A. Floodwaters are frequently contaminated with hazardous chemicals. Premiums and other revenue are paid to the HMO. Compute the expected value of the damages and fill in the chart below. Which of the following statements best describes an integrated delivery system? Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. In economic terms, taxation transfers wealth from households or businesses to the . It is the result of a joint venture between hospitals and members of their medical staff. Which of the following is a characteristic of primary healthcare? C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. _______ were created to manage benefits and to develop participating provider networks. Which of the following statements best describes an integrated delivery system? Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. FEMA IS-120.C: An Introduction to Exercises Answers. 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? fee-for-service. D) profession and income. Which of the following statements accurately describes the activation of federal agencies in disasters? Unique and permanent identification for all animals would be of little help in reuniting animals with their correct owner in disasters. c. The use of remedies made from naturally occurring plant, animal, or mineral substances. how has dissection been used in engineering; which of the following statements describes managed care? Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Relate What evidence indicates that oceans formed early in Earth's geologic history? which of the following statements describes managed care? 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. 5. Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. 2.13) Which of the following best describes the purpose of managed care? 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 Explain whether or not scientific methods are sets of procedures that scientists follow. All definitions of institutions generally entail that there is a level of persistence and continuity. Which of the following is a trend to watch in healthcare delivery? B) Payment for services is integrated with delivery of services. If the enrollee sees a non-managed care panel specialist without a referral from the primary care physician, this is known as a self-referral. B) The contribution rate is fixed, and the retirement benefit is known in advance. plan in order for the plan to satisfy the ratio test? A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. [Solved] Which of the following statements describes managed care organizations? Which of the following statements correctly describes animal disease outbreaks? What is one responsibility of nurses who work in physicians' offices? 26. MA NCCT EXAM Flashcards | Quizlet This question suggests which of the following? Which of the following statements best describes this system? 3. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Which of the following statements correctly describe liability issues in disasters? suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; Which of the following statements describes cyberwarfare? A) Managed care systems control the cost of care with a lower quality of care. c. 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. Which of the following statements accurately describe an aspect of managed care? Even though managed care. 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 An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. A) physical therapist C) social worker B) speech therapist D) respiratory therapist, 15. Which of the following statements iscorrectregarding the human food supply in disasters? Select all that apply. (A) Give the symmetry number for each of the following molecules: Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). 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? B. Composting is no longer used to dispose of any livestockcarcasses. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. universal health insurance. Communitarian theories. Some managed care organizations have discontinued __________ and have adopted ___________ payment plans. B. which of the following statements describes managed care? 27. D) Risk management is a spontaneous response to an unexpected incident. B) The care of the patient is carefully planned and monitored by the primary care provider. Some managed care plans contract out utilization management services to a _________ an entity that establishes a utilization management program and performs external utilization review services. 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. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? Marcos and his horse will lead the tyler fourth of july parade. Select all that apply. C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. Additional paperwork for specialists to complete and the filing of treatment and discharge plans The use of an out-of-area contact can be an effective way to coordinate in disasters. a. 16. C. Reducing personal water usage helps reduce the impact of droughts. Son las diez de la noche y nosotras estamos cansadas. Escriba lo que dice. C) Reimbursement is usually based on fee-for-service. 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. 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. 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. Which of the following statements iscorrectregarding droughts? Which of the following statements accurately describes disaster assistance? B. Which of the following phrases is characteristic of case management as a method of healthcare delivery? 4. to It is attentive to the needs of the membership group and individual patients. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. Do you think Krauthammer fairly characterizes libertarian thinking? Point-of-service plan (POS) Ch. 9: Other Health Insurance Concepts Flashcards | Chegg.com d. which of the following statements describes managed care? (2022) which of the following statements describes managed care? 6) All of the following are types of health care facilities except: A) physicians' office. Utilitarian theories benefit pension plan? 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. It attempts to control costs by modifying the behavior of providers and patients. A. A patient who requires treatment for breast cancer is referred to an oncologist. A) They actively recruit vulnerable populations. es importante los pasajeros seguir las instrucciones de seguridad B. fern storage cabinet anthropologie / normaliser un vecteur propre / normaliser un vecteur propre C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. but the retirement benefit is not known in advance. Costs from animal disease outbreaks include loss of production andreplacementof animals. Direct contract model Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. 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. Contracted health care services are provided to subscribers by two or more physician multispecialty group practices. A "health care system which attempts clinically and financially to control primary health care services in a medical group practice through elimination of redundant facilities and services for the purpose of reducing costs" describes which of the following health care financing systems? It lowers cost through the elimination of waste and excess. Under emergency conditions,animal healthservices should always be provided by the person who is closest to the scene. Exam 1 Review Questions Flashcards by Cam Bui | Brainscape A. e. (The catastrophic limit is usually higher than those common in other plans.) Group model B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. Select all that apply. is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. which of the following statements describes managed care? Which of the following statements accurately describe an aspect of managed care? In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? B. Consumer-directed health plans (CDHPS) provide incentives for controlling health care expenses and give individuals an alternative to traditional health insurance and managed care coverage. 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. 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. c. The early retirement age is the earliest age at which an employee can. Healthcare Effectiveness Data and Information Set (HEDIS). Hazardous materials released during floods will flow away with the water. D) Historically, payment for healthcare services encouraged the use of expensive services. A. Staff Model HMO C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. 2.19) Who best knows the patient's body and financial situation? The _______ serves as a gatekeeper by providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists. 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. D. Allowing people to smoke in barns. all of the above. 2.7) How many years of a residency program is required for newly graduated M.D.s choosing to specialize in family practice, internal medicine, or pediatrics? Patients should be well informed about care and treatment options. It is necessary for it to be raining to be struck by lightning. Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. Crop insurance to protect against the effects of summer storms. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. follow in the model. A. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. Managed care plans implement _______ as a method of controlling health care costs and quality of care. The term used to describe sophisticated and highly complex medical care is. 3. b.Health insurance payments and co-pays must be proportional to income. Which of the following is NOT relevant to the care of animals in floods? 2. Qu haces t? D. Floods are an uncommon cause of natural disaster in the United States. HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. What type of agency is this? All of the highly compensated employees are covered by the, plan. D.Carcassesmust be disposed of onsite. Never tie an animal up if floods are pending. "Don't drop out of school." b. Money can be withdrawn for purposes other than health care expenses after payment of income tax plus a 15- percent penalty. D. Small amounts of snow never have devastating effects on a community. results. Which of the following statements about managed care are true? 2. The local Department ofAnimal Controlis the legal entity in most communities to deal with abandoned and lost animals. Patients' needs are assessed and prioritized. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A Yet, segments of the health care system maintain aspects of a free-market competition. 22. a. Never tie an animal up if floods are pending. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. 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. The owner of an escaped animal may be held liable for damages his/her animal creates. Each line when completed, should have three words similar in meaning. Which of the following statements about risk management is true - Weegy How would the nurse respond? The nurse may make a referral to what member of the healthcare team? 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. 13. B) genetics and income. A. For Australia, recent figures show that the statutory funds of life offices have the largest amounts of assets under management. which of the following statements describes managed care? Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). 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. 2.14) Mrs. J. has just seen her provider. C) education and income. Many scholars consider a coup successful when the usurpers seize and hold power for at least . 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. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. I. B. Which of the following statements arecorrect? B. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. Under extreme heat conditions, livestock require less than 10%body weightof water per day. Proper watershed, forest, and rangeland management is effective mitigation against droughts. C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Managed care programs have been successful in containing costs and limiting unnecessary services, resulting in the current trend for health care plans to offer the SSO as a benefit, not a requirement. f. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. B) The contribution rate is fixed, and the retirement benefit is known in advance. Managed care plans are a type of health insurance. [Solved] Which of the Following Statements Describes Managed Care 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. A) primary care B) respite care C) bereavement care D) palliative care, 12. C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. 26. Contracted health care services are delivered to subscribers by individual physicians in the community. Institutions vary in their level of formality and informality. 1 I. 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. Despite this, the country has significantly worse healthcare outcomes when compared to peer nations. In the following sentences, circle each incorrectly used lowercase letter. A. 2.8) Which of the following best describes the type of medical office practice in which providers network to offer discounts to employers and other purchasers of health insurance? Which of the following statements about the history of home healthcare nursing is most accurate? Possible Outcomes for Expected Value Damages, 2. It aims toward lower premiums and preventive care benefits. 8. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. C. Practice a fire drill every month throughout the fire season. D. All of the above. If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Correctly identify disorders of the wrist. D. All of the above. Which of the following statements describe effective operations in disasters? POS enrollees pay less if they use the plan's in-network providers. B) The family of the patient is required to pay costs. is a physician or health care facility under contract to the managed care plan. A. B. Livestock that are adapted to cold can tolerate low temperatures if they have adequate feed intake. which of the following statements describes managed care? 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. D. All of the above. B) Risk management is concerned with reducing exposure to legal liability. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. 2.10) Which of the following best describes how alternative health therapies are being perceived? Which of the following statements about the nursing process is true. The Incident Command System provides a consistent method to respond to all types of emergencies. June 30, 2022 . 20. Which of the following statements about managed funds is NOT correct? C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. B) The care of the patient is carefully planned and monitored by the primary care provider. Documentation of ownership may be needed to reclaim a lost animal. E) The managed care system may required approval for specialty care. Money deposited (and earnings) is tax-deferred, and money. Managed care plans emphasize cost controls and preventative care. Without advertising income, we can't keep making this site awesome for you. Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. Select all that apply. Tax-exempt account that is used to pay for health care expenses. This type of economic structure best describes which of the following? Most human injuries in earthquakes result from falling objects. C) education and income. It attempts to control costs by modifying the behavior of providers and patients. 11. II. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; These include provider networks, provider oversight, prescription drug tiers, and more. 28. 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. HMOS provide preventive care services to promote "wellness" or good health, thus reducing the overall cost of medical care. b. PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. D. All of the above. 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. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Deontological theories Accreditation of Managed Care Organizations. C. Only if flowing water is above your waist is it too high to cross. 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. D. Authoritative reports of a Foreign Animal Disease are made by the Chief Veterinary Official (CVO) for the United States. [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. The owner of an escaped animal may be held liable for damages his/her animal creates. do australian shepherds have a good sense of smell; matan adelson net worth; words that rhyme with crime; fattmerchant customers; shoulder holster for ruger lcrx 3 inch barrel What is the primary focus of healthcare today? View the full answer. D. All of the above. Preferred provider organization (PPO) 2.18) In 2007, how much of the world's population relied on alternative medicine? C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. Which of the following best describes the connection between ethics and health care financing? Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). D. All of the above. 2.12) Which of the following does not apply to the role of a medical assistant? 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. Select all that apply. d. Network model The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). Qu hacemos? CDHPS have become a popular alternative to the increased costs of traditional health insurance premiums and the limitations associated with managed care plans. 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. Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. 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. which of the following statements describes managed care? C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. an organized effort by health plans and providers to use financial incentives and organizational. 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.
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