Exam (elaborations)
MHA 706 Midterm Exam (Lord) – Q&A (Graded A+)
- Module
- Institution
MHA 706 Midterm Exam (Lord) – Q&A (Graded A+)
[Show more]
1 review
By: kdamonkd • 7 months ago
Seller
Follow
LeCrae
Reviews received
Content preview
MHA 706 Midterm Exam (Lord) – Q&A (Graded A+)Alternative forms of business organization ✔️Ans - 1. proprietorships
and partnerships
2. corporations
3. hybrid forms
proprietorships and partnerships ✔️Ans - pros: ease of information,
subject to a few regulations, no corporation income taxes.
cons: limited life, difficult to transfer, unlimited liability, difficult to raise
capital.
corporations ✔️Ans - pros: unlimited life, easy transfer of ownership,
limited liability, ease of raising capital.
cons: cost of formation and reporting, double or triple tax must be paid.
Hybrid forms of business organizations ✔️Ans - LLP, LLC,PC, PA
Non-profit organization ✔️Ans - exempt from taxes - goal is to improve
community
For-profit organization ✔️Ans - investor owned
goal is to maximize shareholder return - owes taxes
agency problem ✔️Ans - hire someone to carry out a job function, but
they go out of their interests instead of best interest of company
Third party payor system ✔️Ans - private vs public insurance
private insurance ✔️Ans - blue cross blue shield, commercial insurers,
self-insurers
public insurance ✔️Ans - Medicare and Medicaid both offer services to
different levels
safety net
lowest reimbursement rates
, reimbursement methods ✔️Ans - fee for service
cost based
charged base
prospective payment
capitation
fee for service ✔️Ans - payment is tied to amount of services provided
(decades ago)
dental industry
cost based ✔️Ans - payer pays all allowable cost
ex. payment to critical access hospitals
charged based ✔️Ans - payer pays billed charges
ex. payment on a rate schedule
prospective payment ✔️Ans - have fixed payments per diagnosis basis
capitation ✔️Ans - payment is tied to size of covered populations
(Number of enrollees) payment is based on per number per month
decreasing utilization
population healthier
Medicare reimbursement for different types of providers ✔️Ans - IPPS
OPPS
Physician Fee Services
Inpatient Prospective Payment System (IPPS) ✔️Ans - each DC is
assigned to a Medicare severity diagnosis
Outpatient Prospective Payment System (OPPS) ✔️Ans - each DC is
assigned to ambulatory classifications (APC)
Physician fee services ✔️Ans - each service has a relative value unit
(RVU) services are standardized
Impact of the ACA on healthcare ✔️Ans - created new standards,
individual mandates, exchanges and Medicaid expansion,
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 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 LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.97. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80461 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now