AHIP Exam AHM-530 Topic 5 Question 40 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 40
Topic #: 5

One difference between a fee-for-service (FFS) reimbursement arrangement and capitation is that the FFS arrangement:

AIs a prospective payment system, whereas capitation is a retrospective payment system

BHas a potential to induce providers to underutilize medical resources, whereas capitation does not have this potential disadvantage

CBases the amount of reimbursement on the actual medical services delivered, whereas reimbursement under capitation is independent of the actual volume and cost of services provided

DIs most often used by health plans to reimburse healthcare facilities, whereas capitation is most often used by health plans to reimburse specialty care providers

Show Suggested Answer

Suggested Answer: C

by Rolande at May 05, 2022, 08:12 AM

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