Dr. S. is working within a reimbursement system where the insurance is billed after all the treatment has been given to the patients. The main reason that he orders more tests, exams, and procedures under this system is A. fear of being sued.
B. to make a profit.
C. to increase resource utilization.
D. because no one has to pay for it.
My answer is C
Yep C, I took Medical Office Admin
The Answer is A (fear of being sued). I just took the test and answered C and got it wrong. They corrected me and said A.
Yup it’s fear of being sued.
To determine the main reason that Dr. S. orders more tests, exams, and procedures within a reimbursement system where insurance is billed after all the treatment has been given to patients, we will analyze the options provided.
A. Fear of being sued: This option suggests that Dr. S. orders more tests, exams, and procedures due to a fear of legal repercussions. However, the given scenario does not necessarily indicate a correlation between the reimbursement system and a fear of being sued. Therefore, this option is less likely to be the main reason.
B. To make a profit: This option implies that Dr. S. orders more tests, exams, and procedures to increase their financial gain. While financial motivations may influence some healthcare providers, it does not specifically align with the reimbursement system described in the scenario. Therefore, this option is less likely to be the main reason.
C. To increase resource utilization: This option suggests that Dr. S. orders more tests, exams, and procedures to maximize the use of available resources. In a reimbursement system where insurance is billed after treatment, it is possible that healthcare providers may be incentivized to utilize more resources to justify the billing and ensure appropriate reimbursement. This option aligns with the scenario presented and is a plausible reason for ordering additional tests, exams, and procedures. Therefore, it is a valid choice.
D. Because no one has to pay for it: This option implies that Dr. S. orders more tests, exams, and procedures simply because nobody has to pay for them. However, it is unrealistic to assume that no one pays for medical services, especially within a reimbursement system. Therefore, this option is less likely to be the main reason.
Based on the analysis, option C, "to increase resource utilization," is the most plausible reason for Dr. S. ordering more tests, exams, and procedures within the described reimbursement system.