Which of the following statements about the nursing process is true. Which of the following statements describe effective operations in disasters? Up-to-date lists of special administrative procedures required by each managed care plan contract is usually owned by physicians or a hospital and provides practice management (administrative and support) services to individual physician practices. Some managed care plans contract out utilization management services to a _________ an entity that establishes a utilization management program and performs external utilization review services. C) The patient gets the bill and pays out-of-pocket costs. HSA stands for health savings account, and HSA-qualified plans can be HMOs, PPOs, EPOs, or POS plans. A. utilization management (or utilization review). Visibility, because only external customers should be considered. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? 20. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. In each of the given sentences, underline the subordinate clause. Patient care . (B) Give the symmetry number for each of the following molecules: Group model B. Designating access to barns and water for firefighters. The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. Provide quality health care while containing costs. A. A. e. It is also called a cafeteria plan (or flexible benefit plan) because of the different benefit plans and extra coverage options provided through the insurer or third-party administrator. True or false? A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and her unborn child. Course Hero is not sponsored or endorsed by any college or university. Preferred provider organization (PPO) Metal A emits electrons in response to visible light; metals B\mathrm{B}B and C\mathrm{C}C require UV light. Which of the following accurately describes relationship between disasters and the economic impact on livestock farmers? In paragraphs 7 and 8, Krauthammer refers to libertarians and the libertarians markets-for-everything logic. What is a libertarian? Which of the following statements is correct regarding floods? The federal _________ plan requires managed care plans that contract with Medicare or Medicaid to disclose information about ________ plans to CMS or state Medicaid agencies before a new or renewed contract receives final approval. 12. 9. b. 8. Cash values are a result of the level premium method of purchasing life insurance. A managed care organization (MCO) is responsible for the health of its enrollees, which can be administered by the MCO that serves as a health plan or contracts with a hospital, physician group, or health system. The most common health plans available today often include features of managed care. Patients should be well informed about care and treatment options. Damage from mudflows cannot be covered by insurance. The nurse may make a referral to what member of the healthcare team? 5) Two parameters that usually result in an indication of excellent health are: A) genetics and education. High-deductible insurance policy, which reimburses allowable health care expenses after the high deductible has been paid, Health care expenses are funded by insurance coverage; the individual selects one of each type of provider to create a customized network and pays the resulting customized insurance premium. es dudoso los nios obedecer la seal de abrocharse el cinturn de seguridad is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. As she pays her co-payment, she says "Oh dear, the doctor told me to see someone, but I can't remember what he said. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . B) The care of the patient is carefully planned and monitored by the primary care provider. B) The care of the patient is carefully planned and monitored by the primary care provider. How would the nurse respond? B. A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group, Julie S Snyder, Linda Lilley, Shelly Collins. A) They actively recruit vulnerable populations. If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. Which of the following statements correctly describe liability issues in disasters? but the retirement benefit is not known in advance. Select all that apply. B. C. Disasters are declared starting at the local, then state, then federal level. Which of the following statements about the history of home healthcare nursing is most accurate? D.Carcassesmust be disposed of onsite. 2.10) Which of the following best describes how alternative health therapies are being perceived? Which of the following statements accurately describe an aspect of managed care? C. Pre-existing economic difficulties can exacerbate the impact of disasters on livestock farmers. Which of the following organizations provides independent, impartial assistance in more than 60 countries to people whose survival is threatened by violence, neglect, or catastrophe, primarily due to armed conflict, epidemics, malnutrition, exclusion from health care, or natural disasters? Which of the following is a characteristic of primary healthcare? C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. POS enrollees who receive care from out-of-network providers pay higher deductible and coinsurance amounts. Which of the following is one of those responsibilities? The following are examples of hospital joint ventures that are unlikely to raise significant antitrust concerns. A. A. 7. Even though managed care. C) The nurse is considered the gatekeeper in the managed care system. A. Indemnity payments to farmers for crop losses that are covered by insurance are managed by the USDA Risk Management Agency. Also write ELL above each elliptical clause. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. A patient has a private insurance policy that pays for most healthcare costs and services. B. Consumer-Directed Health Plans include the following tiers: Tax-exempt account, which is used to pay for health care expenses and provides more flexibility than traditional managed care plans in terms of access to providers and services B. The NCQA began accrediting managed care programs in 1991 when a need for consistent, independent information about the quality of care provided to patients was originally identified. I. Contracted health care services are delivered to subscribers by individual physicians in the community. What is one responsibility of nurses who work in physicians' offices? B. FEMA helps States by reviewing and coordinating State emergency plans. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. 22. D. All of the above. Managed care programs have been successful in containing costs and limiting unnecessary services, resulting in the current trend for health care plans to offer the SSO as a benefit, not a requirement. A PPO is not an HMO, but it is similar to an HMO because it is a managed care plan that provides enrollees with discounted health care through a network of providers. Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. Possible Outcomes for Expected Value Damages, 2. Richard Milhous Nixon (January 9, 1913 - April 22, 1994) was the 37th president of the United States, serving from 1969 to 1974.A member of the Republican Party, he previously served as a representative and senator from California and was the 36th vice president from 1953 to 1961 under President Dwight D. Eisenhower.His five years in the White House saw reduction of U.S. involvement in the . A. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice plans, which reimburse providers for individual health care services rendered, managed care is financed according to a method called capitation, where providers accept preestablished payments for providing health care services to enrollees over period of time (usually one year). 2.4) Which of the following best describes the process of screening in the medical office setting? C. Hurricanes frequently cause flooding along the coast, but not inland. The US is the only developed nation without a system of universal healthcare, with a large proportion of its population not carrying health insurance, a . A. D. All of the above. In the following sentences, circle each incorrectly used lowercase letter. combines health care delivery with the financing of services provided. 27. Select one: a.Health insurance must be compulsory for the lower-income two thirds of the population and payments must be proportional to income. Escriba lo que dice. All of the highly compensated employees are covered by the, plan. Included in HEDIS is the________, which measures members' satisfaction with their care in areas such as claims processing, customer service, and getting needed care quickly. a. 2.6) Which of the following best describes the alternative medicine modality of homeopathy? 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Managed care organizations (MCOS) impact a practice's administrative procedures by requiring: Separate bookkeeping systems for each capitated plan to ensure financial viability of the contract Other plans contract with a _________, an organization that provides health benefits claims administration and other outsourced services for self-insured companies. A. June 30, 2022 . D. All of the above. 2. D) Hospitals are the preferred setting for service delivery. 51) Which of the following statements about managed care plans is (are) true? D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. B. Thunderstorms and their consequences are common, but rarely create problems. Juan trabaja de asistente de vuelo y habla con los pasajeros. Which of the following statements regarding thunderstorms is correct? A) Managed care systems control the cost of care with a lower quality of care. Federal legislation mandated that MCOS participate in quality assurance programs and other activities, including utilization management, case management, requirements for second surgical opinions, non-use of gag clauses in MCO contracts, and disclosure of any physician incentives. Nurses who are employed in home care have a variety of responsibilities. 53. immunizations and screenings included in benefits 54. Study Resources. c. withdrawn to cover qualified medical expenses is tax-free. which of the following statements describes managed care? b.Health insurance payments and co-pays must be proportional to income. Never tie an animal up if floods are pending. D. Large-scale disasters affecting livestock never have serious implications for State revenues. Brace anchor all tall or top-heavy objects. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. Documentation of ownership may be needed to reclaim a lost animal. 4. A variety of measures can be used; measures may be simple or complex; it is recommended that measures be straightforward, understandable, and valid. perpetual motion ornaments; who plays elias in queen of the south; robert snodgrass net worth; pacific northwest volleyball association; B) The contribution rate is fixed, and the retirement benefit is known in advance. efficient and lower cost manner. PPO enrollees can also receive health care outside of the network if they are willing to pay higher costs. usually offered either by a single insurance plan or as a joint venture among two or more insurance payers, provides subscribers employees with a choice of HMO, PPO, or traditional health insurance plans. These are designed to manage . The economics of Country A support the rights of property and liberty for each person and allow each citizen to improve life circumstances by his or her own effort. It aims toward lower premiums and preventive care benefits. B) The supplier maintains the inventory for the buyer. HMO 1 . Which of the following are effective MITIGATION (reduction, prevention) activities for farms? Once you have chosen a verb, write the correct! D. FEMA is responsible for reducing and reimbursing all personal losses in disasters. horse hind leg tendon sheath. 1. 30. PPOS do not routinely establish contracts for laboratory or pharmacy services, but they do offer reduced-rate contracts with specific hospitals. Disaster advice from the USDA is provided by the Cooperative Extension Service. State disaster declarations can only be made when more than one community is affected. 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If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. In contrast, traditional health insurance coverage is usually provided on a fee-for- service basis in which reimbursement increases if the health care service fees increase, if multiple units of service are provided, or if more expensive services are provided instead of less expensive ones (e.g., brand-name versus generic prescription medication). Higion is a website that writes about many topics of interest to you, a blog that shares knowledge and insights useful to everyone in many fields. B. What statement describes the most important function of the health record? Quality Compass users benefit from the largest database of comparative health plan performance information to conduct competitor analysis, examine quality improvement and benchmark plan performance. b. Libertarianism, which espouses a free market system and freedom of choice, undergirds the basic principles of U.S. health care financing. C. If escaped livestock ingest toxic plants, their milk is likely to still be suitable for human consumption. Money deposited (and earnings) is tax-deferred, and money. Which of the following statements is correct regarding disasters? Showing 18. which of the following statements describes managed care? 2.3) Which of the following statements best describes a health maintenance organization (HMO)? In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet D) Risk management is a spontaneous response to an unexpected incident. 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? c. 10. 3) What are the minimum age and service requirements that can be imposed on employees eligible to participate, A) age 18 and 6 months of service B) age 21 and 1 year of service, C) age 21 and 3 years of service D) age 25 and 4 years of service.