Exam 1 HLH123 Exam Questions With 100% Verified Answers
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Course
HLH 123
Institution
HLH 123
Exam 1 HLH123 Exam Questions With
100% Verified Answers
Centers for Medicare, Medicaid Services ( CMS) - answerThe government agency provides
oversight of government funded insurance programs.
The National Institute of Health or NIH - answerDHHS has several agencies under one
umbrella responsi...
DRG- Diagnosis Related Group - answer✔Payment for medical services ( hospital, surgery or
other treatment) is specified according to the diagnosis. Patients are discharged sooner and often
need to extended care in rehabilitation centers.
PPO - answer✔This manage care insurance allows patients to choose any physician within the
network as well as out of network without prior approval or referral.
HMO - answer✔A managed care system in which the person will need a referral to see
physicians outside of the network
Pre-certification - answer✔This is a pre-approval from the Insurance company for medical
services to be provided for the person
Prescription medication - answer✔Medicare Part D covers the following medical services
Medical Doctor visits, ambulance, laboratory testing, medical equipment - answer✔Medicare
Part B covers the following medical services
Registered Nurse or Licensed Practical Nurse if RN not available - answer✔The nursing
assistant takes orders from the health care team member with a license. Who would this team
member be?
OSHA - answer✔The government agency is responsible for protecting the health and safety of
American workers by enforcing standards and education in improving the working conditions in
the workplace.
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