which of the following statements describes managed care?imperial armour compendium 9th edition pdf trove

2.6) Which of the following best describes the alternative medicine modality of homeopathy? Which of the following statements correctly describe liability issues in disasters? D. All of the above. Do you think Krauthammer fairly characterizes libertarian thinking? 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. 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 Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet 11. Communitarian theories. C) The nurse is considered the gatekeeper in the managed care system. single payer systems. 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). b. A. She explains that a reoccurring rash on her legs has been bothering her, and her provider wants the other doctor to examine the rash and treat her if possible. C) Reimbursement is usually based on fee-for-service. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. Which of the following describes one of the elements that the nurse practitioner has successfully met? c. proximal carpals Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Which of the following statements iscorrectregarding snow fall? which of the following statements describes managed care? B) The contribution rate is fixed, and the retirement benefit is known in advance. This question suggests which of the following? Under the auspices of its Health Care Reform Program, established in July 1993, The Commonwealth Fund is focusing on the need to expand knowledge about managed care organizations. 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). 4) Which of the following statements about retirement ages in pension plans is (are) true? Premiums and other revenue are paid to the HMO. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. A) A PPO is a group of health care providers, such as doctors, hospitals, and ambulatory health care organizations, that contracts with a group to provide their services. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. Which of the following statements iscorrectregarding droughts? Select all that apply. What population do hospice nurses provide with care? es importante los pasajeros seguir las instrucciones de seguridad 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? Unlike traditional fee-for-service. C) The contribution rate is, variable, and the retirement benefit is not known in advance. 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 perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; (B) Give the symmetry number for each of the following molecules: A. gilead sciences canada jobs. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. d. Additional paperwork for specialists to complete and the filing of treatment and discharge plans The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. B) The cost of healthcare in the United States has decreased dramatically. ayudar a los otros pasajeros Patients do not need to be well informed about the financial benefit issues that affect the provision of care. A patient has a private insurance policy that pays for most healthcare costs and services. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. Which of the following statements iscorrectregarding the human food supply in disasters? Which of the following statements are considerations for managed care organizations? Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. Which of the following terms best describes this type of healthcare setting? 19. D) Historically, payment for healthcare services encouraged the use of expensive services. "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A B. A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. C) education and income. Preferred provider organization (PPO) C. Do not dress animals with vests, blankets, and othermaterialsthat would prevent them from sweating. b.Health insurance payments and co-pays must be proportional to income. Having fire tools handy at your home and in your barn: a ladder, garden hoses, fire extinguishers, gas-operated water pumps, shovels, rakes, and buckets. retire without receiving actuarially reduced benefits. e. Quality Improvement System for Managed Care (QISMC). D. All of the above. b. distal radius Es el medioda y t tienes hambre. The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. B. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. 10. Marcos and his horse will lead the tyler fourth of july parade. 17. The marketing department is launching a new advertising campaign. 2.19) Who best knows the patient's body and financial situation? Which of the following statements would be most appropriate for the nurse to make? 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. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. A. B. A. precertification. June 29, 2022. d. distals carpals, Use the integral test to find whether the following series converge or diverge. B. 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. 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. 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 A patient who requires treatment for breast cancer is referred to an oncologist. A. It is the result of a joint venture between hospitals and members of their medical staff. 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. f. C. Construction of a new barn at a site above a floodplain. The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. 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. What statement describes the most important function of the health record? Which of the following statements accurately describe an aspect of managed care? Most natural disasters affect local communities least of all. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. Cash values are a result of the level premium method of purchasing life insurance. e. 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. Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. 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. The nurse may make a referral to what member of the healthcare team? Which of the following statements characterizes effective disaster preparedness plans? It attempts to control costs by modifying the behavior of providers and patients. 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. Health care services are provided to subscribers by physicians employed by the HMO. managed care. Which of the following statements iscorrectregarding the disposal ofcarcasses? An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. I. 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. C. Reducing personal water usage helps reduce the impact of droughts. C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. Which of the following is a characteristic of primary healthcare? Patients should be well informed about care and treatment options. E) The managed care system may required approval for specialty care. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? D. All of the above. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. Patients' needs are assessed and prioritized. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? A. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. Which of the following statements iscorrectregarding a Foreign Animal Disease outbreak? e. d. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. Usually, network providers sign exclusive contracts with the EPO, which means they cannot contract with other managed care plans. Which of the following statements best describes this system? 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. A. b. 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. Describe the three levels of Sumerian society. You ask her the reason for seeing her provider. A man is scheduled for hospital outpatient surgery. a. Most countries charge a tax on an individual's income as well as on corporate income. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). What is one way in which nurses can help shape healthcare reform? C. FEMA is a primary source of education on disaster management in the U.S. In the following sentences, circle each incorrectly used lowercase letter. Personal preparedness is rarely effective at minimizing losses from disasters. Responsible for reviewing health care provided by managed care organizations. Which of the following is true? Which of the following is a trend to watch in healthcare delivery? Which one of the following statements best describes the family caregiver burdens of providing home care ? Showing 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. In economic terms, taxation transfers wealth from households or businesses to the . Tax-exempt account that is used to pay for health care expenses. A. