B. B. managed care. Exam 1 Review Questions Flashcards by Cam Bui | Brainscape A) The contribution rate is fixed. C. New animal arrivals to a farm should be placed in quarantine until a suitable time has lapsed to rule out the introduction ofcontagious disease. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. Additional paperwork for specialists to complete and the filing of treatment and discharge plans F) Competition among hospitals has further fueled the increase in health costs. Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. a. C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. Select all that apply. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. (The catastrophic limit is usually higher than those common in other plans.) C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. C. Only if flowing water is above your waist is it too high to cross. Showing D. The USDA responds to disasters that threaten national food production, processing and distribution. A. D) Historically, payment for healthcare services encouraged the use of expensive services. It lowers cost through the elimination of waste and excess. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. A. Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. The group plan will pay depending on the employee's recovery C. The group plan will not pay because the employee was injured at work D. The group plan will pay C. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? D. Small amounts of snow never have devastating effects on a community. which of the following statements describes managed care? D. All of the above. Many scholars consider a coup successful when the usurpers seize and hold power for at least . 2.6) Which of the following best describes the alternative medicine modality of homeopathy? Premiums and other revenue are paid to the HMO. 2.17) Approximately how many boutique operations are there in the United States? Expert Help. (B) Give the symmetry number for each of the following molecules: She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. B) The family of the patient is required to pay costs. A. B) The care of the patient is carefully planned and monitored by the primary care provider. What statement describes the most important function of the health record? Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). C) Reimbursement is usually based on fee-for-service. A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. Which of the following describes one of the elements that the nurse practitioner has successfully met? a. 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 accurately describes relationship between disasters and the economic impact on livestock farmers? What population do hospice nurses provide with care? 51) Which of the following statements about managed care plans is (are) true? Coup d'tat - Wikipedia a. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. is a private, not-for-profit organization that assesses the quality of managed care plans in the United States and releases the data to the public for consideration when selecting a managed care plan. In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Managed care plan enrollees receive care from a ________ selected from a list of participating providers. Group model A. D. Floods are an uncommon cause of natural disaster in the United States. Yet, segments of the health care system maintain aspects of a free-market competition. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. B. b. 2.14) Mrs. J. has just seen her provider. Documentation of ownership may be needed to reclaim a lost animal. D.Carcassesmust be disposed of onsite. which of the following statements describes managed care? If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. Select one: O a. C. Emergency managers are responsible for finding the owners of all lost animals. which of the following statements describes managed care? 2.10) Which of the following best describes how alternative health therapies are being perceived? 1. 8. Money deposited (and earnings) is tax-deferred, and money. 26. Professional standards review organizations (PSROs). The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). A. Medicare was established in 1965 under Title XVIII of the Social Security Act as a federal health insurance program for individuals age 65 and older, regardless of income or health status. c.Health insurance must be This problem has been solved! B) The care of the patient is carefully planned and monitored by the primary care provider. 30. Which of the following statements accurately describes the clinical nurse leader (CNL)? D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. B) The supplier maintains the inventory for the buyer. 28. A. Personal preparedness is rarely effective at minimizing losses from disasters. e. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. An integrated delivery system may also be referred to by any of the following names: integrated service network (ISN), delivery system, vertically integrated plan (VIP), vertically integrated system, horizontally integrated system, health delivery network, or accountable health plan. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. Libertarian theories is a nonprofit organization that contracts with and acquires the clinical and business assets of physician practices; the _____ is assigned a provider number and manages the practice's business. Who would be most likely to teach the classes? Hazardous materials released during floods will flow away with the water. A. C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. Providers are employees of the organization. Quality Improvement System for Managed Care (QISMC). D. All of the above. 2.12) Which of the following does not apply to the role of a medical assistant? The financing of America's health care system has changed the way health care services are organized and delivered, as evidenced by a movement from traditional fee-for-service systems to managed care networks. B. A. Livestock agriculture is more widely dispersed than ever before. which of the following statements describes managed care? D) Medicare and Medicaid will pay most of the costs. The NCQA began accrediting managed care programs in 1991 when a need for consistent, independent information about the quality of care provided to patients was originally identified. Ch. 9: Other Health Insurance Concepts Flashcards | Chegg.com 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. D. All of the above. (Network providers are usually reimbursed on a fee-for-service basis. a. information disclosure regulation b. establishing minimum standards and monitoring compliance, The Smallville Mall has assumed the responsibility for payment of liability losses caused by Chuck's Famous Pizza to attract the pizza chain to the mall. