Chapter 4

docx

School

James A. Rhodes State College *

*We aren’t endorsed by this school

Course

1160

Subject

Medicine

Date

Oct 30, 2023

Type

docx

Pages

Uploaded by ChiefYak2293

Question 1 Under this plan, a healthcare provider is paid a set amount based on the category of care provided to the patient. AMA DRG ANA HHS UNOS Question 2 Medicare patients who are members of HMOs may now, by law, not make any deductible payment select any physician they wish appeal a denial of treatment have all their nursing home expenses paid none of the above Question 3 A type of managed care in which the selection of providers is limited to a defined group who are all paid on a modified fee-for-service basis is exclusive provider organization group practice preferred provider organization health maintenance organization sole proprietorship Question 4 This federal legislation provides healthcare for indigent persons and is administered by individual states. Medicare

Medicaid HMO PPO COBRA Question 5 The American College of Surgeons confers a fellowship upon its applicants whenever a sugeon places a request when they complete additional training when they have documentation of 50 surgical cases during the previous three years a, b, and c b and c only Question 6 The advantage of a corporation is that it offers proctection from loss of individual assests may offer fringe benefits will remain in effect after the death of a member offers the opportunity for a large increase in income a, b, and c only Question 7 MCO's are able to manage costs by shifting some financial risk back to the physicians shifting some financial risk back to the hospitals using a fee-for-service payment method a and b only a, b, and c

Question 8 The managed care system has a gatekeeper to determine who will receive medical treatments provides a mechanism for approval for all nonemergency services provides care for a fixed monthly fee includes HMOs, PPOs, and EPOs all of the above Question 9 A physician who is board certified may be addressed as diplomat fellow partner associate a and b only Question 10 A legal agreement in which physicians agree to share a facility and staff but not the profits and losses is solo practice sole proprietorship partnership associate practice none of the above

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version