QUESTION 17 Match to term to the correct definition A. publication where GAAP is presented for...
Match the definition with the terms. Definitions: A. A type of healthcare organization that delivers medical care and manages all aspects of the care or the payment for care by limiting providers of care, discounting payment to providers of care, or limiting access to care B. A comprehensive term for long-term care facilities that provide nursing care and related services for residents requiring medical, nursing, or rehabilitative care C. The direct personal contact between a patient and a physician or...
AH Sfganization that processes claims and provides administrative services for another organization is utilization management. b. resource-based relative value system. third-party administrator. d. provider network. a. C. 37. The Affordable Care Act includes which of the following categories of essential health benefins a. Emergency services b. Laboratory services c. Prescription drugs d. All of the above 38. Services that are needed to improve the patient's current health are considered a. elective. b. preventive. c. medically necessary. d. provider network. 39....
TUU UI WC dove An organization that processes claims and provides administrative services for another organization a. utilization management. b. resource-based relative value system. c. third-party administrator. d. provider network. The Affordable Care Act includes which of the following categories of essential health benefits! a. Emergency services b. Laboratory services c. Prescription drugs d. All of the above 38 Services that are needed to improve the patient's current health are considered a. elective. b. preventive. c. medically necessary. d. provider...
69) A policy that pays you back for actual expenses is called A) An indemnity plan. B) A deductible plan. C) A reasonable and customary plan. D) A reimbursement plan. E) A coinsurance plan m The set amount that you must pay toward medical expenses before the insurance company pays benefits is called A) Deductible. B) Reimbursement C) Indemnity. D) Internal limit. E) Reasonable and customary charges. 71) Which of the following is a government health care program? A) Health...
please reply to this post and ask one question regarding this post One of the greatest changes that impacts health care quality and reimbursement today is the Patient Protection and Affordable Care Act (PPACA), also referred to as the "Affordable Care Act" or "Obamacare". The PPACA was signed by President Barack Obama in March of 2010. The purpose of this act was to ensure that all Americans would have access to affordable health insurance by eliminating barriers to obtaining health...
1. The CDC is the lead agency that _____. a. Accredits and licenses acute hospital facilities in the United States. b. Is responsible for providing vital statistics to various agencies, such as the NCHS. c. Develops and updates ICD-10 for the world. d. Is responsible for protecting the health of the people of the United States. 2. The type of statistics that makes inferences or a best guess about a larger group of data by drawing conclusions from a smaller...
Question 17 1.0 pes A primary motivation in the development of managed care was to: (Level 1) O a. contain costs and expenditures of health care O b. decrease government regulation of health care c.decrease quality of health care O d. Medical services for the uninsured are underwritten by pharmaceutical companies that manufacture the drugs they are prescribed Question 20 1.33 pts How do uninsured populations access medical care? (Level a. Through a special branch of the VA b. Through...
" Rising prices for health-care services and insurance continued to drive up health spending in 2018, even as the amount of health care Americans used remained steady. National health spending reached $3.6 trillion — about $11,172 per person — in 2018, a 4.6% increase from the previous year, according to an annual report by the Office of the Actuary at the Centers for Medicare and Medicaid Services, published online in Health Affairs. CMS researchers found that the rise in overall...
The Culture of Healthcare Course Project Healthcare Settings Option - The Places Where Care is Part 1 Instructions: You should choose a local long-term care organization. This may include an adult daycare, independent living, assisted living, skilled nursing facility or hospice. Research the organization to find out what services they offer and what type of patient would be most likely to seek their services. If the organization has multiple types of long-term care, just choose one. Questions: o What is...
Question 3: The Centers for Medicare and Medicaid Services contracts with which of the following survey organizations that are deemed to have the same level of standards for hospitals? Select all that apply. A. Det Norske Veritas (DNV) B. The Joint Commission (TIC) C. Occupational Safety and Health Administration (OSHA) D. American Hospital Association (AHA) E. Center for Improvement in Healthcare Quality (CIHQ) Question 4: A patient tells the registered nurse that his pain medication is not working. After additional...