Healthcare stuvia 2023 - Study guides, Class notes & Summaries

Incident or occurrence reports are a method of risk - ANSWER-Indentification Adequate insurance coverage is an example of risk - ANSWER-Financing Continuous collection of information to search for liability risks is an example of risk - ANSWER-Identification Quality Assurance and Risk Management - ANSWER-Have a close relationship and overlap in several areas Risk Management tools are - ANSWER-Incident, and occurrence reporting, along with occurrence screening The Federal mandate t...

CHAA - ANSWER-Certified Healthcare Access Associate NAHAM - ANSWER-The National Association of Healthcare Access Management AIDET - ANSWER-Acknowledge, Introduce, Duration, Explanation and Thanks Active Customer Feedback - ANSWER-occurs when the provider requests information from the patient. Ex. Customer surveys, Customer comment cards and Customer callback programs Passive Customer Feedback - ANSWER-Is the formal and informal process of obtaining and responding to patient complimen...

A financial counselor/Financial Assistance - ANSWER-In accordance with Section 501(r) regulations through the Affordable Care Act, a hospital must establish a written financial assistance policy and make it available to patients. Batch Processing - ANSWER-Execution of a series of jobs in a computer program without manual intervention; it is used to help maximize the use of computer resources and stabilize response time by performing system-intensive work during hours when users are less likel...

Fee-for-service (FFS) - ANSWER-___ ___ ___ is a payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. capitation - ANSWER-Payments agreed upon in a ______ contract by a health insurance company and a medical provider. It is a fixed, pre-arranged monthly payment received by a physician, clinic or hospital per patient en...

What is the dominant healthcare delivery system in the USA - ANSWERManaged care, employers and government are primary suppliers What Population does the VA serve - ANSWERVeterans TRICARE is insured for military personnel active and non-active Describe the affordable care act and its role in healthcare reform - ANSWERMain goal was to expand coverage increase access to care Medicaid expansion and take away pre-existing conditions List for key characteristics of the US healthcare system - ...

TEST BANK For Current Medical Diagnosis And Treatment 2024, 63rd Edition By Maxine Papadakis, All Chapters 1 - 42, Verified Newest Version 1265556032 · 9781265556037 By Maxine A. Papadakis, Stephen J. McPhee, Michael W. Rabow, Kenneth R. McQuaid, Monica Gandhi 1. Disease Prevention & Health Promotion General Approach to the Patient Health Maintenance & Disease Prevention Prevention of Infectious Diseases Prevention of Cardiovascular Disease Prevention of Osteoporosis Prevention o...

What is the dominant healthcare delivery system in the USA - ANSWERManaged care, employers and government are primary suppliers What Population does the VA serve - ANSWERVeterans TRICARE is insured for military personnel active and non-active Describe the affordable care act and its role in healthcare reform - ANSWERMain goal was to expand coverage increase access to care Medicaid expansion and take away pre-existing conditions List for key characteristics of the US healthcare system - ...

A covered entity does NOT include a. Healthcare providers b. Health plans c. Patients d. Clearinghouses - ANSWERSc. Patients What does MAC stands for? a. Medicare Administrative Contractor b. Medicare Advisory Contractor c. Medicaid Administrative Contractor d. Medicaid Alert Contractor - ANSWERSa. Medicare Administrative Contractor When are providers responsible for obtaining an ABN for a service NOT considered medically necessary? a. After providing a service or item to...

Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can participate in cost containment in the OR? a) Ask the surgeon to use a less expensive implant b) Begin cleaning the OR for the next case before the patient leaves the room c) Open all supplies listed on preference card, including "available" supplies d) Verify with surgeon before opening suture - ANSWERSd An RN who attends continuing nursing ed...

Capitation A -ANSWER covers all services an enrollee may need during an entire year Market Justice -ANSWER most equitably distributed through the market forces of supply and demand, rather than government interventions. Distributed on the basis of willingness and ability to pay Social Justice -ANSWER An ideal that embraces all aspects of civilized life and that is linked to fundamental notions of fairness and to cultural beliefs about right and wrong. defensive medicine -ANSWER Ordering...