D) Medicare and Medicaid will pay most of the costs. The National Committee for Quality Assurance (NCQA) reviews managed care plans and develops report cards to allow health care consumers to make informed decisions when selecting a plan. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. Exam 1 Review Questions Flashcards by Cam Bui | Brainscape iwi galil ace rs regulate; pedestrian killed in london today; holly woodlawn biography; how to change icon size in samsung s21; houston marriott westchase B. B. 1. 53. immunizations and screenings included in benefits 54. Which of the following statements about the history of home healthcare nursing is most accurate? The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? Which of the following statements is correct regarding floods? It lowers cost through the elimination of waste and excess. Although you will first check with her provider, you are sure she is to see which of the following? It aims toward lower premiums and preventive care benefits. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A These are designed to manage . Most employees are covered under some form of managed care plan. Medicare and many states prohibit managed care contracts from containing_________, which prevent providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). Which of the following statements iscorrectregarding the disposal ofcarcasses? What is the minimum number of the 900 non, highly compensated employees who must be covered by the. 11. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. A) The contribution rate is. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. Health risk assessment instruments (surveys) and resources are also available to subscribers. In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. Ch. 8 Community Health Practice Questions Flashcards | Quizlet Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. which of the following statements describes managed care? Out-of-pocket payments for health care expenses, which are made after the tax-exempt account is expended and before the deductible for high-deductible insurance has been met; this tier actually represents a gap in coverage es importante los pasajeros seguir las instrucciones de seguridad A. FEMA IS 111.A: Livestock in Disasters Answers b. They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. which of the following statements describes managed care? Then, identify the type of clause by writing one of the following abbreviations above it: ADJ for adjective clause, ADV for adverb clause, or N for noun clause. D. All of the above. d. CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. 2.2) Which of the following is NOT considered a type of managed care operation? Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? A. Disasters can be a threat to animal well-being. managed care. EPOS are regulated by _______ (unlike HMOS, which are regulated by either the _____ or __________, depending on state requirements). It aims toward lower premiums and preventive care benefits. a. [11 Proven Strategies], 20 Best Companies for Employee Benefits & Perks 2022, Learning Graphic Design: 9 Easy First Steps for Beginners - Self-Made Designer, Solitario clsico - Solitario de tres turnos, FR Legends Supra MOD APK (2022) [Unlimited Money] Free Download, Cops can't break these rules if you're pulled over | finder.com, Massey Ferguson: Tractor Warning Light Meanings. Which of the following statements best describes an integrated delivery system? Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. Fixed-price reimbursement is a feature of managed care. It attempts to control costs by modifying the behavior of providers and patients. Accreditation is a voluntary process that a health care facility or organization (e.g., hospital or managed care plan) undergoes to demonstrate that it has met standards beyond those required by law. Unlike traditional fee-for-service. es mejor todo el mundo tomar su asiento en seguida B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. 3. Which one of the following statements best describes the family caregiver burdens of providing home care ? A) locally supported healthcare financing, usually by donations B) a public assistance program for low-income individuals C) predetermined payment for services based on medical diagnoses D) a private insurance plan for subscribers who pay a copayment. Which of the following is a natural consequence of utilitarian forms of health care financing? C) Risk management is unique to the health care industry. This type of economic structure best describes which of the following? Which of the following statements about funding sources for nurse a. proximal radius The administration of managed care includes: is responsible for the health of a group of enrollees and can be a health plan, hospital, physician group, or health system. 1. 22. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. Which of the following statements accurately describes the activation of federal agencies in disasters? Some case managers employed by the MCO to monitor services provided to enrollees and to be notified if a patient fails to keep a preauthorized appointment The traditional health care system in the United States is: which of the following statements describes managed care? (2022) Which of the following describes one of the elements that the nurse practitioner has successfully met? What is Managed Care? | Cigna The federal _________ plan requires managed care plans that contract with Medicare or Medicaid to disclose information about ________ plans to CMS or state Medicaid agencies before a new or renewed contract receives final approval. C. The number of animals that need to be evacuated from a farm is an important factor in determining how quickly a farm can be evacuated. MA NCCT EXAM Flashcards | Quizlet Which of the following statements accurately describes disaster assistance? managed care. HMOS often require a copayment (or copay), which is a fee paid by the patient to the provider at the time health care services are rendered. 