Question

Fee-for-service payment type include (choose all that apply):

a. episode-of-care
b. traditional retrospective
c. prospective payment
d. global payment
e. self-pay

Answer 1

Fee-for-service payment type refers to a health financing system where medical care providers are paid according to the cost of the services they provide. Examples include doctor visits, hospitalizations, and diagnostic tests. Prospective payment and self-pay are not fee-for-service payment types.

Step-by-step explanation:

Fee-for-service payment type refers to a health financing system where medical care providers are paid according to the cost of the services they provide. This means that the reimbursement amount is based on the actual services rendered, rather than a fixed payment per patient or a set fee for a specific period of time.

Examples of fee-for-service payment include:

1. Doctor visits: Patients are billed for each visit they make to the doctor.
2. Hospitalizations: Patients are charged for the specific treatments and procedures they receive while in the hospital.
3. Diagnostic tests: Patients are billed separately for each test conducted during their medical evaluation.

On the other hand, prospective payment is not a type of fee-for-service payment. It is a different payment model used in healthcare reimbursement, where providers are paid a fixed amount for a specific episode of care or a predetermined period of time, regardless of the actual costs incurred.

Self-pay is another type of payment option in which patients are responsible for paying the full cost of their medical services out of pocket, without the involvement of insurance or third-party payers.