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In "Prospective Payment Systems

Question 31

Multiple Choice

In "prospective payment systems":


A) health insurers reimburse health care providers for any expenditure for a covered individual
B) insurers only reimburse for items that were submitted in advance
C) insurers provide payments to health care providers upfront, that the providers then use to cover costs
D) insurers determine in advance the average cost for a procedure and then set the amount they will reimburse

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