6. which of the following statements describes managed care? The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. Although you will first check with her provider, you are sure she is to see which of the following? D. All of the above. Definition. 2.12) Which of the following does not apply to the role of a medical assistant? 16. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. E) The managed care system may required approval for specialty care. Which of the following is true of long-term care facilities? B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. c. proximal carpals Answer the following questions about these Canadian artists. 24. 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. 2.17) Approximately how many boutique operations are there in the United States? Select all that apply. D. Large-scale disasters affecting livestock never have serious implications for State revenues. Who would be most likely to teach the classes? FEMA IS 111.A: Livestock in Disasters Answers Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. 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. Which one of the following statements best describes the family caregiver burdens of providing home care ? 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. 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? ayudar a los otros pasajeros PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. 2.10) Which of the following best describes how alternative health therapies are being perceived? C. FEMA is a primary source of education on disaster management in the U.S. The use of an out-of-area contact can be an effective way to coordinate in disasters. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? d. View the full answer. es necesario el capitn hacerun anuncio Richard Nixon - Wikipedia Tax-exempt account that is used to pay for health care expenses. The term "managed care" is used to describe a type of health care focused on helping to reduce costs, while keeping quality of care high. The group plan will pay a portion of the employee's expenses B. 30. utilization management (or utilization review). horse hind leg tendon sheath. C) The contribution rate is, variable, and the retirement benefit is not known in advance. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. Health Savings Account (HSA); Health Savings Security Account (HSSA). What type of insurance is most likely involved? 2.11) Concierge care does not offer patients which of the following? What is the confusion that might arise concerning her treatment and care is a problem known as? 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 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? 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. 9. 3. a. proximal radius A grade school is preparing a series of classes on the dangers of smoking. You ask her the reason for seeing her provider. 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. [Solved] Which of the Following Statements Describes Managed Care In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? ch.08 Flashcards | Quizlet 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. A 50-cm-thick layer of oil floats on a 120-cm -thick layer of water. A) The U.S. healthcare system has been experiencing a financial crisis. 25. Damage from mudflows cannot be covered by insurance. Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. Find answers to the next exam here: FEMA IS-120.C: An Introduction to Exercises Answers. B) The cost of healthcare in the United States has decreased dramatically. D. All of the above. (Network providers are usually reimbursed on a fee-for-service basis. D. Floods are an uncommon cause of natural disaster in the United States. 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. 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. B) epidemiology. The only loss in disasters is to affected farms. ), State insurance departments, state commerce or departmenf of cooperations. What statement describes the most important function of the health record? Which of the following best describes the connection between ethics and health care financing? B. FEMA helps States by reviewing and coordinating State emergency plans. A. What is the pressu re at the bottom of the water layer? 11. 3. Which of the following statements best describes this system? es posible nosotros permanecer sentado(s) Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Examples of health care cost containment in the 1980s included: Which of the following is a characteristic of primary healthcare? B. e. 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. a. of 2.6) Which of the following best describes the alternative medicine modality of homeopathy? EJEMPLO: Es probable que nosotros evitemos una tempestad. 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). In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. all of the above. These include provider networks, provider oversight, prescription drug tiers, and more. The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. Which of the following statements is/are correct regarding the humane care of animals in disasters? 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. Which of the following statements correctly describe liability issues in disasters? HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. A. Disasters can be a threat to animal well-being. Which of the following is one of those responsibilities? Exam 1 Review Questions Flashcards by Cam Bui | Brainscape 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 Most countries charge a tax on an individual's income as well as on corporate income. C. The disposal ofcarcassesmust require the permission of the State or Federal Environmental Protection Agency and Department of Natural Resources. F) Competition among hospitals has further fueled the increase in health costs. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. C. Volunteer organizations are the only source of disaster assistance at the locallevel. A. Purchasing a generator as an alternative power supply. 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. 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. Managed care organizations (MCOS) impact a practice's administrative procedures by requiring: Separate bookkeeping systems for each capitated plan to ensure financial viability of the contract A patient has a private insurance policy that pays for most healthcare costs and services. 51) Which of the following statements about managed care plans is (are) true? 2.4) Which of the following best describes the process of screening in the medical office setting? D. The USDA responds to disasters that threaten national food production, processing and distribution. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. What type of care might the nurse suggest to give her some much-needed time of her own? Managed care plans are a type of health insurance. C. Hurricanes frequently cause flooding along the coast, but not inland. A. c. Higion is a website that writes about many topics of interest to you, a blog that shares knowledge and insights useful to everyone in many fields. efficient and lower cost manner. which of the following statements describes managed care? (2022) Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. 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. Shared post - One Year Later, Biden Fails to - greenwald.locals.com 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). This type of economic structure best describes which of the following? Proper watershed, forest, and rangeland management is effective mitigation against droughts. Which of the following statements describes cyberwarfare? b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. 