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Mod 150 Unit 3 terms

Term words

TermDefinition
Admission Review: A review for appropriateness and necessity of admission
Ambulatory payment classification (APC): A system review of outpatient hospital reimbursement based on procedures rather than diagnoses
Appropriateness evaluation protocol (AEP): Nineteen criteria for admission under the prospective payment system, separated into two categories: severity and intensity of illness.
Capitation: System of payment used by managed care plans in which physicians and hospitals are paid a fixed, per capita amount for each patient enrolled over a stated period regardless of the type and number of services provided: reimbursements
Created by: Susy81
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