Correct Answers Assured 100% Plus Pass
Activities of Daily Living (ADLs) - CORRECT ANSWER ✔✔ -measure a person's ability to
function independently, in reference to 6 activities; eating, bathing, dressing, toileting,
maintaining continence, and getting into or out of bed or chair
Acute Condition - CORRECT ANSWER ✔✔ -relatively severe of short duration, and often
treatable
Ambulatory Care - CORRECT ANSWER ✔✔ --Primary and specialty ambulatory care
-growth of ambulatory surgery centers and multi-specialty group practices
-Expanded ambulatory services
-adult day care
-senior centers
-transportation programs
-senior volunteers
-community case manager for chronic condition
Ambulatory Care - CORRECT ANSWER ✔✔ -non-inpatient; includes emergency, primary
clinician, and outpatient visits
Blum's Model of Health - CORRECT ANSWER ✔✔ -health is a product of 4 major inputs"
environment, lifestyle, heredity, and medical care
, Chronic Condition - CORRECT ANSWER ✔✔ -less severe but of long and continuous duration
Cost control strategies - CORRECT ANSWER ✔✔ --Limits on premium covered
-Limits on payment
-Deductibles
-Co-payments
-Limits on provider selection
-HMO, PPO
-Provider risk sharing
-Pay for Performance (P4P)
Government payers - CORRECT ANSWER ✔✔ --Medicare
(Part A-Hospital Expenses)
(Part B-Medical and Physician office visits)
(Part D-Outpatient drug coverage)
-Medicaid and CHIP
Health (World Health Organization) - CORRECT ANSWER ✔✔ -a state of complete physical,
mental, and social well-being and not merely the absence of disease of infirmity
Health Maintenance Organization (HMO) - CORRECT ANSWER ✔✔ -HMO plans are the most
restrictive, requiring members to use physicians and hospitals from a network of providers with