AHIP Health Plan Finance and Risk Management AHM-520 Question # 112 Topic 5 Discussion

AHIP Health Plan Finance and Risk Management AHM-520 Question # 112 Topic 5 Discussion

AHM-520 Exam Topic 5 Question 112 Discussion:
Question #: 112
Topic #: 5

In a fee-for-service (FFS) reimbursement method, providers are paid per treatment or per service that they provide. One typical benefit of FFS reimbursement is that it:


A.

Is highly effective in preventing excessive services that take the form of churning, unbundling, and upcoding


B.

Provides physicians who attempt to control costs with a higher rate of compensation than is provided to physicians who make the effort to control costs


C.

Is relatively easy to initiate, especially in markets where managed care penetration is low


D.

Guards against the practice of defensive medicine


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