3315 Quiz 2 Comprehensive Questions
With Verified Complete Solutions.
Access - Answer The ability to obtain health care.
Accreditation - Answer A process of evaluation of an institution or education program to determine
whether it meets the standards set up by an accrediting body.
Advance Directive - Answer Advance directives are legal documents that allows one to spell out ones
wishes concerning medical intervention in the case of one losing their decision making capacities.
Adverse Event - Answer Any injury caused by medical care.
Ambulatory care - Answer Care provided to a patient without hospitalization.
Ancillary Services - Answer Hospital services other than room and board.
Any willing provider - Answer A law in some states that requires a managed care organization to allow
participation to any provider who is legally qualified as a practitioner and who is willing to become a
member of the organization.
Assignment of benefits - Answer A voluntary decision by the beneficiary to have insurance benefits
paid directly to the provider rather than to the beneficiary him or herself.
Assisted living - Answer The provision of services, including housing, health care, and support services,
to those who need help with the Activities of Daily Living.
Average length of stay - Answer The ALOS is determined by adding a group of patients total lengths of
stay and then dividing that total by the number of patients in the group.
Bed capacity - Answer The number of patients a hospital can hold.
, Behavioral health - Answer Umbrella term that includes mental health and substance abuse. Not
physical.
Benchmark - Answer A benchmark is used to label the reference point for each thing being monitored.
Beneficiary - Answer The person entitled to benefits from insurance or some other healthcare
financing program.
Blue Cross - Answer The original prepayment health plan developed and sponsored by hospitals, and
was originally restricted to furnishing care in a hospital.
Blue Shield - Answer The original prepayment health plan developed and sponsored by physicians, and
was originally restricted to furnishing physician care.
Bioterrorism - Answer The deliberate release of viruses, bacteria, or other biological agents to cause
illness or death in people, animals, or plants.
Cafeteria benefits plan - Answer It allows participating employees to choose from a cafeteria-type
menu of different healthcare coverage and provider options.
Capitation - Answer Is a flat periodic payment to a healthcare provider per person cared for.
Capitol expenditure - Answer An expenditure made to acquire an asset that has an estimated life in
excess of one year and is not intended for sale in the ordinary course of business.
Carve out - Answer Services not available in a basic health plan, but may be purchased separately.
Case mix - Answer The mix of cases, defined by age, gender, treatments, severity of illness and so on,
handled by a practitioner or hospital.
With Verified Complete Solutions.
Access - Answer The ability to obtain health care.
Accreditation - Answer A process of evaluation of an institution or education program to determine
whether it meets the standards set up by an accrediting body.
Advance Directive - Answer Advance directives are legal documents that allows one to spell out ones
wishes concerning medical intervention in the case of one losing their decision making capacities.
Adverse Event - Answer Any injury caused by medical care.
Ambulatory care - Answer Care provided to a patient without hospitalization.
Ancillary Services - Answer Hospital services other than room and board.
Any willing provider - Answer A law in some states that requires a managed care organization to allow
participation to any provider who is legally qualified as a practitioner and who is willing to become a
member of the organization.
Assignment of benefits - Answer A voluntary decision by the beneficiary to have insurance benefits
paid directly to the provider rather than to the beneficiary him or herself.
Assisted living - Answer The provision of services, including housing, health care, and support services,
to those who need help with the Activities of Daily Living.
Average length of stay - Answer The ALOS is determined by adding a group of patients total lengths of
stay and then dividing that total by the number of patients in the group.
Bed capacity - Answer The number of patients a hospital can hold.
, Behavioral health - Answer Umbrella term that includes mental health and substance abuse. Not
physical.
Benchmark - Answer A benchmark is used to label the reference point for each thing being monitored.
Beneficiary - Answer The person entitled to benefits from insurance or some other healthcare
financing program.
Blue Cross - Answer The original prepayment health plan developed and sponsored by hospitals, and
was originally restricted to furnishing care in a hospital.
Blue Shield - Answer The original prepayment health plan developed and sponsored by physicians, and
was originally restricted to furnishing physician care.
Bioterrorism - Answer The deliberate release of viruses, bacteria, or other biological agents to cause
illness or death in people, animals, or plants.
Cafeteria benefits plan - Answer It allows participating employees to choose from a cafeteria-type
menu of different healthcare coverage and provider options.
Capitation - Answer Is a flat periodic payment to a healthcare provider per person cared for.
Capitol expenditure - Answer An expenditure made to acquire an asset that has an estimated life in
excess of one year and is not intended for sale in the ordinary course of business.
Carve out - Answer Services not available in a basic health plan, but may be purchased separately.
Case mix - Answer The mix of cases, defined by age, gender, treatments, severity of illness and so on,
handled by a practitioner or hospital.