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. 4. Question 10 options: A) Risk management is controlled and managed by HIPAA regulations. 6. Many scholars consider a coup successful when the usurpers seize and hold power for at least . C) The supplier delivers only what the customer needs. 27. 3. Which of the following statements is correct regarding floods? d. Which of the following is true of long-term care facilities? 2.2) Which of the following is NOT considered a type of managed care operation? horse hind leg tendon sheath. 6. A) decreasing diversity C) uneducated consumers B) lower costs of healthcare D) current nursing shortage, 22. results. Richard Milhous Nixon (January 9, 1913 - April 22, 1994) was the 37th president of the United States, serving from 1969 to 1974.A member of the Republican Party, he previously served as a representative and senator from California and was the 36th vice president from 1953 to 1961 under President Dwight D. Eisenhower.His five years in the White House saw reduction of U.S. involvement in the . A triple option plan provides patients with more choices than a traditional managed care plan. Which of the following statements accurately describe an aspect of managed care? ICT also includes analog technology, such as paper communication, and . 7. State disaster declarations can only be made when more than one community is affected. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" Although you will first check with her provider, you are sure she is to see which of the following? Health risk assessment instruments (surveys) and resources are also available to subscribers. 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 c. Individual (or Independent) practice association (IPA) B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. HEDIS results are included in_________, an interactive, web-based comparison tool that allows users to view plan results and benchmark information. D) Pension benefits attributable to the employer, s contributions are not taxed until the employee retires or, 2) Beta Corporation has 1,000 employees eligible to participate in the firm, employees are considered highly compensated. 25. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. A. Never tie an animal up if floods are pending. Contracted health care services are delivered to subscribers by participating physicians who are members of an independent multispecialty group practice. Which of the following statements apply to the transportation of livestock? 20. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. The appropriateness, efficiency, and medical necessity of health care provided to patients is reviewed on a prospective and retrospective basis. 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. Specialty Pharmacy J. Industry/Manufacturing. es mejor todo el mundo tomar su asiento en seguida Select all that apply. 2.4) Which of the following best describes the process of screening in the medical office setting? 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. 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. A mutual fund is required to use the services of a mutual fund custodian. A. C. The most likely route of entry of a Foreign Animal Disease is from wind blowing the agent across the borders. A) Managed care systems control the cost of care with a lower quality of care. Which of the following statements about managed care are true? Which of the following statements accurately describes the activation of federal agencies in disasters? (Network providers are usually reimbursed on a fee-for-service basis. It is attentive to the needs of the membership group and individual patients. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. POS enrollees pay less if they use the plan's in-network providers. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. A ) . All parties should foster an ethical environment for the delivery of effective and efficient quality health care. C. Volunteer organizations are the only source of disaster assistance at the locallevel. A) The U.S. healthcare system has been experiencing a financial crisis. Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. Who would be most likely to teach the classes? Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. Which of the following statements accurately describes disaster assistance? C. Do not tie animals to unhitched trailers, as many animals are strong enough to pull the trailer away. 2. b. 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? Professional standards review organizations (PSROs). Select all that apply. c. What is the primary focus of healthcare today? Definition. managed care. 30. Yo almuerzo_______ (almorzar-entender) en la cafetera. 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? benefit pension plan? If services provided to subscribers cost more than the capitation amount, the physician loses money. . e. Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. 2.9) Which of the following is an eye specialist? 2.11) Concierge care does not offer patients which of the following? A. is a physician or health care facility under contract to the managed care plan. which of the following statements describes managed care? Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Individual Practice Association (IPA) HMO Network Model HMO. June 30, 2022 . 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 A) Managed care systems control the cost of care with a lower quality of care. Which of the following statements arecorrect? 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. B) The care of the patient is carefully planned and monitored by the primary care provider. e. Staff model 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 accurately describe an aspect of managed care? An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. I. Accreditation organizations develop standards (requirements) that are reviewed during a survey (evaluation) process that is conducted both offsite (e.g., managed care plan submits an initial document for review) and onsite (at the managed care plan's facilities). B. 7. (The catastrophic limit is usually higher than those common in other plans.) 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. FEMA IS-120.C: An Introduction to Exercises Answers. gilead sciences canada jobs. b. withdrawn to cover qualified medical expenses is tax-free. 8. HMO The owner of an escaped animal may be held liable for damages his/her animal creates. c. 5) Which of the following statements describes a defined. prestar mucha atencin. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Institutions vary in their level of formality and informality. 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. Individual Practice Association (IPA) HMO. Select all that apply. A) There is minimal purchasing-oriented paperwork. A. Costs from animal disease outbreaks include loss of production andreplacementof animals. . 19. 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. Which of the following statements is correct about the behavior of landslides? 8. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad a. proximal radius Medicare established the __________ to ensure the accountability of managed care plans in terms of objective, measurable standards (requirements). A) Managed care systems control the cost of care with a lower quality of care. Which of the following statements about risk management is true? 9. B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. B. Institutions (singular: institution) are humanly devised structures of rules and norms that shape and constrain individual behavior. Damage from mudflows cannot be covered by insurance. Under extreme heat conditions, livestock require less than 10%body weightof water per day. Once you have chosen a verb, write the correct! Which of the following statements is correct regarding disasters? The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. yo poner sus cosas debajo del asiento 2. A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. 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. Citizens discuss the ideal of equal access to health care for everyone, including care for indigents. 26.

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