Understanding How Hospitals Are Paid
This course introduces the definition of reimbursement, methods of calculating reimbursement, and the reimbursement puzzle.
- Define reimbursement.
- Define a third party payer contract.
- Recognize the characteristics of reimbursement.
- Differentiate between the terms charges, reimbursement, and contractual adjustment.
- Select, when given its definition, the reimbursement methodology for: total charges, discount on charges, cost based, per diem, fee for service, IPPS/DRG, OPPS, and capitation.