NURS MISC The Health Care Delivery System | Nursing School Test Banks,100% CORRECT
0 view 0 purchase
Course
NURS MISC The Health Care Delivery System
Institution
NURS MISC The Health Care Delivery System
NURS MISC The Health Care Delivery System | Nursing School Test Banks
Chapter 2: The Health Care Delivery System
Test Bank
MULTIPLE CHOICE
1. The nurse is caring for a patient who is on Medicare. Because the patient is on Medicare, the nurse is aware that
a. The hospital will be paid...
nurs misc the health care delivery system | nursing school test banks
Written for
NURS MISC The Health Care Delivery System
All documents for this subject (1)
Seller
Follow
paulhans
Reviews received
Content preview
Chapter 2: The Health Care Delivery System | Nursing School Test Banks
NURS MISC The Health Care Delivery System | Nursing School Test
Banks
Chapter 2: The Health Care Delivery System
Test Bank
MULTIPLE CHOICE
1. The nurse is caring for a patient who is on Medicare. Because the patient is on Medicare,
the nurse isaware that
a. The hospital will be paid for the full cost of the patient’s hospitalization.
b. Capitation provides the hospital with a means of recovering variable charges.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient’s condition.
ANS: C
In 1983, Congress established the prospective payment system (PPS), which grouped
https://nursingtestbank.info/chapter-2-the-health-care-delivery-system/ Page 1 of 19
,Chapter 2: The Health Care Delivery System | Nursing School Test Banks
inpatient hospital services for Medicare patients into 468 diagnosis-related groups (DRGs),
each of which provides a fixedreimbursement amount based on assigned DRG, regardless of
a patient’s length of stay or use of ser- vices. This encourages hospitals to provide more
efficient services because costly stays may not be fully
https://nursingtestbank.info/chapter-2-the-health-care-delivery-system/ Page 2 of 19
,Chapter 2: The Health Care Delivery System | Nursing School Test Banks
covered. Capitation means that providers receive a fixed amount per patient or enrollee of a
health care plan. DRG reimbursement is based on case severity, rural/urban/regional costs,
and teaching costs, not national averages.
DIF: Understand REF: 15
OBJ: Compare the various methods for financing health care. TOP: Assessment
MSC: Teaching/Learning
2. The advent of diagnosis-related groups (DRGs) and capitation has brought about many
changes in how health care is provided and paid for. Because of these changes, the nurse is
aware that today’s man-aged care system has
a. Insured full coverage of health care costs.
b. Assumed all of the financial risk involved.
c. Allowed providers to focus on illness care.
d. Caused providers to focus on illness prevention.
ANS: D
https://nursingtestbank.info/chapter-2-the-health-care-delivery-system/ Page 3 of 19
, Chapter 2: The Health Care Delivery System | Nursing School Test Banks
Managed care describes health care systems in which the provider or the health care
system receives a predetermined capitated payment for each patient enrolled in the
program. Capitation means that providers receive a fixed amount per patient or enrollee of
a health care plan. The actual cost of care is the responsibility of the provider. In this case,
the managed care organization (provider) assumes finan-cial risk, in addition to providing
patient care. The focus of care of the organization shifts from individ- ual illness care to
prevention, early intervention, and outpatient care.
https://nursingtestbank.info/chapter-2-the-health-care-delivery-system/ Page 4 of 19
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller paulhans. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
