Discuss AHIP AHM-530 Exam Topic 2 Question 130

The Gladspell HMO has contracted with the Ellysium Hospital to provide subacute care to its plan members. Gladspell pays Ellysium by using a per diem reimbursement method.

The per diem reimbursement method will require Gladspell to pay Ellysium a

AFixed rate for each day a plan member is treated in Ellysium's subacute care facility

BDiscounted charge for all subacute care services given by Ellysium

CRate that varies depending on patient category

DFixed rate per enrollee per month

Suggested Answer: A

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18 comments · newest first

Kirk 25 days ago

I see your point. A is likely the best choice.

Ezekiel 1 month ago

Right! A avoids confusion in billing.

Maurine 1 month ago

Maybe, but A keeps it simple for both parties.

Kirk 1 month ago

Still, C could reflect the actual care needed.

Ezekiel 2 months ago

Exactly! A is clear and predictable for budgeting.

Maurine 2 months ago

True, but per diem usually means a set daily rate.

Kirk 2 months ago

But what about C? Different rates for patient categories could work too.

Ezekiel 2 months ago

I agree, A seems straightforward. Easy to calculate.

Maurine 2 months ago

I think it's A. Fixed rate per day makes sense.

Dusti 2 months ago

Totally agree with A, that makes the most sense!

Leeann 3 months ago

Wait, are we sure it's not a discounted charge?

Valentine 3 months ago

Per diem means daily rates, so A is the right choice!

Ollie 3 months ago

I think it might vary by patient category, though.

Merilyn 3 months ago

It's definitely a fixed rate for each day.

Remedios 3 months ago

I don’t recall much about per diem specifically, but I know it’s not a monthly rate, so I can rule out D for sure.

Vilma 3 months ago

I practiced a similar question where they mentioned varying rates based on patient categories, which makes me wonder if C could be a trick option here.

Quiana 4 months ago

I’m not entirely sure, but I remember something about per diem being related to daily rates, which makes me think A is correct, but I could be mixing it up with something else.

Lonna 4 months ago

I think the per diem method means Gladspell pays a fixed rate for each day a patient is in the hospital, so I’m leaning towards A.

AHIP AHM-530 Exam - Topic 2 Question 130 Discussion