HCA 205 week 2 Quiz (All correct 26/26)

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Home>Homework Answsers>Nursing homework helpMatch the health care definition   with the term(Points : 13)Potential Matches:1 : Cost sharing2 : Managed Care Organizations   (MCO)3 : Fee-for-Service (FFS)4 : Diagnosis Related Group (DRG)5 : Cultural Competency6 : Capitation7 : Prospective Payment System   (PPS)8 : Pay-for-performance9 : Centers for Disease Control   (CDC)10 : Public Health11 : Explanation of Benefits (EOB)12 : Nostrum13 : GatekeepingAnswer1 : Managed care’s way of   classifying patients by diagnosis, average length of hospital stay, and   therapy received2 : Summarizes what the insurance   company paid the provider, how much the patient owes, and provides an up-to-date   status of the patient’s annual deductible and out of pocket expenses3 : Employees become part of their   employer’s group insurance plan and the employer subsidizes the monthly   premiums4 : Emphasized environmental   sanitation to stop the spread of epidemic diseases5 : Each individual service or   treatment is paid and billed separately6 : A derogatory term for a   medicine, especially an ineffective one, prepared by an unqualified person7 : Involves bundled payments when   physicians are paid for a series of treatments that are not billable   individually8 : Preventing unnecessary   specialized care9 : Global mission of health   protection, prevention, and preparedness10 : Practice of recognizing that   different groups have unique health experiences and needs11 : Enter into contracts with   hospitals and healthcare professionals to provide healthcare to the   beneficiaries in exchange for a negotiated rate per patient12 : Amount of payment is   determined prospectively, before the service is rendered13 : Reimbursement models aimed at   improving the quality, efficiency, and overall value of health careMatch the real word example with     the term(Points : 13)Potential Matches:1 : Nostrum2 : Fee-for-Service3 : Public Health4 : Capitation5 : Diagnosis Related Group     (DRG)6 : Gatekeeping7 : Prospective Payment System     (PPS)8 : Pay-for-Performance9 : Cost Sharing10 : Explanation of Benefits     (EOB)11 : Managed Care Organization     (MCO)12 : Cultural Competency13 : Centers for Disease Control     (CDC)Answer1 : Hospitals, skilled nursing     facilities and home health agencies are reimbursed on an “episode of care     basis”2 : Dr. Thomas exams a patient     named Jan. Jan’s health insurance provider is Blue Cross Blue Shield.     Services provided included a Chest X-ray, yearly physical, and removal of a     mole. Dr. Thomas receives reimbursement for each service rendered3 : Dr.     Thomas exams a patient named Jen. Jen’s health insurance provider is     HealthPlus of Michigan. Services provided included a yearly physical,     removing a mole and ordering of labs and chest x-ray. Dr. Thomas receives     reimbursement based on a contracted discounted rate4] : Jan receives a report from     the health plan listing the blood work, chest x-ray and physical she     received at her primary care physician’s office5 : Mr. Jenkins owns a hardware     in 1880s and starts to treat patients6 : Dr.     Thomas receives the same amount per patient per month whether the patient     is receiving services or not7] : Jan goes to the primary     care physician in order to receive a referral to a specialist8 : Jan is in severe pain     evidenced by Nursing assessment of raised blood pressure, facial grimacing,     and holding abdomen. However, she does not complain of pain9 : Dr. Thomas reports to this     entity that she has diagnosed a patient with Tuberculosis10 : Jan     is employed by ACME Tile, receives health insurance as a benefit and     contributes $100/month to the premium11 : Promotes a Youth     advertising campaign to promote healthy eating and exercise1 : Patient presents to the ER     with COPD and is admitted to the hospital. The hospital is reimbursed based     on the COPD Diagnosis13: Dr. Thomas educates     and advises patients on quitting smoking, exercise, and health eating. Dr.     Thomas receives reimbursement for meeting quality measures4 years agoReport issueHCA 205 week 2 Quiz (All correct 26/26)NOT RATEDPurchase the answer to view ithca_205_week_2_quiz.docxplagiarism checkPurchase $30

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