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HCM 301 Exam 2 questions and answers
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HCM 301 Exam 2 questions and answers
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HCM 301 Exam 2 questions andanswers
Federal agency that is primarily responsible for
protecting the health of all Americans and
providing essential human services - answer
Department of Health and Human Services DHHS
System of government whereby power is shared
between central and local entitites - answer
Federalism
The process of establishing minimum professional
standards, measuring applicants against these
standards, and issuing legal recognition to those
who meet the standards - answer Licensing
A unit of either state or local government that
provides health services exclusively to residents of
a substate geographic area, such as a county, city,
town, parish, or village - answer Local health dept.
A method of payment that involves fixed
prepayment per person to the health care provider
for an agreed on array of services - answer
Capitation
, Health care that the provider supplies at his/her
own expense; also known as forgiven debts -
answer Charity care
A government program that provides health
coverage for children who are uninsured and who
are not eligivle for Medicaid - answer Children's
Health Insurance Program
A share of the payment owed by the patient for
each service covered by insurance - answer
Coinsurance
A method of payment that involves a health care
provider tracking all costs associated with each
patient and then asking to be reimbursed for that
amount along with an additional charge based on a
percentage of these costs to generate profit by the
insurance company - answer Cost-plus approach
A flat amount that a health care beneficiary must
pay out of pocket before the insurance company
will begin paying for any health services - answer
Deductible
A payment method that involves a set price for a
given service - answer Fee for fee service
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