Chapter 4

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School

James A. Rhodes State College *

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Course

1160

Subject

Medicine

Date

Oct 30, 2023

Type

docx

Pages

3

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
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