5 parts of ppaca - Study guides, Class notes & Summaries

types of care - Answer-primary, secondary, tertiary describe primary care - Answer-first contact with the Health Care Delivery System focuses on person/population, education, and prevention describe secondary care - Answer-Dx & Tx of illness: Focus on acute health problems & diseases describe tertiary care - Answer-Patient care in a specialized medical facility cost shifting - Answer-Providers basically raise prices on insured people and public and private insurers in order to compensate f...

CCBC Nursing 129 Exam 1 (2024) Questions With Correct Answers!!

What is the current state of the healthcare industry? correct answer: We grade it by four different criteria, health, quality, cost, and access What is the health of the U.S. like? correct answer: we have shorter life expectancies, higher rates of disease burden, and higher mortality rates than other high income countries. There is disparity of life expectancy across racial, ethnic groups, health statues, income levels, genders and age, but that may not be the healthcare system's fault. We...

1 ALL PRACTICE EXAM QUESTIONS - LIFE, ACCIDENT AND SICKNESS - GA STATE LICENSE EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ How much participation does a Noncontributory plan require? Correct Answer: 100% The insured hands control of the policy to another person (usually the agent) Correct Answer: constructive delivery Filing a request with the insurer - Recording Method, or by endorsement Correct Answer: beneficiary change can be made by doing what? The app...

1 CRCS EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ Medicare Part A Correct Answer: Covers individuals who are elderly (age 65 or older) and individuals with permanent disabilities, end stage renal disease (ESRD) or Lou Gehrig's disease Title XVIII Correct Answer: Medicare (title) Medicare part A Correct Answer: Covers inpatient hospitalizations, skilled nursing facility (SNF), home health & hospice Lifetime reserve days Correct Answer: 60 days of inpatient...

What are the external and internal parts of health care compliance? - External: Federal and state statutes and regulations (e.g. HIPPA, FTC) Internal: Organizational policies and procedures (e.g. private practice has their own policies and you must follow) What does the PPACA Section 6401 say? - Requires all health care providers, regardless of their size, to implement formal health care compliance programs as a condition of their enrollment in Medicare, Medicaid, CHIP, and TRICARE (fe...

1 CRCS CERTIFICATION EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ CMS Correct Answer: Centers for Medicare and Medicaid Services and also one of the HHS operating divisions OIG Correct Answer: Office of Inspector General in DHHS. Monitors compliance with reimbursement laws & regulations Title XVIII Correct Answer: Medicare Title XIX Correct Answer: Medicaid HIPAA Correct Answer: Health Insurance Portability and Accountability Act HHS 2 Correct Answer: D...

What was the historical perspective for Early Civilizations through the 16th century on animism? - answer-Good spirits brought health; evil spirits brought sickness & death. Roles of nurse & physician separate & distinct; physician as medicine man; nurse as caring mother. What was the historical perspective for Ancient Greek Civilizations (early civilization - 16th century) on nursing? - answer-Temples became center of medical care. Nurses cared for the sick in the home & community; practiced...

1 CRCS CERTIFICATION EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ CMS Correct Answer: Centers for Medicare and Medicaid Services and also one of the HHS operating divisions OIG Correct Answer: Office of Inspector General in DHHS. Monitors compliance with reimbursement laws & regulations Title XVIII Correct Answer: Medicare Title XIX Correct Answer: Medicaid HIPAA Correct Answer: Health Insurance Portability and Accountability Act HHS 2 Correct Answer: D...

Nursing NR222 Exam 1 Health and Wellness 175 Questions with Answers Health Care Models - CORRECT ANSWER Health Belief model Health Promotion model Transteoretical model Holistic model Health belief model - CORRECT ANSWER what the patient believes, perception, behavior to plan care that is most effective when assisting this patient. has 3 components: 1) individual perceptions of susceptibility to an illness 2) modifying factors to the seriousness of the illness 3) likelihood of a...