Four parts of medicare - Study guides, Class notes & Summaries

Steps used to control costs of managed care include: - Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings option; Private - Includ...

Name for long-term care facility correct answersskilled nursing facility Assisted living facilities are for what type of patients? correct answersPatients who are in need of daily assistants What type of care is given to a patient with less than six months to live? correct answershospice care What is the definition for chronic conditions in a long-term care facility? correct answersconditions in which last a long period of time Qualifications for Medicare correct answers-Patients wit...

Chapter 1 Workbook [Hartmann Nursing Assistant Care the Basics (4th Edition)] Nursing Assistant in Long-Term Care Already Passed Another name for a long-term care facility is: A. Extended care facility B. Home health care facility C. Assisted living facility D. Adult day services facility A. Extended care facility Assisted living facilities are initially for: A. People who need 24-hour, intensive care B. People who need some help with daily care C. People who will die within six months D...

CSPR - Certified Specialist Payment Rep (HFMA) Graded A+ Steps used to control costs of managed care include: ️Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify ️Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage ️HMO Conventional PPO and POS HDHP/SO plans...

Steps used to control costs of managed care include: - correct answer Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - correct answer Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - correct answer HMO Conventional PPO and POS HDHP/SO plans - high-deductible hea...

Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test Bank Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test Bank 2nd Edition   Chapter 1. Issues and Trends in Pediatric Nursing MULTIPLE CHOICE 1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric setting should the nurse expect to find? a. Increased hospitalization of children b. Decreased number of uninsured ch...

Hartman's CNA Final Review|Complete Questions with 100% Correct Answers .Graded A+ Another name for a long-term care facility is: A. Extended care facility B. Home health care facility C. Assisted living facility D. Adult day services facility A. Extended care facility Assisted living facilities are initially for: A. People who need 24-hour, intensive care B. People who need some help with daily care C. People who will die within six months D. People who need acute care B. People wh...

PUBH 6012 Exam 3 Questions with Correct Answers What is Medicare? - Answer-- Health insurance program for individuals over 65 years old and individuals with certain terminal illnesses - Enacted under Lyndon B. Johnson in 1965 in the social security act - Administered by the centers for medicare and medicaid services (federal agency) - Broken into four parts, Part A, B, C, & D Eligibility requirements for Medicare (Entitlement to Part A and eligibility to enroll in parts B, C, and D) -...

What is the current state of the healthcare industry? - We grade it by four different criteria, health, quality, cost, and access What is the health of the U.S. like? - we have shorter life expectancies, higher rates of disease burden, and higher mortality rates than other high income countries. There is disparity of life expectancy across racial, ethnic groups, health statues, income levels, genders and age, but that may not be the healthcare system's fault. We are getting better, but still...

AAPC CPB Ch 2 exam reviewWhat components make up the Medicare Physician Fee Schedule? Relative value units for physician work, practice expense, and professional liability insurance; the Geographical Practice Cost Index; and the conversion factor. Medicare uses the Medicare Physician Fee Schedule (MPFS) for reimbursement for physician services and other types of services. This replaced the old "customary, prevailing, and reasonable" (CPR) payment system. The MPFS is funded by Part B and is...