All of the highly compensated employees are covered by the, plan. c. Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. 2. 2.10) Which of the following best describes how alternative health therapies are being perceived? Select all that apply. 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. Select all that apply. Select one: O a. Damage from mudflows cannot be covered by insurance. 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. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. 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. is a physician or health care facility under contract to the managed care plan. B. 7. Which of the following statements describe effective operations in disasters? 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. A primary care provider (PCP) assigned to each subscriber is responsible for coordinating health care services and referring subscribers to other health care providers. In economic terms, taxation transfers wealth from households or businesses to the . If there is a boil-water order in effect, do not drink or give animals tap water unless you know it is safe. EJEMPLO: Es probable que nosotros evitemos una tempestad. a. 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? 2.11) Concierge care does not offer patients which of the following? Buildingsshould be separated by at least 30 to 50 feet to prevent snowdrifts developing between them. D. Allowing people to smoke in barns. The use of an out-of-area contact can be an effective way to coordinate in disasters. A. precertification. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; 4. B. 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. Copayments range from $1 to $35 per visit, and some services are exempt because coinsurance payments are required instead. 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. Quality Improvement System for Managed Care (QISMC). 5. Which of the following statements are considerations for managed care organizations? Deontological theories 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. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. In Canada, almost all people are insured against the cost of all hospital and physician expenses through a government health insurance program. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. The group plan will pay a portion of the employee's expenses B. Patient care . (B) Give the symmetry number for each of the following molecules: Which of the following statements describes appropriate procedures for dealing withanimal health/disease? Which of the following statements accurately describes the activation of federal agencies in disasters? plans emphasize cost control, total health benefit costs continue to increase. The Incident Command System provides a consistent method to respond to all types of emergencies. Which of the following describes one of the elements that the nurse practitioner has successfully met? In the following sentences, circle each incorrectly used lowercase letter. 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). fixed, but the retirement benefit is not known in advance. Preauthorization and/or precertification for all hospitalizations and continued certification if the patient's condition requires extension of the number of authorized days Which of the following correctly describes the role of the USDA in disasters? perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; 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. 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. D. All of the above. Which one of the following statements best describes the family caregiver burdens of providing home care ? 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. D) Hospitals are the preferred setting for service delivery. Select all that apply. which of the following statements describes managed care? 92) Which of the following best describes vendor managed inventory? Which of the following is a characteristic of primary healthcare? b. What statement describes the most important function of the health record? 8. ), State insurance departments, state commerce or departmenf of cooperations. 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. 30. The local Department ofAnimal Controlis the legal entity in most communities to deal with abandoned and lost animals. A ) . "Sign up for childbirth classes." c. "Sign up for the WIC program." d. "Take your prenatal vitamins daily." A Which of the following statements accurately describe an aspect of managed care? A) Managed care systems control the cost of care with a lower quality of care. John Rawles suggested that in making decisions of distributive justice, one should examine the situation behind a "veil of ignorance" so that no one would be able to design principles to favor his or her particular condition. Which of the following is NOT relevant to the care of animals in floods? B) The family of the patient is required to pay costs. B. Qu haces t? Which of the following is a natural consequence of utilitarian forms of health care financing? Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. D. All of the above. e. Effective biosecurity on farms includes restricting access to feed storage bins to authorized persons only. 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 mutual fund is required to use the services of a mutual fund custodian. All parties should foster an ethical environment for the delivery of effective and efficient quality health care. Personal preparedness is rarely effective at minimizing losses from disasters. 9. Which of the following statements would be most appropriate for the nurse to make? The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. e. Staff model The use of remedies made from naturally occurring plant, animal, or mineral substances. 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. State disaster declarations can only be made when more than one community is affected. Expert Help. Correctly identify disorders of the wrist. C) The patient gets the bill and pays out-of-pocket costs. es importante los pasajeros seguir las instrucciones de seguridad D) Historically, payment for healthcare services encouraged the use of expensive services. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). All parties should foster an ethical environment for the delivery of effective and efficient quality health care. how has dissection been used in engineering; which of the following statements describes managed care? es mejor todo el mundo tomar su asiento en seguida 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. withdrawn to cover qualified medical expenses is tax-free. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. Triple option plan. What is the minimum number of the 900 non, highly compensated employees who must be covered by the. b. A. c. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. B. Each provider is paid a fixed amount per month to provide only the care that an individual needs from that provider (sub-capitation payment). utilization management (or utilization review). B. Accumulation of water and bulging ground at the bottom of slopes are normal occurrences after heavy rains. f. Health risk assessment instruments (surveys) and resources are also available to subscribers. is owned by hospital(s) and physician groups that obtain managed care plan contracts; physicians maintain their own practices and provide health care services to plan members. _______ were created to manage benefits and to develop participating provider networks. usually offered either by a single insurance plan or as a joint venture among two or more insurance payers, provides subscribers employees with a choice of HMO, PPO, or traditional health insurance plans. (A) Give the symmetry number for each of the following molecules: Yo almuerzo_______ (almorzar-entender) en la cafetera. B. C. Hurricanes frequently cause flooding along the coast, but not inland. d. Network model 6. (Network providers are usually reimbursed on a fee-for-service basis. Although you will first check with her provider, you are sure she is to see which of the following? 16. D. All of the above. d. B. A) cost containment C) healthcare rationing B) fragmentation of care D) knowledgeable consumers, 21. 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. 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. A) care of acute illnesses C) health promotion B) care of chronic illnesses D) health restoration. In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. A. B) Employer contributions are deductible up to certain limits as an ordinary business expense. D. All of the above. 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. a. Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. These are designed to manage . In large-scale disasters, the Director of Emergency Management is responsible for declaring a disaster. Choose the correct description or cause of pharyngitis. Other plans contract with a _________, an organization that provides health benefits claims administration and other outsourced services for self-insured companies. Continuing Healthcare Funding issues - why isn't it simple to apply? C. In most States, Good Samaritan Laws do not directly apply to the care of animals. 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. C. Each responding agency and group should operate independently and separately from the others, in order to cover more ground. A. Floodwaters are frequently contaminated with hazardous chemicals. Consumers also benefit from HEDIS data through the _________, a comprehensive look at the performance of the nation's health care system.
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