What is capitation - Study guides, Class notes & Summaries

HTHRHSC 3400 EXAM 2 QUESTIONS AND ANSWERS ALREADY PASSED What are the key components of a health care system? The key components of a health care system include health care providers, patients, financing mechanisms, and health policies. What role does health policy play in health care delivery? Health policy plays a critical role in shaping how health care is delivered, influencing access, quality, and cost of care. What is the significance of health care financing? Health care fi...

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...

Comlex Ethics Level 2 Exam 2024 (Verified Answers) What is respondeat superior or vicarious liability? - ANSWER it is when an employer is responsible for the actions of their employees. Both terms essentially mean the same thing. what is res ipsa loquitur? - ANSWER it is when a physician acts negligently to lead to an accident. the thing speaks for itself Example is if a physician prescribes the wrong medication leading to injury or leaves a scalpel inside someone . What is contributory...

Healthcare Reimbursement 4-2 Module Quiz 100% Pass What is the primary purpose of healthcare reimbursement? The primary purpose of healthcare reimbursement is to compensate healthcare providers for the services rendered to patients. What are the main types of healthcare reimbursement methods? The main types of healthcare reimbursement methods include fee-for-service, capitation, and bundled payments. How does the fee-for-service reimbursement model work? In the fee-for-serv...

Comlex Ethics Level 2 Exam 2024 (Verified Answers). What is respondeat superior or vicarious liability? - ANSWER it is when an employer is responsible for the actions of their employees. Both terms essentially mean the same thing. what is res ipsa loquitur? - ANSWER it is when a physician acts negligently to lead to an accident. the thing speaks for itself Example is if a physician prescribes the wrong medication leading to injury or leaves a scalpel inside someone . What is contributor...

Reimbursement Methodologies Exam 3 Questions and Answers Already Passed What does "reimbursement methodology" refer to in healthcare? a. The process of hiring healthcare providers b. The system used to determine how healthcare providers are paid for services rendered c. The coding systems for diagnoses d. The administrative tasks involved in patient care How do managed care organizations typically influence reimbursement? a. By negotiating payment rates and controlling healthcare c...

What is respondent superior or vicarious liability? - ️️it is when an employer is responsible for the actions of their employees. Both terms essentially mean the same thing. what is res ipsa loquitur? - ️️it is when a physician acts negligently to lead to an accident. the thing speaks for itself Example is if a physician prescribes the wrong medication leading to injury or leaves a scalpel inside someone . What is contributory negligence? - ️️it is when a patient voluntar...

Legal Issues for COMLEX Level 1 Questions and Answers Already Passed A fellow physician is smelling of alcohol on the job. What do you do? Report him to state medical board and inform chief of staff, etc. A female is pregnant and she confides in the physician that the baby is NOT her husbands. The husband is also a patient of yours, but she request that you not tell her husband. What should the physician do? Do *NOT* tell the husband -Also, do NOT encourage the patient in any way -Le...

Risk correct answers Risk is the uncertainty of loss Capitation correct answers Capitation payments are payments agreed upon in a capitated contract by a health insurance company and a medical provider. They are fixed, pre-arranged monthly payments received by a physician, clinic or hospital per patient enrolled in a health plan, or per capita. Under a health maintenance organization HMO service providers are paid a fixed monthly fee for each member. This concept is called correct answers ...

What is respondeat superior or vicarious liability? - it is when an employer is responsible for the actions of their employees. Both terms essentially mean the same thing. what is res ipsa loquitur? - it is when a physician acts negligently to lead to an accident. the thing speaks for itself Example is if a physician prescribes the wrong medication leading to injury or leaves a scalpel inside someone . What is contributory negligence? - it is when a patient voluntary neglects to follow adv...