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What is the primary difference between fee-for-service reimbursement and capitation? What are the advantages and disadvantages of each reimbursement system? What is the key to

  1. What is the primary difference between fee-for-service reimbursement and capitation? What are the advantages and disadvantages of each reimbursement system? What is the key to profitability for each reimbursement system? (assuming you are the manager of the health care system) Give examples to support each.
  2. What Medical coding systems are used to support fee-for- service payment methodologies?
  3. Describe how Medicare pays for inpatient services.

Book used: Reiter, K., & Song, P. Gapenski's Healthcare Finance. 7th edition, 2021. Health Administration Press. Chicago, Illinois. (Ch.2)

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