Network Management - Hospitals & Institutions

Define each term in a complete sentences.

  1. Reimbursement methods
  2. Straight charges
  3. Discount on charges
  4. Straight discount on charges
  5. Sliding scale discount on charges
  6. Per Diem Charges
  7. Straight per diem charges
  8. Sliding per diem
  9. Differential by day in hospital
  10. Diagnosis Related Groups
  11. Medicare Severity Diagnosis-Related Groups
  12. Case Rates and Package Pricing
  13. Capitation of Percentage of Revenue
  14. Contract Capitation
  15. Periodic Interim Payments and Cash Advances
  16. Package Pricing or Bundled Charges
  17. Ancillary Services
  18. Network Maintenance
    AND LASTLY: Find an academic article on DRG's (2015 or later) and cost control. Have they reduced costs?
    Paraphrase and compare to textbook. (I'm not able to find info in textbook "Health Insurance and Managed
    Care" -what they are and how they work.

Sample Solution