Exam 2 HSA4109 Test Questions with 100%
Correct Answers
Payers prefer using a sliding scale discount on charges to pay hospitals because they can
provide such a high volume of patients.
False
There are different forms of hospital per diem payment methodologies.
True
Which of the following is rarely if ever involved in payment for prescription drugs?
Capitation
Payers usually do not use a consistent payment methodology or amounts for different
products such as HMOs, PPOs, Medicare Advantage plans, and POS plans.
True
The same methodology used to pay a hospital for inpatient care is usually also used to pay
for outpatient care.
False
Utilization management seeks to reduce practice variation while promoting good outcomes
and "_________________"
Reducing Cost
All managed care plans are required by the federal government to participate in
accreditation and performance measurement programs.
False
The most common measurement of inpatient utilization is:
bed days per thousand members per year
Correct Answers
Payers prefer using a sliding scale discount on charges to pay hospitals because they can
provide such a high volume of patients.
False
There are different forms of hospital per diem payment methodologies.
True
Which of the following is rarely if ever involved in payment for prescription drugs?
Capitation
Payers usually do not use a consistent payment methodology or amounts for different
products such as HMOs, PPOs, Medicare Advantage plans, and POS plans.
True
The same methodology used to pay a hospital for inpatient care is usually also used to pay
for outpatient care.
False
Utilization management seeks to reduce practice variation while promoting good outcomes
and "_________________"
Reducing Cost
All managed care plans are required by the federal government to participate in
accreditation and performance measurement programs.
False
The most common measurement of inpatient utilization is:
bed days per thousand members per year
