The nurse may make a referral to what member of the healthcare team? 2.6) Which of the following best describes the alternative medicine modality of homeopathy? Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? Compute the expected value of the damages and fill in the chart below. 8. Which of the following is true of long-term care facilities? D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. Place large and heavy objects on lower shelves and securely fasten shelves taller than 5 feet to walls. 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. Qu hacemos? Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. 24 Plans are required to meet minimum performance levels and to show demonstrable and measurable improvement in specified broad clinical areas (e.g., preventive services, acute ambulatory care, chronic care, and hospital care) based on performance improvement projects that each plan identifies. The early retirement age is the earliest age at which an employee can. Prior to scheduling elective surgery, managed care plans often require a _______; that is, a second physician is asked to evaluate the necessity of surgery and recommend the most economical, appropriate facility in which to perform the surgery (e.g., outpatient clinic doctor's office versus inpatient hospitalization). follow in the model. Managed care plans implement _______ as a method of controlling health care costs and quality of care. Healthcare Effectiveness Data and Information Set (HEDIS). 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). All of the highly compensated employees are covered by the, plan. Select all that apply. For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. Yo almuerzo_______ (almorzar-entender) en la cafetera. View the full answer. This type of economic structure best describes which of the following? Escriba lo que dice. Which of the following statements iscorrectregarding the disposal ofcarcasses? C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Health risk assessment instruments (surveys) and resources are also available to subscribers. 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). D. All of the above. It has. b. C. Disasters are declared starting at the local, then state, then federal level. Which of the following ethical theories of justice are based upon the rule that it is good to maximize the greatest good for the greatest number of people? 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. This question suggests which of the following? Premiums, deductibles, and copayments are usually higher than those paid for HMOS, but lower than those paid for regular fee-for-service plans. Most human injuries in earthquakes result from falling objects. B) Employer contributions are deductible up to certain limits as an ordinary business expense. D. All of the above. 2.14) Mrs. J. has just seen her provider. ICT also includes analog technology, such as paper communication, and . A. Managed care can now be categorized according to six models: 1. Chapter 1 Medical Assisting Profession Quiz, Chapter 2 Health Care Settings and Health Car, Unit 3, Real Estate License Law And Commissio, Chapter 1: The Medical Assisting Profession, Chapter 2: Health Care Settings and the Healt, Julie S Snyder, Linda Lilley, Shelly Collins, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers. C. Reducing personal water usage helps reduce the impact of droughts. B. Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. The local Department ofAnimal Controlis the legal entity in most communities to deal with abandoned and lost animals. 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. POS enrollees who receive care from out-of-network providers pay higher deductible and coinsurance amounts. The use of remedies made from naturally occurring plant, animal, or mineral substances. Visibility, because only external customers should be considered. Relate What evidence indicates that oceans formed early in Earth's geologic history? 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. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). e. 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. F) Planning and monitoring are conducted to ensure standards are followed. Which of the following statements accurately describes disaster assistance? C) Risk management is unique to the health care industry. A. A. Integrated delivery system (IDS) Select one: O a. Which of the following statements characterizes effective disaster preparedness plans? Which of the following statements correctly describes animal disease outbreaks? Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. managed care. 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. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? Other plans contract with a _________, an organization that provides health benefits claims administration and other outsourced services for self-insured companies. 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. d. B. Composting is no longer used to dispose of any livestockcarcasses. Each line when completed, should have three words similar in meaning. C. Guidelines for proper methods for euthanasia for livestock are available from veterinary, producer, and humane groups. (Network providers are usually reimbursed on a fee-for-service basis. The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. 6) All of the following are types of health care facilities except: A) physicians' office. 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 F) Competition among hospitals has further fueled the increase in health costs. 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. es mejor todo el mundo tomar su asiento en seguida 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. Never tie an animal up if floods are pending. Individual Practice Association (IPA) HMO Network Model HMO. PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. B. Which of the following are effective MITIGATION (reduction, prevention) activities for farms? which of the following statements describes managed care? A patient has a private insurance policy that pays for most healthcare costs and services. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice utilization management (or utilization review). A. C. Hurricanes frequently cause flooding along the coast, but not inland. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. The term used to describe sophisticated and highly complex medical care is. It lowers cost through the elimination of waste and excess. 6. 