Assignment: Diagnosis Related Group
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| Match the health care definition with the term (Points : 13) |
| Potential Matches: |
| 1 : Cost sharing |
| 2 : Managed Care Organizations (MCO) |
| 3 : Fee-for-Service (FFS) |
| 4 : Diagnosis Related Group (DRG) |
| 5 : Cultural Competency |
| 6 : Capitation |
| 7 : Prospective Payment System (PPS) |
| 8 : Pay-for-performance |
| 9 : Centers for Disease Control (CDC) |
| 10 : Public Health |
| 11 : Explanation of Benefits (EOB) |
| 12 : Nostrum |
| 13 : Gatekeeping |
| Answer |
| [removed] : Managed care’s way of classifying patients by diagnosis, average length of hospital stay, and therapy received |
| [removed] : Summarizes what the insurance company paid the provider, how much the patient owes, and provides an up-to-date status of the patient’s annual deductible and out of pocket expenses |
| [removed] : Employees become part of their employer’s group insurance plan and the employer subsidizes the monthly premiums |
| [removed] : Emphasized environmental sanitation to stop the spread of epidemic diseases |
| [removed] : Each individual service or treatment is paid and billed separately |
| [removed] : A derogatory term for a medicine, especially an ineffective one, prepared by an unqualified person |
| [removed] : Involves bundled payments when physicians are paid for a series of treatments that are not billable individually |
| [removed] : Preventing unnecessary specialized care |
| [removed] : Global mission of health protection, prevention, and preparedness |
| [removed] : Practice of recognizing that different groups have unique health experiences and needs |
| [removed] : Enter into contracts with hospitals and healthcare professionals to provide healthcare to the beneficiaries in exchange for a negotiated rate per patient |
| [removed] : Amount of payment is determined prospectively, before the service is rendered |
| [removed] : Reimbursement models aimed at improving the quality, efficiency, and overall value of health care |
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