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. C. Construction of a new barn at a site above a floodplain. If enrollees choose to receive all medical care from the managed network of health care providers, or obtain an authorization from their POS primary care provider for specialty care with an out-of-network provider, they pay only the regular copayment or a small charge for the visit and they pay no deductible or coinsurance costs. Preferred provider organization (PPO) B. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. Animals that have recently moved from a warmer to a colder climate are at a greater risk of hypothermia than animals that have lived in a colder climate for longer periods. C. FEMA is a primary source of education on disaster management in the U.S. an organized effort by health plans and providers to use financial incentives and organizational. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? 21. A coup d'tat (/ k u d e t / (); French for 'stroke of state'), also known as a coup or an overthrow, is a seizure and removal of a government and its powers. 1. 7. Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). ICT also includes analog technology, such as paper communication, and . D. All of the above. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. Which of the following phrases is characteristic of case management as a method of healthcare delivery? Patients do not need to be well informed about the financial benefit issues that affect the provision of care. Which of the following statements accurately describes disaster assistance? 5. c. 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. Which of the following statements accurately describe an aspect of managed care? C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. Group Model HMO The owner of an escaped animal may be held liable for damages his/her animal creates. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? of 26. Brace anchor all tall or top-heavy objects. Choose the correct description or cause of pharyngitis. This question suggests which of the following? Health care is provided by individuals who are not employees of the HMO or who do not belong to a specially formed medical group that serves the HMO. Provide quality health care while containing costs. which of the following statements describes managed care? 3) What are the minimum age and service requirements that can be imposed on employees eligible to participate, A) age 18 and 6 months of service B) age 21 and 1 year of service, C) age 21 and 3 years of service D) age 25 and 4 years of service. Tax-exempt accounts that are offered by employers with 50 or more employees, which individuals use to pay health care bills. prestar mucha atencin. D. Large-scale disasters affecting livestock never have serious implications for State revenues. Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. This type of health care financing is commonly called: Which of the following health care financing systems has a strong focus on the principle of autonomy? C) The patient gets the bill and pays out-of-pocket costs. Ch. 3 Managed Health Care Flashcards | Quizlet B. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Managed care gives rise to ethical problems associated with balancing utilitarian views of cost-effective care with a respect for persons and the traditional view of a duty to care. Costs from animal disease outbreaks include loss of production andreplacementof animals. [Solved] Which of the following statements describes managed care organizations? B) Risk management is concerned with reducing exposure to legal liability. C. Volunteer organizations are the only source of disaster assistance at the locallevel. Class 1: ACE inhibitors, ARB's, CCB's, and Be, Byron Almen, Dorothy Payne, Stefan Kostka, Eric Hinderaker, James A. Henretta, Rebecca Edwards, Robert O. Self, John Lund, Paul S. Vickery, P. Scott Corbett, Todd Pfannestiel, Volker Janssen, Ch 5 Ethical Quandaries in Community Health N. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? 53. immunizations and screenings included in benefits 54. B) The contribution rate is fixed, and the retirement benefit is known in advance. Which of the following statements iscorrectregarding a Foreign Animal Disease outbreak? 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 Es el medioda y t tienes hambre. A Colles fracture occurs at the: A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. Managed care plans are a type of health insurance. A. C) education and income. Crop insurance to protect against the effects of summer storms. HMO Which of the following statements accurately describe an aspect of managed care? Ch. 8 Community Health Practice Questions Flashcards | Quizlet managed care plans because of restrictions placed upon their freedom to treat patients. 3. utilization review organization (URO), third-party administrator (TPA). Spreading livestock operations out among several states is effective mitigation against weather-related disasters. A POS plan is not an HMO, but it is a managed care plan that combines the characteristics of an HMO and a preferred provider organization (PPO) (discussed below). C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. The Incident Command System provides a consistent method to respond to all types of emergencies. The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. Which of the following is one of those responsibilities? 29. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad Managed care is categorized according to six models: exclusive provider organizations, integrated delivery systems, health maintenance organizations, point-of-service plans, preferred provider organizations, and triple option plans. Once you have chosen a verb, write the correct! manages the delivery of health care services offered by hospitals, physicians (who are employees of the _____), and other health care organizations (e.g., an ambulatory surgery clinic and a nursing facility). C. Disasters are declared starting at the local, then state, then federal level. National rivers, which are among the categories, are overseen by the bureau. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. Which of the following statements is correct regarding the identification of animals in disasters? A) Managed care systems control the cost of care with a lower quality of care. Managed care originally focused on cost reductions by restricting health care access through utilization management and availability of limited benefits. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. Do you think Krauthammer fairly characterizes libertarian thinking? Patients should be well informed about care and treatment options. (a) CO\mathrm{CO}CO, (b) O2\mathrm{O}_2O2, (c) H2S\mathrm{H}_2 \mathrm{~S}H2S, (d) SiH4\mathrm{SiH}_4SiH4, and (e) CHCl3\mathrm{CHCl}_3CHCl3. Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. follow in the model. Exclusive provider organization (EPO) patients must receive care from participating providers, which can include emergency departments at participating hospitals, or they pay for all costs incurred. A managed care organization (MCO) is responsible for the health of its enrollees, which can be administered by the MCO that serves as a health plan or contracts with a hospital, physician group, or health system. 4) Which of the following statements about retirement ages in pension plans is (are) true? 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. Direct contract model B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. B. These are designed to manage . A. Cyberwarfare is an attack carried out by a group of script kiddies Cyberwarfare is simulation software for Air Force pilots that allows them to practice under a simulated war scenario Cyberwarfare is a series of personal protective equipment developed for soldiers involved in nuclear war June 29, 2022. B. Which of the following statements correctly describes the role of the Federal Emergency Management Agency (FEMA) in disasters? A. Health maintenance organization (HMO) C. Practice a fire drill every month throughout the fire season. f. 2.19) Who best knows the patient's body and financial situation? c. D. All of the above. Which of the following statements about the history of home healthcare nursing is most accurate? What managed care means? The Healthcare Effectiveness Data and Information Set (HEDIS), sponsored by the National Committee for Quality Assurance, consists of performance measures used to evaluate managed care plans (e.g., rate of Pap smears performed among women of a certain age). C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Which of the following organizations provides independent, impartial assistance in more than 60 countries to people whose survival is threatened by violence, neglect, or catastrophe, primarily due to armed conflict, epidemics, malnutrition, exclusion from health care, or natural disasters? e. A) The insurance company pays all or most of the costs. F) Planning and monitoring are conducted to ensure standards are followed. B) Employer contributions are deductible up to certain limits as an ordinary business expense. Point-of-service plan (POS) which of the following statements describes managed care? (2022) Included in HEDIS is the________, which measures members' satisfaction with their care in areas such as claims processing, customer service, and getting needed care quickly. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . e. Staff model [Solved] Which of the Following Statements Describes Managed Care Which of the following is a trend to watch in healthcare delivery? horse hind leg tendon sheath. 5. B) The care of the patient is carefully planned and monitored by the primary care provider. They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. a. U.S. Treasury Department and Internal Revenue Service issued tax guidance information for HRAS in 2002. Most employees are covered under some form of managed care plan. 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). d. distals carpals, Use the integral test to find whether the following series converge or diverge. Triple option plan. a. All of the highly compensated employees are covered by the, plan. A nurse in a walk-in healthcare setting provides technical services, such as, administering medications, determines the priority of care needs, and provides patient teaching on all aspects of care. Then, identify each adjective clause as essential (E) or nonessential (N). EJEMPLO: Es probable que nosotros evitemos una tempestad. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. Which of the following statements accurately describe an aspect of managed care? What are DRGs? Non-Profit Bylaws Last revision 09/27/2022 Formats Word and PDF Size 6 e. fixed, but the retirement benefit is not known in advance. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. A. Employees contribute funds to the FSA through a salary reduction agreement and withdraw funds to pay medical bills. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. Qu haces t? A. A. 7. Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? Case managers do not use the nursing process. The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. is owned by hospital(s) and physician groups that obtain managed care plan contracts; physicians maintain their own practices and provide health care services to plan members. C) The contribution rate is, variable, and the retirement benefit is not known in advance. Which of the following statements iscorrectregarding droughts? Health care is provided in an HMO-owned center or satellite clinic or by physicians who belong to a specially formed medical group that serves the HMO. What is the pressu re at the bottom of the water layer? ayudar a los otros pasajeros This type of economic structure best describes which of the following? Select all that apply. Laws, rules, social conventions and norms are all examples of institutions. Which of the following terms best describes this type of healthcare setting? ICT is an umbrella term that includes any communication device, encompassing radio, television, cell phones, computer and network hardware, satellite systems and so on, as well as the various services and appliances with them such as video conferencing and distance learning. certificate of need programs. Nurses who are employed in home care have a variety of responsibilities. "Don't drop out of school." b. Select all that apply. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. It is a system that is based on patient and provider autonomy. Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? (sometimes called a participating provider organization) is a managed care network of physicians and hospitals that have joined together to contract with insurance companies, employers, or other organizations to provide health care to subscribers for a discounted fee. It attempts to control costs by modifying the behavior of providers and patients. B. PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. D. For a State to qualify for Federal disaster assistance from FEMA, it is best if the State has laws that are consistent with those of Federal emergency management law. A patient has a private insurance policy that pays for most healthcare costs and services. include payments made directly or indirectly to health care providers to encourage them to reduce or limit services (e.g., discharge an inpatient from the hospital more quickly) so as to save money for the managed care plan.