plus reimbursement...

Which of the following is NOT true regarding retrospective reimbursement?

		A)In a retrospective or cost-plus reimbursement system, providers have an incentive to provide services indiscriminately, thus increasing costs; health care institutions could increase their profits by increasing costs.
		B)None of the other options are true. All of the other options are true of retrospective reimbursement.
		C)With retrospective reimbursement, providers were paid a per diem reimbursement rate based on actual costs incurred the year before.
		D)Because of the perverse financial incentives inherent in prospective reimbursement, retrospective reimbursement has replaced prospective reimbursement as the current standard for nearly all federal health programs.

Expert Solution

Answer D

Because of the perverse financial incentives inherent in prospective reimbursement, retrospective reimbursement has replaced prospective reimbursement as the current standard for nearly all federal health programs.

This statement is not true. The federal health programs the retrospective reimbursement plans have been replaced by the prospective reimbursement plans. Thus it can effectively control the cost of healthcare. Retrospective reimbursement is based on actual costs incurred by a provider during the previous year. In it, certain profits can be increased by the hospital.

Retrospective reimbursement plans or Cost-Plus Reimbursement

It is a bundled payment plan and acts as fee-for-service plan. The healthcare provider receives the payment after the healthcare is provided. An itemized bill is provided to the payment agency and it is paid to the provider.

Characteristics :

Per diem rates for patient stay at the hospital

The provider submits the cost report after the provision of care to the third party like insurance agency or government

Daily reimbursement rates

Cost of each service is included

Capital cost is also concerned

Advantages:

Easy to understand

Commonly used in hospital

Disadvantages:

May increase the healthcare cost

Purposeful wastage of resources to increase profit

Nightingale answered 1 year ago

Which of the following statements regarding cost flows is true? Select one: Cost of goods available...

Which of the following statements regarding cost flows is true? Select one: Cost of goods available for sale is equal to beginning inventory minus cost of goods purchased. CGAS = beginning inventory minus ending inventory. CGAS = cost of goods sold minus cost of goods purchased. Cost of goods available for sale is equal to beginning inventory plus cost of goods purchased.

what are the differences between retrospective and prospective methods of reimbursement ? (300 words)

Which of the following statements regarding absorption cost pricing formulas is/are true? i. Absorption cost pricing...

Which of the following statements regarding absorption cost pricing formulas is/are true? i. Absorption cost pricing formulas provide a justifiable price that tends to be perceived as equitable by all parties. ii. Since absorption cost information is necessary for external reporting, it is cost effective to use it for pricing. iii. Absorption cost-plus pricing formulas generally will result in a higher mark-up percentage than variable manufacturing cost formulas. All of the given answers i and ii i and iii ii...

Indicate whether the following statements are "True" or "False" regarding the circumstances under which the cost...

Indicate whether the following statements are "True" or "False" regarding the circumstances under which the cost of repairs to the damaged property can be used to measure the amount of a casualty loss. a. The repairs do not extend beyond the damage suffered. b. The repairs are necessary to restore the property to its condition immediately before the casualty. c. The value of the property after the repairs, as a result of the repairs, exceeds the value of the property...

Which of the following statements are true regarding sponges?

QUESTION 3 Which of the following statements are true regarding sponges? Sponges live in marine or freshwater environments. All sponges are photosynthetic. Adult sponges are non-motile Sponges do not have true tissues. QUESTION 4 Which of the following statements are true regarding arthropods. Similar to the earthworm, an arthropod has a body composed of repeated segments Arthropods have an exoskeleton Arthropods have a coelom Arachnids, crustaceans and insects are all arthropodsQUESTION 5 What are the four basic types of tissues found in animals? tracheid muscle tissue connective tissue epithelial tissue mesophyll nerve tissue

Compare and contrast the concept of retrospective and prospective in relation to reimbursement methodologies. Discussion can...

Compare and contrast the concept of retrospective and prospective in relation to reimbursement methodologies. Discussion can include concepts such as who assumes financial risk under each methodology, certain pros and cons of each, how reimbursement differs under each methodology for a certain type of provider, etc.

some argue that hospital reimbursment should be based on the previous retrospective reimbursement method. Take a...

some argue that hospital reimbursment should be based on the previous retrospective reimbursement method. Take a stand on this assumption and defend why the system had to be changed by medicare.

Which of the following statements regarding critical paths is true?

Which of the following statements regarding critical paths is true? A. On a specific project, there can be multiple critical paths, all with exactly the same duration. B. The duration of the critical path is the average duration of all paths in the project network. C. Every network has only one critical path. D. Some activities on the critical path may have slack. E. The shortest of all paths through the network is the critical path.

Which of the following is true regarding hypoxia and oxygen transport.

Which of the following statements are true regarding chemical reactions? T = true and F =...

Which of the following statements are true regarding chemical reactions? T = true and F = false. A) the more negative the ΔG, the further towards completion the reaction will proceed before equilibrium is reached. B) only a system not at equilibrium can perform work. C) for most biochemical reactions in a metabolic pathway, equilibrium is rarely reached. D) in a closed system, a chemical reaction will proceed spontaneously until the reactants and products are in equal concentration.