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Which of the following statements about the history of home healthcare nursing is most accurate? Managed care can now be categorized according to six models: 1. When disasters affect many livestock farms in a county it is unlikely that this will represent a significant loss to the countys tax base. Which of the following statements accurately describe an aspect of managed care? 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. e. Staff model b. Which of the following statements is correct regarding disasters? (a) CO2\mathrm{CO}_2CO2, (b) O3\mathrm{O}_3O3, (c) SO3\mathrm{SO}_3SO3, (d) SF6\mathrm{SF}_6SF6, and (e) Al2Cl6\mathrm{Al}_2 \mathrm{Cl}_6Al2Cl6. Then, identify each adjective clause as essential (E) or nonessential (N). Medicare beheficiaries are entitled to advice from their physicians on medically necessary treatment options that may be appropriate for their condition or disease. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. C) education and income. In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. which of the following statements describes managed care? 1 Visibility, because only external customers should be considered. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? Which of the following statements best describes an integrated delivery system? POS enrollees pay less if they use the plan's in-network providers. A) The contribution rate isfixed, but the retirement benefit is not known in advance. 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Libertarian theories C. Emergency managers are responsible for finding the owners of all lost animals. managed care. Most human injuries in earthquakes result from falling objects. B. Annual physical examinations are encouraged for the early detection of health problems. What type of insurance is most likely involved? Answer the following question choosing the stem-changing verb that makes the most sense in the sentence. Marcos and his horse will lead the tyler fourth of july parade. Direct contract model A. These include provider networks, provider oversight, prescription drug tiers, and more. B. Designating access to barns and water for firefighters. Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? A patient has a private insurance policy that pays for most healthcare costs and services. Managed care plans also require the development of patient care plans for the coordination and provision of care for complicated cases in a cost-effective manner, which is called __________. Fixed-price reimbursement is a feature of managed care. You ask her the reason for seeing her provider. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. D) Risk management is a spontaneous response to an unexpected incident. Which of the following statements would be most appropriate for the nurse to make? PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. 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. A triple option plan provides patients with more choices than a traditional managed care plan. Per the PPACA, employees are permitted to carry over up to $500 of unspent funds remaining in the FSA at the end of the year. which of the following statements describes managed care? a) managed care. I. managed care. es posible nosotros permanecer sentado(s) prestar mucha atencin. 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 C. To prevent introduction of disease to farms, delivery and dispatch points on farms should be located away from livestock. What are DRGs? 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. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. And then, on the foreign policy front, obviously the most important event was the 2008 financial collapse, which was then managed. c. 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. 9 ways Android and Windows 10 can work well together, We asked a leading cosmetic doctor for his top anti-ageing tips. c. proximal carpals utilization management (or utilization review). In each of the given sentences, underline the subordinate clause. Staff Model HMO 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. es importante los pasajeros seguir las instrucciones de seguridad Which of the following statements accurately describes disaster assistance? C) Employer contributions are considered taxable income to employees but are taxed at capital gains rates. Which of the following is one of those responsibilities? C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. The term used to describe sophisticated and highly complex medical care is. 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. 7. D. All of the above. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). A. It attempts to control costs by modifying the behavior of providers and patients. He tells the nurse, "I don't know what that word, outpatient, means." A ) . An elderly woman has total care of her husband with Alzheimer's disease. The owner of an escaped animal may be held liable for damages his/her animal creates. D) profession and income. b. distal radius suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; As she pays her co-payment, she says "Oh dear, the doctor told me to see someone, but I can't remember what he said. D. Many animals look sufficiently distinct for most persons other than the owner to be able to distinguish one animal from another. A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. 23. Institutions vary in their level of formality and informality. 3. 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 owner of an escaped animal may be held liable for damages his/her animal creates. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. 2.6) Which of the following best describes the alternative medicine modality of homeopathy? is a nonprofit organization that contracts with and acquires the clinical and business assets of physician practices; the _____ is assigned a provider number and manages the practice's business. 