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What are the financial incentives and penalties for the ACA requirenets for federal, state, and third party payers
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- What are the three common regulatory requirements for federal, state, and third-party payersExplain how the ACA could impact an organization’s strategic decision making and financial performance regarding healthcare reimbursement.Describe the differences between the federal Medicare program and the Medicaid program in massachussetts and how they impact financial reimbursement from the perspective of the healthcare system
- Why would payers make shared savings bonuses contingent on measured quality performance of the primary care clinicians?How the use of CPT and HCPCS Level II codes impact the final reimbursement outcomes?what are advantages and disadvantages of value based payment in regards to provider reimbursement
- Eligible individuals voluntarily enroll in Part A Medicare.TrueFalseHow does the rule of price transparency apply to federally owned or operated hospitals (such as a Department of Veterans Affairs hospital)?Describe the various sources of funding beyond third-party reimbursement from which the various types of healthcare facilities can benefit