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AHIP AHM-530 Exam - Topic 2 Question 130 Discussion

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
A) Fixed rate for each day a plan member is treated in Ellysium's subacute care facility
B) Discounted charge for all subacute care services given by Ellysium
C) Rate that varies depending on patient category
D) Fixed rate per enrollee per month

AHIP AHM-530 Exam - Topic 2 Question 130 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 130
Topic #: 2
[All AHM-530 Questions]

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

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Suggested Answer: A

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Ezekiel
17 hours ago
Exactly! A is clear and predictable for budgeting.
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Maurine
6 days ago
True, but per diem usually means a set daily rate.
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Kirk
11 days ago
But what about C? Different rates for patient categories could work too.
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Ezekiel
16 days ago
I agree, A seems straightforward. Easy to calculate.
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Maurine
21 days ago
I think it's A. Fixed rate per day makes sense.
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Dusti
27 days ago
Totally agree with A, that makes the most sense!
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Leeann
1 month ago
Wait, are we sure it's not a discounted charge?
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Valentine
1 month ago
Per diem means daily rates, so A is the right choice!
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Ollie
1 month ago
I think it might vary by patient category, though.
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Merilyn
2 months ago
It's definitely a fixed rate for each day.
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Remedios
2 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.
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Vilma
2 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.
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Quiana
2 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.
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Lonna
2 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.
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