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Oracle Cloud Database Services 2021 Specialist

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The following statements are about various reimbursement arrangements that health plans have with hospitals. Select the answer choice containing the correct statement.
A. Under a typical reimbursement arrangement that is based on diagnosisrelated groups (DRGs), if the payment amount is fixed on the basis of diagnosis, then any reduction in costs resulting from a reduction in days will go to the health plan rather than to the hospital.
B. A straight discount on charges arrangement is the most common reimbursement method in markets with high levels of health plans.
C. A sliding scale per-diem charges arrangement differs from a sliding scale discount on charges arrangement in that only a sliding scale per-diem charges arrangement is based on total volume of admissions and outpatient procedures.
D. A negotiated straight per-diem charge requires payment of a single charge for a day in the hospital, regardless of any actual charges or costs incurred during the hospital stay.
Answer: D


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