{"id":22075,"date":"2020-12-15T11:35:38","date_gmt":"2020-12-15T11:35:38","guid":{"rendered":"http:\/\/onlineclassesguru.com\/?p=22075"},"modified":"2020-12-15T11:35:38","modified_gmt":"2020-12-15T11:35:38","slug":"examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/","title":{"rendered":"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans."},"content":{"rendered":"<style type=\"text\/css\"><\/style><h4>Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans.<br \/>\nCompensation and Reimbursement Plans<\/h4>\n<p>One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. The two most common examples are fee for service and capitation. Moreover, there are different types of reimbursement systems for inpatient and outpatient services. Answer the following questions in regard to the above information:<\/p>\n<p>Examine the three types of inpatient or outpatient reimbursement systems?<br \/>\nEvaluate the key advantages and disadvantages of each system from the point of view of a managed care plan and the hospital?<br \/>\nWhat is the difference between capitation and FFS? Evaluate the type of market appropriate for each reimbursement method. Support your answer by providing an example of an MCO using either of these methods.<br \/>\nWhat do you understand by the term \u201cUCR\u201d? With what form of reimbursement is this term associated? Search current information from the Internet and evaluate the use of UCR in the managed care industry.<br \/>\nReimbursement procedures are complex and detailed, especially those associated with government programs such as Medicare. Part of the regulatory requirements of Medicare is to prevent illegal billing practices such as churning, upcoding, and unbundling. You can search these topics by clicking here.(https:\/\/oig.hhs.gov\/) You can also search on federal regulations for reimbursement procedures and fraud and compliance guidelines and education materials.<\/p>\n<p>Based on your research, respond to the following questions:<\/p>\n<p>Review the latest enforcement actions on this website. Identify a case where at least one of the following illegal actions was used\u2014churning, upcoding, and unbundling.<br \/>\nWhat are some of the specific examples of actions taken against providers engaged in these practices?<br \/>\nAfter answering the above questions, read the following information:<\/p>\n<p>P4P is a type of compensation method for providers based on evidence-based practices that promote better quality outcomes. Find at least two online sources of information, such as professional associations and government resources, from the South University Online library or the Internet on P4P compensation programs: one in favor of and one against this type of compensation program for providers.<\/p>\n<p>Now, using the readings this week and the information gathered from the above sources:<\/p>\n<p>Explain, in your own words, the negative consequences of P4P program.<br \/>\nDescribe the market forces making this type of compensation program popular.<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. Compensation and Reimbursement Plans One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. The two&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-22075","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. - onlineclassesguru<\/title>\n<meta name=\"description\" content=\"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. - onlineclassesguru\" \/>\n<meta property=\"og:description\" content=\"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/\" \/>\n<meta property=\"og:site_name\" content=\"onlineclassesguru\" \/>\n<meta property=\"article:published_time\" content=\"2020-12-15T11:35:38+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin_admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/onlineclassesguru.com\/#website\",\"url\":\"https:\/\/onlineclassesguru.com\/\",\"name\":\"onlineclassesguru\",\"description\":\"Cheap Professional coursework and reaction papers help\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/onlineclassesguru.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/#webpage\",\"url\":\"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/\",\"name\":\"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. - onlineclassesguru\",\"isPartOf\":{\"@id\":\"https:\/\/onlineclassesguru.com\/#website\"},\"datePublished\":\"2020-12-15T11:35:38+00:00\",\"dateModified\":\"2020-12-15T11:35:38+00:00\",\"author\":{\"@id\":\"https:\/\/onlineclassesguru.com\/#\/schema\/person\/1831fa4d28e47b468621cf27932f5742\"},\"description\":\"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans.\",\"breadcrumb\":{\"@id\":\"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/onlineclassesguru.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans.\"}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/onlineclassesguru.com\/#\/schema\/person\/1831fa4d28e47b468621cf27932f5742\",\"name\":\"admin_admin\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/onlineclassesguru.com\/#personlogo\",\"inLanguage\":\"en-US\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/429c8d043f7a770af242b0031e8b9f2b?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/429c8d043f7a770af242b0031e8b9f2b?s=96&d=mm&r=g\",\"caption\":\"admin_admin\"},\"url\":\"https:\/\/onlineclassesguru.com\/index.php\/author\/admin_admin\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. - onlineclassesguru","description":"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/","og_locale":"en_US","og_type":"article","og_title":"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. - onlineclassesguru","og_description":"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans.","og_url":"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/","og_site_name":"onlineclassesguru","article_published_time":"2020-12-15T11:35:38+00:00","twitter_card":"summary_large_image","twitter_misc":{"Written by":"admin_admin","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebSite","@id":"https:\/\/onlineclassesguru.com\/#website","url":"https:\/\/onlineclassesguru.com\/","name":"onlineclassesguru","description":"Cheap Professional coursework and reaction papers help","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/onlineclassesguru.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"WebPage","@id":"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/#webpage","url":"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/","name":"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans. - onlineclassesguru","isPartOf":{"@id":"https:\/\/onlineclassesguru.com\/#website"},"datePublished":"2020-12-15T11:35:38+00:00","dateModified":"2020-12-15T11:35:38+00:00","author":{"@id":"https:\/\/onlineclassesguru.com\/#\/schema\/person\/1831fa4d28e47b468621cf27932f5742"},"description":"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans.","breadcrumb":{"@id":"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/onlineclassesguru.com\/index.php\/2020\/12\/15\/examine-the-three-types-of-inpatient-or-outpatient-reimbursement-systemsone-way-in-which-a-mco-can-control-cost-quality-and-access-is-through-various-structured-compensation-and-reimbursement-plans\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/onlineclassesguru.com\/"},{"@type":"ListItem","position":2,"name":"Examine the three types of inpatient or outpatient reimbursement systems?One way in which a MCO can control cost, quality, and access is through various structured compensation and reimbursement plans."}]},{"@type":"Person","@id":"https:\/\/onlineclassesguru.com\/#\/schema\/person\/1831fa4d28e47b468621cf27932f5742","name":"admin_admin","image":{"@type":"ImageObject","@id":"https:\/\/onlineclassesguru.com\/#personlogo","inLanguage":"en-US","url":"https:\/\/secure.gravatar.com\/avatar\/429c8d043f7a770af242b0031e8b9f2b?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/429c8d043f7a770af242b0031e8b9f2b?s=96&d=mm&r=g","caption":"admin_admin"},"url":"https:\/\/onlineclassesguru.com\/index.php\/author\/admin_admin\/"}]}},"_links":{"self":[{"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/posts\/22075"}],"collection":[{"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/comments?post=22075"}],"version-history":[{"count":1,"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/posts\/22075\/revisions"}],"predecessor-version":[{"id":22076,"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/posts\/22075\/revisions\/22076"}],"wp:attachment":[{"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/media?parent=22075"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/categories?post=22075"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onlineclassesguru.com\/index.php\/wp-json\/wp\/v2\/tags?post=22075"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}