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The continuing development of new technologies and medications shorten ___ and also causes health care costs to ____.
Length of stay, increase
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biggest consumer of health care
the Federal govt.
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the Professional standards review organization (PSROs) was created by the ____ to review_____.
Fed govt, quality, quantity, cost of hospital care.
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Medicare qualified hospitals had physician- supervised___.
utilization review committees to review admissions, diagnostic testing, and treatments.
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Utilization review commitees intent was to identify and eliminate ___
overuse of diagnostic and treatment services.
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THe prospective payment system (PPS) established by Congress eliminated cost-based reimbursement and grouped inpatient hospital servieces for Medicare clients into 468 ____.
Diagnosis- related groups. (DRGs)
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Each DRG had a fixed reimbursement amount based on__
case severity, rural/urban, regional costs, teaching cost.
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Each hospital receive a set dollar amount for each client based on the assigned __
DRG.
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THe term ___ refers to health care systems in which there is administrative control over primary health care services fo a defined client population.
managed care
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