.
Competition from insurance companies
cost shifting
cost cutting
providers to search for sources of revenue other than patient care
charging certain populations more for services
Charging more for costlier procedures
shifting costs from some payers to offset losses from another
None of the above
Cost of providing services to charge-based patients
Losses to Medicare and Medicaid
Cost of bad debt and charity care
All of the above
The financial needs of the provider
How quickly a provider can be reimbursed for services
How quickly services can be performed
How quickly a patient recover
DRGs
What other providers are charging
what the market will bear
Medicare’s fee schedule
Managed care; advances in information technology
Managed care; prospective payment systems
Prospective payment systems; advances in information technology
prospective payment systems; decreased demand for services
Cutting costs to break even with charges
Cutting charges to break even with costs
Setting charges equal to costs
Setting costs equal to charges
healthcare organizations are charging only for items that third-party payers recognize as legitimate charges
Healthcare organizations do not lose charges
Charges set for specific items result in maximum reimbursement
None of the above
Charges set for specific items result in maximum reimbursement
Healthcare organizations do not lose charges
healthcare organizations are charging only for items that third-party payers recognize as legitimate charges D. none of the above
None of the above
healthcare organizations are charging only for items third-party payers recognize as legitimate charges
Charges set for specific items result in maximum benefit
healthcare organizations do not lose charges
None of the above
Report their charges to the government on an annual basis
Charge less for services to maintain a tax-exempt status
Allow patients to view a list of charges for services
Limit charges to patients who are eligible for assistance
hourly rate
surcharge
RVU
DRG
DRG method
Surcharge method
RVU method
Hourly rate method
Include physical therapy and radiology
Charge per hour or modality of time for services
set their charges to break even or realize a gain
(a) and (b)
Slash
Follower
Skim
Preemptive
Slash
Preemptive
Follower
Skim
$10
$25
$13.33
$12.50
$1.00
$1.50
50 cents
$3.00
charges minus a discount
Capitation
Cost
Charges
Charges minus a discount
Capitation
cost
charges
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