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Topic #1: Medicare-Medicaid Prospective Payment Systems for Inpatients

In this Discussion, review the following concepts pertaining to Medicare-Medicaid prospective payment systems for inpatients: Federal legislations are demanding that healthcare costs be controlled. These demands have led to federal healthcare reimbursement reform.

1. How do MS-DRGs encourage inpatient facilities to practice cost management?
2. Is the MS-DRGs approach supported by the healthcare community or is it manipulated by the provider Topic #2: Ambulatory and other Medicare-Medicaid Reimbursement Systems

1. In this Discussion, review the following concepts pertaining to ambulatory and other Medicare-Medicaid reimbursement systems: A resource-based relative value scale (RBRVS) is a system of classifying health services based on the cost of furnishing physician services in different settings, the skill and training levels requiring to perform the services, and the time and risk involved.
   1. What is the control mechanism the government uses on Medicare payments to physicians and how is it applied?
   2. Are the conversion factors adequate to support the healthcare process?