The medicaid program is - Study guides, Class notes & Summaries

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage HMO Conventional PPO and POS H...

True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - Answer True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the...

Test Bank - Advanced Pediatric Assessment, 3rd Edition ( Ellen M .Chiocca, ) All Chapters 2024 Test Bank - Advanced Pediatric Assessment Advanced Pediatric Assessment Third Edition Test Bank Chapter 1. Child Health Assessment: An Overview MULTIPLE CHOICE 1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric setting should the nurse expect to find? a. Increased hospitalization of children b. Decreased number of uninsured...

MHA 707 Exam B Questions with Answers Settings of Healthcare - Answer-Community-Based Care, Hospitals (inpatient acute care), Postacute Care Community Based Care - Answer-types of person-centered care delivered in the home and community. A variety of health and human services can be provided. HCBS programs address the needs of people with functional limitations who need assistance with everyday activities, like getting dressed or bathing. Most Frequent Setting of Ambulatory Care - An...

Exam 1: NUR206/ NUR 206 (Latest 2024/ 2025 Update) Community Nursing Concepts Exam | Questions and Verified Answers| 100% Correct| Grade A – Fortis Q: A nurse is implementing risk reduction interventions with a family. Which of the following questions is most important for the nurse to ask? a. "How do you keep your rifles safe from curious children?" b. "Where do you shoot with your handguns?" c. "Did any of the hunters in your family kill a deer this year?" d. "Where do you ke...

"Surveillance" is defined as - correct answer Ongoing and systematic collection, analysis and interpretation of data used to describe and monitor a health event An Open Head Injury occurs when the skull is broken and the brain is exposed- true or false - correct answer True An Acquired Brain Injury is an injury that - correct answer occurs after birth and is not hereditary or congenital, and includes TBI Men sustain brain injury nearly 2-3 times more than men- true or false - correct ans...

Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Rapid dose escalation; parental route of administration; higher potency typical antipsychotics Discrepancy between anatomical sex and gender is known as? B) Gender Discordance Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the following effects? B) Increases EPS Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms Ph...

CPCO EXAM REVIEW QUESTIONS AND ANSWERS, 100% ACCURATE. VERIFIED. The OIG consists of 6 departments: - -1.Immediate OIG — responsible for the overall fulfillment of the OIG's mission and for promoting effective management and quality of the agency's processes and products. 2.Office of Audit Services — performs independent audits of HHS programs and/or HHS grantees and contractors to examine their performance. 3.Office of Evaluation and Inspections — conducts national evaluations...

Final Exam: NURS 6540/ NURS6540 Test Bank | Advanced Practice Care of Frail Elders| More than 200 Questions and Answers with Rationales | Complete Guide| Verified 2023/2024 1. Mrs. Keating is a 70-year-old woman suffering from arthritis. She is seeing the nurse practitioner for her regular checkup. For a person with chronic degenerative conditions, which of the following should the nurse suggest for health promotion? 1. Take herbal supplements. 2. Increase physical activity. 3. Take ...

NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+   NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+ 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases e...