Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. Also write ELL above each elliptical clause. 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 . 9. 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. A. utilization management (or utilization review). Countries or subunits often also impose wealth taxes, inheritance taxes, estate taxes, gift taxes, property taxes, sales taxes, use taxes, payroll taxes, duties and/or tariffs . C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. 2.4) Which of the following best describes the process of screening in the medical office setting? A. A) They actively recruit vulnerable populations. c. A) Managed care systems control the cost of care with a lower quality of care. A. POS enrollees who receive care from out-of-network providers pay higher deductible and coinsurance amounts. Even though managed care. Most employees are covered under some form of managed care plan. 2.19) Who best knows the patient's body and financial situation? Participants enroll in a relatively inexpensive high- deductible insurance plan, and a tax-deductible savings account is opened to cover current and future medical expenses. 17. 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. Managed care plans emphasize cost controls and preventative care. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. If a claim was filed and $7,200 in costs remained after Crystal met the $200 deductible: A. B. Patient care . B. 2. C. Planting deep-rooted ground cover is an effective mitigation measure against landslides. D. All of the above. B) The family of the patient is required to pay costs. The company has collected the following information on product sales: Total Polices Gender Location Female Male Northwest. The Incident Command System provides a consistent method to respond to all types of emergencies. It attempts to control costs by modifying the behavior of providers and patients. plans, which reimburse providers for individual health care services rendered, managed care is financed according to a method called capitation, where providers accept preestablished payments for providing health care services to enrollees over period of time (usually one year). Staff Model HMO Visibility, because only external customers should be considered. Which of the following statements are considerations for managed care organizations? Additional paperwork for specialists to complete and the filing of treatment and discharge plans The term used to describe sophisticated and highly complex medical care is. follow in the model. Answer the following questions about these Canadian artists. d. Network model d. B) Employer contributions are deductible up to certain limits as an ordinary business expense. It is a system that is based on patient and provider autonomy. 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. Personal preparedness is rarely effective at minimizing losses from disasters. 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. A POS plan is not an HMO, but it is a managed care plan that combines the characteristics of an HMO and a preferred provider organization (PPO) (discussed below). Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. An outbreak of a Foreign Animal Disease in the U.S. would likely require the disposal of large numbers ofcarcasses. Do you think Krauthammer fairly characterizes libertarian thinking? The response to transportation accidents often requires coordination among law enforcement, fire department, emergency management, the hauler and owner. Which of the following statements is correct regarding disasters? A. retire without receiving actuarially reduced benefits. Most human injuries in earthquakes result from falling objects. B. FEMA helps States by reviewing and coordinating State emergency plans. C. Snow has to fall at rates of greater than 12 inches per hour to cause severe disruptions. 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. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. Many scholars consider a coup successful when the usurpers seize and hold power for at least . Smallville Mall's insurer knows the existence, Insurable interest may exist when Select one: a.Julia has insurance on a car she just sold, b.Wells Fargo bank lends Tien $300,000 to buy a house and buys insurance on the house, c.Anthony, a, Assume that the following probability distribution exists for automobile damages. Which of the following statements iscorrectregarding a Foreign Animal Disease outbreak? A coup d'tat (/ k u d e t / (); French for 'stroke of state'), also known as a coup or an overthrow, is a seizure and removal of a government and its powers. Accreditation organizations develop standards (requirements) that are reviewed during a survey (evaluation) process that is conducted both offsite (e.g., managed care plan submits an initial document for review) and onsite (at the managed care plan's facilities). Which of the following statements about the nursing process is true. B. 2.14) Mrs. J. has just seen her provider. Consumer-Directed Health Plans include the following tiers: Tax-exempt account, which is used to pay for health care expenses and provides more flexibility than traditional managed care plans in terms of access to providers and services A. d. distals carpals, Use the integral test to find whether the following series converge or diverge. A patient has a private insurance policy that pays for most healthcare costs and services. The HMO reimburses the physician group, which is then responsible for reimbursing physician members and contracted health facilities (e.g., hospitals). es necesario el capitn hacerun anuncio plans emphasize cost control, total health benefit costs continue to increase. an organized effort by health plans and providers to use financial incentives and organizational. Never tie an animal up if floods are pending. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. B. Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. D. All of the above. B. HEDIS data also are the centerpiece of most health plan "report cards" that appear in national magazines and local newspapers. 92) Which of the following best describes vendor managed inventory? a. Documentation of ownership may be needed to reclaim a lost animal. