Problem 1: Define prospective reimbursement. How is this methodology different from retrospective reimbursement? Need Assignment Help?
Problem 2: Calvin saw his primary care physician, Dr. Washington, because he had a fever and a sore throat. Dr. Washington ordered and performed a rapid strep test. Calvin's test was positive, and he was diagnosed with streptococcal pharyngitis (strep throat). Dr. Washington wrote Calvin a prescription for amoxicillin to treat the pharyngitis. Dr. Washington submitted the following charges to Calvin's insurance company, Super Payer: • Clinic visit, level 2-$145 • Rapid strep test-$50 Dr. Washington's practice has a contract with Super Payer and the reimbursement methodology is a fee schedule. The fee schedule rate for a level 2 clinic visit is $70 and the fee schedule rate for a rapid strep test is $10. What is the total reimbursement Dr. Washington will receive for Calvin's office visit?
Problem 3: Super Payer has a contract with Community Hospital to provide inpatient care for their beneficiaries. They have agreed to a per diem reimbursement methodology. ICU days