Which method would not be used by hospitals to control costs during perinatal health care for prospective birth management?
a. Diagnosis-related groups (DRGs)
b. Prospective form of payment
c. Negotiated length of stay (LOS) of 12 hours postbirth
d. Acceptance of capacitation
ANS: C
Diagnosis-related groups, prospective form of payment, and acceptance of capacitation can all be used by hospital facilities with regard to delivery of care within agreed on reimbursement for health care services. DRGs represent fee-based service for diagnosis and treatment. Prospective form of payment may be used as an up-front method to accept fees for anticipated service. Acceptance of capacitation by hospitals in agreement with insurers offers negotiated fees for services. Allowing a postpartum client to go home within 12 hours of birth is not within the standard of care and, as such, may lead to potential problems in the postpartum period. Typical LOS postbirth is 24 to 48 hours.
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