Exclusive provider - Study guides, Class notes & Summaries

PTCB Exam Guide| Questions and Verified Answers| Grade A| 100% Correct (2024/ 2025 Update) Q: PPO preferred provider organization Q: Preferred Provider Organization (PPO) Answer: Recommended list of in-network providers and hospitals -If you choose a provider outside of your network, your copay may be higher -More flexibility= pay more money per month Q: EPO Answer: Exclusive Provider Organization Q: Exclusive Provider Organization (EPO) Answer: S...

ethics branch of philosophy applied ethics practical applications of moral standard laws binding rules determined by authority medical ethics moral conduct to regulate behavior of medical professionals beneficence principles of doing good veil of ignorance justice-based three-step ethics model Kenneth Blanchard and Norman Vincent Peale's approach to ethics R/O rule out a diagnosis gut feeling decision based on emotion A problem that occurs when using a duty-bas...

A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers A, B, D - Correct: Restorative health care involves intermediate follow-up care for restoring health and promoting self-care. C-Incorrect: Diagnostic centers are a type of secondary health care....

RN ATI Fundamentals for nursing Edition (10.0) Chapter 1 1. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) a. Home health care b. Rehabilitation facilities c. Diagnostic centers d. Skilled nursing facilities e. Oncology centers 2. A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the followin...

ATI Content Mastery Series (RN Concept-Based Assessment) Questions With 100% Correct Solutions. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers A, B, D - Correct: Restorative health care involves intermediate follow-up care for restoring heal...

Ch. 1) A nurse is discussing A, B, D restorative health care with a Rationale: A. Restorative health care involves newly licensed nurse. Which of immediate follow up care for restoring health and the following examples should prolonged self-care home healthcare is a type of the nurse include in the restorative healthcare teaching? (Select all that B. Rehabilitation facilities are a type of restorative apply.) health care D. Skilled nursing facilities are a type of restorative A. Home health...

WGU C207 DATA DRIVEN DECISION MAKING FINAL EXAM LATEST 2023-2024 EXAM WITH 300 REAL EXAM QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)AGRADE What are two reasons for the increasing use of analytics in organizational decisionmaking?Choose 2 answers. Relatively lower cost of computer storage Lower availability of statistical experts Higher cost of obtaining data Higher computer processing power - ANSWER- Relatively lower cost of computer storage Higher computer processing power H...

CNML Test Exam Questions Revised With Correct Answers < Updated & Already Passed > DRGs - ANSWER : Diagnostic-Related Groups: payment rate based on specific diagnoses Prospective Payment System - ANSWER : Used by Medicare-participating hospitals: pretreatment diagnosis billings based on DRGs; rate decided ahead of time between insurance companies and hospitals Exclusive Provider - ANSWER : Used by HMO's: insurance coverage for contracted providers or institutions ...

A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. - A. Mother's insurance plan Which managed care plan has the patient receiving care from participating p...

Certified Specialist Payment Rep (CSPR) HFMA 2024/25 Review-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 HDHP/SO plans - high...