Please check my answer thanks for your help :)


Hospital that are excluded from the Medicare acute care PPS such as children hospitals are paid based on

A reasonable cost B fee schedules

C global payments C bundled payments

My answer is # A

To verify if your answer is correct, let's break down the question and the choices:

The question is asking how hospitals that are excluded from the Medicare acute care PPS (Prospective Payment System) are paid.

Here are the choices:

A. Reasonable cost
B. Fee schedules
C. Global payments
D. Bundled payments

Now, let's evaluate each choice:

A. Reasonable cost: This refers to hospitals being paid based on the actual costs they incur for providing care to patients. It is typically used for hospitals that are excluded from the Medicare acute care PPS.

B. Fee schedules: Fee schedules are predetermined payment amounts that are based on specific services or procedures. They are commonly used in fee-for-service payment systems.

C. Global payments: Global payments refer to a fixed amount of money paid to healthcare providers for all services provided to a patient over a specific period. This payment method is often used in accountable care organizations (ACOs) or capitated payment models.

D. Bundled payments: Bundled payments involve a predetermined, comprehensive payment for a specific episode of care, which includes multiple services and providers involved in treating a patient's condition.

Based on the information provided, it's clear that hospitals excluded from the Medicare acute care PPS, such as children's hospitals, are paid based on reasonable costs. These hospitals are typically reimbursed for the actual costs they incur to provide care to their patients.

So, your answer of A. Reasonable cost is correct!

Well done!