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. 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 . True: Name 3 of the primary purposes of the health record. Which of the following statements is correct regarding the identification of animals in disasters? And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. It is attentive to the needs of the membership group and individual patients. Cash values are a result of the level premium method of purchasing life insurance. 19694 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 correctly describes animal disease outbreaks? Which of the following statements arecorrect? Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. Up-to-date lists of special administrative procedures required by each managed care plan contract 53. immunizations and screenings included in benefits 54. All definitions of institutions generally entail that there is a level of persistence and continuity. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. Storing patient care information: All of the primary purposes of the health record are associated directly with the provision of patient care services. . B) Risk management is concerned with reducing exposure to legal liability. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. A. OPEN-PANEL HMO, Direct Contract Model. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. . Expert Help. Which of the following statements about the history of home healthcare nursing is most accurate? Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. A. results. D. All of the above. They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. B) genetics and income. which of the following statements describes managed care? 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 13. C. Emergency loans from the USDA in disasters are managed by the Farm Service Agency. Which of the following statements will NOT reduce risks arising from wildfires? In economic terms, taxation transfers wealth from households or businesses to the . 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. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Which of the following is a trend to watch in healthcare delivery? D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. Disaster advice from the USDA is provided by the Cooperative Extension Service. Costs from animal disease outbreaks include loss of production andreplacementof animals. Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? Marcos and his horse will lead the tyler fourth of july parade. a. 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. Contracted health care services are delivered to subscribers by individual physicians in the community. B. In each of the given sentences, underline the subordinate clause. B. Each line when completed, should have three words similar in meaning. The most common health plans available today often include features of managed care. Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. B. horse hind leg tendon sheath. a and b only. D. Allowing people to smoke in barns. To create flexibility in managed care plans, some HMOS and preferred provider organizations have implemented a _______, under which patients have freedom to use the managed care panel of providers or to self-refer to out-of-network providers. Compute the expected value of the damages and fill in the chart below. Group model B) The family of the patient is required to pay costs. c. Nurses who are employed in home care have a variety of responsibilities. A) Managed care systems control the cost of care with a lower quality of care. B. The traditional health care system in the United States is: Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. Which of the following statements is correct regarding disasters? Healthcare in the United States - Wikipedia These are designed to manage . 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). Under extreme heat conditions, livestock require less than 10%body weightof water per day. which of the following statements describes managed care? "Don't drop out of school." b. B. D. A good time to check your window shutters and supply of boards, tools, batteries, nonperishable foods, bottled water, and other equipment is during a hurricane watch. A. Which of the following is NOT relevant to the care of animals in floods? All parties should foster an ethical environment for the delivery of effective and efficient quality health care. 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. follow in the model. an organized effort by health plans and providers to use financial incentives and organizational. e. Which of the following is a natural consequence of utilitarian forms of health care financing? B. FEMA IS-120.C: An Introduction to Exercises Answers. Which of the following statements describe effective operations in disasters? fee-for-service. Libertarian theories which of the following statements describes managed care? D) Risk management is a spontaneous response to an unexpected incident. If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. Patients' needs are assessed and prioritized. 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. a. b.Health insurance payments and co-pays must be proportional to income. Select all that apply. Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. Son las diez de la noche y nosotras estamos cansadas. A) primary care B) respite care C) bereavement care D) palliative care, 12. Which of the following statements accurately describes disaster assistance? Which of the following statements accurately describes the activation of federal agencies in disasters? 51 which of the following statements about managed - Course Hero Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). A Colles fracture occurs at the: 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 Ch. 9: Other Health Insurance Concepts Flashcards | Chegg.com es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad Which of the following statements apply to the transportation of livestock? All parties should foster an ethical environment for the delivery of effective and efficient quality health care. The _______ serves as a gatekeeper by providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists. B) The contribution rate is fixed, and the retirement benefit is known in advance. Select all that apply. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). b. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. B. An elderly woman has total care of her husband with Alzheimer's disease. 24 C. Emergency managers are responsible for finding the owners of all lost animals. The marketing department is launching a new advertising campaign. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Discontinued Capitation, adopted fee-for-service. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report B. Thunderstorms and their consequences are common, but rarely create problems. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). 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). B) The care of the patient is carefully planned and monitored by the primary care provider. Explain whether or not scientific methods are sets of procedures that scientists follow. Which of the following phrases is characteristic of case management as a method of healthcare delivery? A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. Yo almuerzo_______ (almorzar-entender) en la cafetera. If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps).
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