Exam 1: Health Care Systems

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What type of health service is covered by Part B of Medicare?

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A

A(n) _________________________ intermediary is the organization that has contracted with the federal government to process Medicare claims and payments for hospital inpatient health care services.

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fiscal

Which term refers to a primary care physician who is participating in a comprehensive managed care plan by providing most of the care to the patient?

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D

An epidemic of viral infection in the United States would most likely be reported and tracked by the

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Which legislation established criteria for the transfer or discharge of patients and was dubbed as the "antidumping act?"

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Which classification of hospitals is organized for profit according to the American Hospital Association?

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Which one of the following is most likely to be a state-financed health care facility?

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Which amendment to the Social Security Act of 1935 established the Medicare program?

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A(n) ____________________ is a legal written document that specifies a patient's preference regarding future health care, especially in relation to resuscitation and life-extending measures.

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Which process gives legal authority to a person to practice health care in a state?

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All the following are accrediting agencies except

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The new Rocky Mountain Hospice Care Center will be providing patient care beginning January of next year. From which of the following resources can they anticipate financial reimbursement for their services?

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One of the goals of Healthy People 2020 is to lower the cost of health care in the United States while maintaining a high quality of life.

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To which entity is the Centers for Medicare and Medicaid Services responsible?

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A hospital classified as a Critical Access Hospital (CAH) receives reimbursement enhancements for meeting the needs of an underserved area.

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Which one of the following officers in a health care organization is responsible for developing a strategic plan for supporting the mission and goals of the organization?

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Which term describes a patient needing health care assessment and evaluation for approximately 24 hours or less?

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When a public health issue, such as an Escherichia coli outbreak from contaminated food, makes the news, what organization is responsible for investigating and minimizing such threats to society?

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____________________ directive is the voluntary process by which an organization performs an external review and grants recognition to a program or health care facility that meets its predetermined standards.

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Two major issues for competing managed care organizations are

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