Quizlet which of the following is NOT an element of the healthcare reimbursement process

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Myocardial Infarction

The 13 CMS qualifying conditions are stroke, spinal cord injury, brain injury, major multiple trauma, hip fracture, amputation, neurological disorders, hip and knee replacement, systemic vasculitides, active arthropathies, severe osteoarthritis, burns, and congenital deformity.

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What is the most common form of reimbursement in healthcare?

Currently one of the most common reimbursement models, the Fee-for-Service (FFS) payment model bases patient pricing on the cost of each individual service or product that a physician orders.

What determines reimbursement?

Payers assess quality based on patient outcomes as well as a provider's ability to contain costs. Providers earn more healthcare reimbursement when they're able to provide high-quality, low-cost care as compared with peers and their own benchmark data.

Which type of reimbursement methodology is associated with the abbreviation Pmpm?

Rev Cycle Final.

Which of the following is not a function area of the revenue cycle?

Medicare & Medicaid.