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Juan trabaja de asistente de vuelo y habla con los pasajeros. The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. which of the following statements describes managed care? Select all that apply. A) Managed care systems control the cost of care with a lower quality of care. d. c. 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. c. Individual (or Independent) practice association (IPA) Which of the following statements correctly describes animal disease outbreaks? Which of the following phrases is characteristic of case management as a method of healthcare delivery? Which of the following statements describes appropriate procedures for dealing withanimal health/disease? Select all that apply. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? Enter all missing letters, pred __ __ t \hspace{1cm} prophe __ y \hspace{1cm} __ __ ___ __ cast. A. Explain whether or not scientific methods are sets of procedures that scientists follow. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. b. Emergency Operations Plans work best within organizational structures responsive to non-emergency duties that are similar to the duties needed in disasters. Which of the following statements apply to the transportation of livestock? is a private, not-for-profit organization that assesses the quality of managed care plans in the United States and releases the data to the public for consideration when selecting a managed care plan. 4. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. Purchasing a generator as an alternative power supply. 28. B) epidemiology. 21. I. A triple option plan provides patients with more choices than a traditional managed care plan. The nurse in charge of the clinic asks herself, "Who needs this medicine most?" The group plan will pay depending on the employee's recovery C. The group plan will not pay because the employee was injured at work D. The group plan will pay C. A. 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. 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. Doctors Without Borders utilization review organization (URO), third-party administrator (TPA). Hint and warning: Do not use lower limits on your integrals 1n2n3+1\sum_{1}^{\infty} \frac{n^{2}}{n^{3}+1}1n3+1n2. 2.12) Which of the following does not apply to the role of a medical assistant? Patients' needs are assessed and prioritized. external quality review organization (EQRO). a. Select all that apply. Individual decides, in advance, how much money to deposit in the HCRA (unused funds are forfeited). I. What managed care means? What is one responsibility of nurses who work in physicians' offices? The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. It is the result of a joint venture between hospitals and members of their medical staff. Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. D. Animals will frequently resist walking through flowing water. Which of the following statements iscorrectregarding the disposal ofcarcasses? What type of care might the nurse suggest to give her some much-needed time of her own? 10. POS enrollees pay less if they use the plan's in-network providers. d. 29. 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) The contribution rate is. A. D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. 14. 15. Funds in an FSA are exempt from both income tax and Social Security tax (employers may also contribute to FSAS). Discontinued Capitation, adopted fee-for-service. It attempts to control costs by modifying the behavior of providers and patients. 1 . A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group, Julie S Snyder, Linda Lilley, Shelly Collins. Healthcare Effectiveness Data and Information Set (HEDIS). b. distal radius 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. Examples of health care cost containment in the 1980s included: b. Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. Brace anchor all tall or top-heavy objects. 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. C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. The National Committee for Quality Assurance (NCQA) reviews managed care plans and develops report cards to allow health care consumers to make informed decisions when selecting a plan. 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. Spreading livestock operations out among several states is effective mitigation against weather-related disasters. The National Veterinary Response Team (NVRT) is part of disaster response through the Environmental Protection Agency (EPA). 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. 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. _______ were created to manage benefits and to develop participating provider networks. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. 5) Which of the following statements describes a defined. II. B. D) Medicare and Medicaid will pay most of the costs. Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. C. FEMA is a primary source of education on disaster management in the U.S. The financing of America's health care system has changed the way health care services are organized and delivered, as evidenced by a movement from traditional fee-for-service systems to managed care networks. 7. If enrollees choose to receive all medical care from the managed network of health care providers, or obtain an authorization from their POS primary care provider for specialty care with an out-of-network provider, they pay only the regular copayment or a small charge for the visit and they pay no deductible or coinsurance costs. b.Health insurance payments and co-pays must be proportional to income. Continuing Healthcare Funding issues - why isn't it simple to apply? A. Livestock agriculture is more widely dispersed than ever before. D. All of the above. Which of the following statements best describes this system? D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? 2.6) Which of the following best describes the alternative medicine modality of homeopathy? D. Allowing people to smoke in barns. 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. 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). Costs from animal disease outbreaks include loss of production andreplacementof animals. Which of the following statements is correct regarding the identification of animals in disasters? 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
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