Pocket primary care - Study guides, Class notes & Summaries

Chapter 01: Caring for Medical-Surgical Patients deWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition MULTIPLE CHOICE 1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs. b. To define the scope of LPN/LVN practice. c. To improve the quality of care provided by the LPN/LVN. d. To limit the LPN/LVN employment placement. ANS: B While improving quality of care provided by the LPN/LVN may be a result...

HFMA: Healthcare Financial Management Association Exam (2024 / 2025) Questions and Verified Answers 1. Which of the following options is an alternative to valid long-term payment plans? ~ Answer: Bank loans 2. What type of plan restricts benefits for nonemergency care to approved providers only? ~ Answer: A PPO (preferred provider organization) plan 3. What does scheduling allow provider staff to do? ~ Answer: Review the appropriateness of the service requested 4. When an adult patient is covere...

Test Bank for Dewits Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Test Bank for Dewits Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg Chapter 01: Caring for Medical-Surgical Patients deWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition MULTIPLE CHOICE 1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs. b. To define the scope of LPN/LVN practice. c...

CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED What are collection agency fees based on? - CORRECT ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - CORRECT ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - CORRECT ANSWER-Case rates What customer service improvements might improve the patie...

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...

1. Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: Correct Answer-P—population, I—intervention, C—comparisons, O—outcome, T—time. 2. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for...

1. A financial counselor/Financial Assistance: 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. 2. Batch Processing: 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 likely to require...

GA Navigator Training Questions and Answers Already Passed What permits an individual to apply a credit toward monthly health insurance premiums--up to a maximum amount? Advance premium tax credit The ACA does not allow insurers to underwrite or rate health insurance based on which of the following factors? Gender What is the name of the ACA provision that requires all health plans to use a certain percentage of all premium dollars collected as payments on claims for health care c...

Medicare - ️️public federally funded programs. clients over age 65 and/or with permanent disabilities. Medicare - ️️public federally funded programs. clients over age 65 and/or with permanent disabilities. Medicaid - ️️for clients with low income. is federally funded and individual states determine eligibility requirements. Medicaid - ️️for clients with low income. is federally funded and individual states determine eligibility requirements. Traditional Insurance - ️️...

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...