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). Note In managed care, the primary care provider usually receives capitation payment and is responsible for managing all of an individual's health care, which includes reimbursing other caregivers (e.g., specialists). D.Carcassesmust be disposed of onsite. Faculty of English Commerce Ain Shams University, Ajman University of Science and Technology Ajman), BSBLDR403 Lead team effectiveness Assessment 2.docx, SELECT CURTIME SELECT CURTIME 0 HOUR time Returns the hour for time This code, 32 Extraction of data Data extraction improves strategies for incorporating, It is convenient to subdivide the receiver into two parts the demodulator and, The_Impact_of_Financial_Structure__Financial_Leverage_and_Profitability_on_Industrial_Companies_Shar, designates subordinate commanders to serve as joint functional component, Tutorial 5-Midterm RUBRIC-Feb 27[3643].pdf, existence of this power to increase sentences since legislation now provides for, 534 Consultation Status after Flare up The study also collected data on whether, private station rather than have had the glories of command If indeed such, through-the-cognitive-functions-lens-a-socio-technical-analysis.pdf, Which of the following statements about life insurance cash values is (are) true? The IPA is an intermediary (e.g., physician association) that negotiates the HMO contract and receives and manages the capitation payment from the HMO, so that physicians are paid on either a fee-for-service or capitation basis. which of the following statements describes managed care? If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. Consumer-Directed Health Plans include the following tiers: Tax-exempt account, which is used to pay for health care expenses and provides more flexibility than traditional managed care plans in terms of access to providers and services "Don't drop out of school." b. Disaster advice from the USDA is provided by the Cooperative Extension Service. 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 D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. A. B. B) epidemiology. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. Which of the following statements describes appropriate procedures for dealing withanimal health/disease? establishes a contract that allows physicians to maintain their own offices and share services (e.g., appointment scheduling and billing). plans emphasize cost control, total health benefit costs continue to increase. A. C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. 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. The US is the only developed nation without a system of universal healthcare, with a large proportion of its population not carrying health insurance, a . Most managed care financing is achieved through a method called capitation, and enrollees are assigned to or select a primary care provider who serves as the patient's gatekeeper. managed care. Which of the following statements correctly describe liability issues in disasters? Group Model HMO A) those requiring care to improve health B) children with chronic illnesses C) dying persons and their loved ones D) older adults requiring long-term care, 13. Who provides physicians with the authority to admit and provide care to patients requiring hospitalization? D. All of the above. A) The insurance company pays all or most of the costs. 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? D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. a. The enrollee will have greater out-of-pocket expenses, as he must pay both a large deductible (usually $200 to $250) and 20 to 25 percent coinsurance charges, similar to those paid by persons with fee-for-service plans. Proper watershed, forest, and rangeland management is effective mitigation against droughts. Select all that apply. 2.1) Which of the following best describes the form of medical practice management in which the provider's personal property is attached and may be sold if the business fails? The Incident Command System provides a consistent method to respond to all types of emergencies. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? Which of the following statements accurately describe an aspect of managed care? Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? (2023 History ) - Pgrip, 15 best free Android apps available right now, How Do Free Apps Make Money in 2022? B. Because a ________ would have the practical effect of prohibiting a physician from giving a patient the full range of advice and counsel that is clinically appropriate, it would result in the managed care plan not providing all covered Medicare services to its enrollees, in violation of the managed care plan's responsibilities. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. The aftermath was first by the Bush administration - by George Bush's then secretary of Treasury, who had come right from Goldman Sachs, which was Hank Paulson. Nurse case managers coordinate patient care from the time of hospital admission to the time of discharge and often following discharge from an . A mutual fund is required to use the services of a mutual fund custodian. Yet, segments of the health care system maintain aspects of a free-market competition. Even though smoke residues can be harmful to livestock, if livestock have been exposed to smoke residues they can be used for human consumption without concern. (A) Give the symmetry number for each of the following molecules: C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. 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. Individual Practice Association (IPA) HMO. Patients' needs are assessed and prioritized. How would the nurse respond? Unused balances "roll over" from year to year; if an employee changes jobs, he or she can continue to use the HSA to pay for qualified health care expenses. This idea supports which of the following economic theories for which Rawles was a proponent? A) Managed care systems control the cost of care with a lower quality of care. managed care plans because of restrictions placed upon their freedom to treat patients. C. In most States, Good Samaritan Laws do not directly apply to the care of animals. The owner of an escaped animal may be held liable for damages his/her animal creates. . A) Managed care systems control the cost of care with a lower quality of care. Although you will first check with her provider, you are sure she is to see which of the following? 16. Cash values are a result of the level premium method of purchasing life insurance. d. A man is scheduled for hospital outpatient surgery. Which of the following statements accurately describe an aspect of managed care? Select all that apply. c. B) The care of the patient is carefully planned and monitored by the primary care provider. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. 