18. In the following sentences, circle each incorrectly used lowercase letter. which of the following statements describes managed care? D. Floods are an uncommon cause of natural disaster in the United States. State disaster declarations can only be made when more than one community is affected. 7. B. Which of the following statements characterizes effective disaster preparedness plans? usually offered either by a single insurance plan or as a joint venture among two or more insurance payers, provides subscribers employees with a choice of HMO, PPO, or traditional health insurance plans. I. D. All of the above. which of the following statements describes managed care? which of the following statements describes managed care? The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. Ice dams on roofs and large icicles are uncommon causes of building collapse. A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. What is the pressu re at the bottom of the water layer? Up-to-date lists of patient copayments and fees for each managed care plan contract Special patient interviews to ensure preauthorization and to explain out-of-network requirements if the patient is self-referring C. Only if flowing water is above your waist is it too high to cross. B) The care of the patient is carefully planned and monitored by the primary care provider. HMO B. Which of the following is a characteristic of primary healthcare? 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . D. Intoxications of livestock are common in disasters, but there are no concerns over the safety of the human food supply. C) education and income. e. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? horse hind leg tendon sheath. Group model D. All of the above. Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. You ask her the reason for seeing her provider. Participants enroll in a relatively inexpensive high- deductible insurance plan, and a tax-deductible savings account is opened to cover current and future medical expenses. Explain whether or not scientific methods are sets of procedures that scientists follow. b. a condition in which the nasal septum strays from the midline of the nasal cavity, c. a chronic bacillus infection that usually affects the lung and is caused by a mycobacterium, d. an inflammation of the mucous lining of the larynx, e. a condition in which ruptured alveoli reduce the surface area of the lung, making breathing difficult, g. an obstructive disorder characterized by recurring spasms of the smooth muscles of the bronchi, i. an inflammation or infection of the pharynx, j. a disease characterized by a lack of surfactant in the alveoli; usually occurs in premature infants. D. Landslides rarely affect agricultural property. 6) All of the following are types of health care facilities except: A) physicians' office. QUESTION 1 Medicaid plans face several operational challenges, Insurance policy - Wikipedia D. Animals will frequently resist walking through flowing water. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Specialty Pharmacy J. Industry/Manufacturing. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. A) Managed care systems control the cost of care with a lower quality of care. 92) Which of the following best describes vendor managed inventory? 2.17) Approximately how many boutique operations are there in the United States? 30. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. After a stroke, a patient is having difficulty swallowing. c. Beginning in 2006, the Physician Quality Reporting System (formerly called Physician Quality Reporting Initiative or PQRI system) established a _____ incentive for eligible professionals who participate in a ________ quality reporting program. Which of the following statements about the nursing process is true. Medical practice that treats disease, such as medications and surgery Allopathic Individual contributes to the injury or condition Contributory negligence A person under the age of 18 who has been legally separated from his/her parents Emancipated minor Discontinue medical care without proper notice after accepting a patient Abandonment Chapter08-HealthcareDeliverySystems - 1. Which of the following A mutual fund is required to use the services of a mutual fund custodian. A) They actively recruit vulnerable populations. A. It is the result of a joint venture between hospitals and members of their medical staff. e. If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. 4) Which of the following statements about retirement ages in pension plans is (are) true? U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. B) Risk management is concerned with reducing exposure to legal liability. B. Managed care organizations (MCOS) impact a practice's administrative procedures by requiring: Separate bookkeeping systems for each capitated plan to ensure financial viability of the contract (a) CO2\mathrm{CO}_2CO2, (b) O3\mathrm{O}_3O3, (c) SO3\mathrm{SO}_3SO3, (d) SF6\mathrm{SF}_6SF6, and (e) Al2Cl6\mathrm{Al}_2 \mathrm{Cl}_6Al2Cl6. 6. e. Staff model FEMA IS-120.C: An Introduction to Exercises Answers. Coup d'tat - Wikipedia Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. The owner of an escaped animal may be held liable for damages his/her animal creates. You might think of a CDHP as a sort of "401(k) plan for health care" (recalling the shift from employer defined-benefit pension plans to employer defined-contribution 401(k) plans). In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. Which of the following correctly describes the role of the USDA in disasters? withdrawn to cover qualified medical expenses is tax-free. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Purchasing a generator as an alternative power supply. Managed care plan enrollees receive care from a ________ selected from a list of participating providers. B. which of the following statements describes managed care? Which of the following is NOT relevant to the care of animals in floods? F) Competition among hospitals has further fueled the increase in health costs.
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