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. llegar a tiempo 2.17) Approximately how many boutique operations are there in the United States? Disaster advice from the USDA is provided by the Cooperative Extension Service. A. Livestock agriculture is more widely dispersed than ever before. Select all that apply. gilead sciences canada jobs. benefit pension plan? The nurse in charge of the clinic asks herself, "Who needs this medicine most?" In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet Which of the following is true of long-term care facilities? b. It aims toward lower premiums and preventive care benefits. What is one responsibility of nurses who work in physicians' offices? Brace anchor all tall or top-heavy objects. (The catastrophic limit is usually higher than those common in other plans.) 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. A) Managed care systems control the cost of care with a lower quality of care. B) Employer contributions are deductible up to certain limits as an ordinary business expense. C) The nurse is considered the "gatekeeper" in the managed care system. I get so confused." Which of the following statements about risk management is true? Select all that apply. C. Housing animals so that heavy objects do not fall on them in earthquakes is an important preparedness activity for earthquakes. how has dissection been used in engineering; which of the following statements describes managed care? 4. 1. external quality review organization (EQRO). Contracted health care services are delivered to subscribers by individual physicians in the community. B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. It lowers cost through the elimination of waste and excess. Personal preparedness is rarely effective at minimizing losses from disasters. 2. 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. Money deposited (and earnings) is tax-deferred, and money. Healthcare Effectiveness Data and Information Set (HEDIS). A. 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. A. B. B. 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. Discontinued Capitation, adopted fee-for-service. If services provided to subscribers cost more than the capitation amount, the physician loses money. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. 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. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. 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. Which of the following statements correctly describes animal disease outbreaks? 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. A. The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. Accreditation of Managed Care Organizations. A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. It is a system that is based on patient and provider autonomy. Health maintenance organization (HMO) 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. National Committee for Quality Assurance (NCQA). Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. The use of an out-of-area contact can be an effective way to coordinate in disasters. Triple option plan. 20. 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. D. All of the above. B. State disaster declarations can only be made when more than one community is affected. c. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. A. Peer review organizations (PROs). 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? B. horse hind leg tendon sheath. Documentation of ownership may be needed to reclaim a lost animal. D. Animals will frequently resist walking through flowing water. C. Practice a fire drill every month throughout the fire season. Answer: 1 . 51) Which of the following statements about managed care plans is (are) true? B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. 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Which of the following statements about managed funds is NOT correct? C) The contribution rate is, variable, and the retirement benefit is not known in advance. II. (a) CO\mathrm{CO}CO, (b) O2\mathrm{O}_2O2, (c) H2S\mathrm{H}_2 \mathrm{~S}H2S, (d) SiH4\mathrm{SiH}_4SiH4, and (e) CHCl3\mathrm{CHCl}_3CHCl3. Patients do not need to be well informed about the financial benefit issues that affect the provision of care. A managed care organization (MCO) is responsible for the health of its enrollees, which can be administered by the MCO that serves as a health plan or contracts with a hospital, physician group, or health system. c. C) Reimbursement is usually based on fee-for-service. B) The cost of healthcare in the United States has decreased dramatically. Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. C. In most States, Good Samaritan Laws do not directly apply to the care of animals. HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. POS enrollees who receive care from out-of-network providers pay higher deductible and coinsurance amounts. 2.9) Which of the following is an eye specialist? Which of the following statements about managed care are true? Explain whether or not scientific methods are sets of procedures that scientists follow. 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. Which of the following statements iscorrectregarding the disposal ofcarcasses? 13. The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. Health maintenance organizations (HMOS) manage patient health care services by expending a monthly capitation amount paid by a third-party payer. Which of the following describes one of the elements that the nurse practitioner has successfully met? A) The insurance company pays all or most of the costs. A. 1) All of the following statements about tax implications of qualified pension plans are correct EXCEPT, A) Investment earnings on plan assets accumulate on a tax. A. If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. This type of economic structure best describes which of the following? c. Individual (or Independent) practice association (IPA) B. 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.