3. Which of the following statements iscorrectregarding heat stress in livestock? A ) . Preferred provider organization (PPO) Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Patients do not need to be well informed about the financial benefit issues that affect the provision of care. D. All of the above. A. II. a. proximal radius B) The cost of healthcare in the United States has decreased dramatically. C) The contribution rate is, variable, and the retirement benefit is not known in advance. Without advertising income, we can't keep making this site awesome for you. Under extreme heat conditions, livestock require less than 10%body weightof water per day. Which of the following statements accurately describes an aspect of home healthcare? external quality review organization (EQRO). d. distals carpals, Use the integral test to find whether the following series converge or diverge. 18. The intent was to replace conventional fee-for-service plans with more affordable quality care to health care consumers and providers who agreed to certain restrictions (e.g., patients would receive care only from providers who are members of a managed care organization). Why is this plan called a third-party payer? A. The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. _______ were created to manage benefits and to develop participating provider networks. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. A) There is minimal purchasing-oriented paperwork. Definition. Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. . Federal agencies are usually activated directly in response to requests from local emergency managers. After a stroke, a patient is having difficulty swallowing. Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. Which of the following statements iscorrectregarding the human food supply in disasters? True: Name 3 of the primary purposes of the health record. 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? Which of the following statements about managed care are true? 19. A. D) Hospitals are the preferred setting for service delivery. is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service, makes it possible to compare the performance of health plans on an "apples-to-apples" basis. I. Triple option 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. Which of the following phrases is characteristic of case management as a method of healthcare delivery? Smallville Mall's insurer knows the existence, Insurable interest may exist when Select one: a.Julia has insurance on a car she just sold, b.Wells Fargo bank lends Tien $300,000 to buy a house and buys insurance on the house, c.Anthony, a, Assume that the following probability distribution exists for automobile damages. In contrast, traditional health insurance coverage is usually provided on a fee-for- service basis in which reimbursement increases if the health care service fees increase, if multiple units of service are provided, or if more expensive services are provided instead of less expensive ones (e.g., brand-name versus generic prescription medication). 2.17) Approximately how many boutique operations are there in the United States? 5. c. which of the following statements describes managed care? Professional standards review organizations (PSROs). es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad 1) All of the following statements about tax implications of qualified pension plans are correct EXCEPT, A) Investment earnings on plan assets accumulate on a tax. The owner of an escaped animal may be held liable for damages his/her animal creates. withdrawn to cover qualified medical expenses is tax-free. Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. 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. You have three metal samples- A,B\mathrm{A}, \mathrm{B}A,B, and C\mathrm{C}C - that are tantalum (Ta), barium (Ba), and tungsten (W), but you don't know which is which. 21. b. The cash value of a policy, Which of the following is a regulatory approach to solving information problems in insurance markets? The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). D. Large-scale disasters affecting livestock never have serious implications for State revenues. b. c. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Which of the following statements would be most appropriate for the nurse to make? The marketing department is launching a new advertising campaign. A risk pool is created when a number of people are grouped for insurance purposes (e.g., employees of an organization); the cost of health care coverage is determined by employees' health status, age, sex, and occupation. 2.5) Which of the following allied health professionals is trained in the art of drawing blood for diagnostic laboratory testing? The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. The _______ serves as a gatekeeper by providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists. c. Most employees are covered under some form of managed care plan. c. 10. Documentation of ownership may be needed to reclaim a lost animal. 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. llegar a tiempo A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. The traditional health care system in the United States is: 7. A. A) primary care B) respite care C) bereavement care D) palliative care, 12. 9. 1 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. It is also called a cafeteria plan (or flexible benefit plan) because of the different benefit plans and extra coverage options provided through the insurer or third-party administrator. Peer review organizations (PROs). 7. 2. is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. 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. 4. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. D) Historically, payment for healthcare services encouraged the use of expensive services. A PPO is not an HMO, but it is similar to an HMO because it is a managed care plan that provides enrollees with discounted health care through a network of providers. 22. Different methods of paying for health care in the United States seek to provide superior care, equality of access, and freedom of choice for all citizens, while promoting the public interest through cost-containment programs. Select all that apply. All definitions of institutions generally entail that there is a level of persistence and continuity. plans, which reimburse providers for individual health care services rendered, managed care is financed according to a method called capitation, where providers accept preestablished payments for providing health care services to enrollees over period of time (usually one year). 17. High-deductible insurance policy, which reimburses allowable health care expenses after the high deductible has been paid, Health care expenses are funded by insurance coverage; the individual selects one of each type of provider to create a customized network and pays the resulting customized insurance premium. HMO A.
Dr Gundry Desserts,
My Boyfriend Wants Me Out Of His House,
Articles W
*
Be the first to comment.