Capitation Study guides, Class notes & Summaries
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CNML Test Exam Questions Revised With Correct Answers < Updated & Already Passed >
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CNML Test 
Exam Questions Revised With 
Correct Answers 
< Updated & Already Passed > 
DRGs - ANSWER : Diagnostic-Related Groups: 
payment rate based on specific diagnoses 
Prospective Payment System - ANSWER : Used 
by Medicare-participating hospitals: pretreatment 
diagnosis billings based on DRGs; rate decided 
ahead of time between insurance companies and 
hospitals 
Exclusive Provider - ANSWER : Used by HMO's: 
insurance coverage for contracted providers or 
institutions 
...
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Florida State Health Insurance Test with Certified Solutions
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Florida State Health Insurance Test with Certified Solutions 
neighbor An individual may purchase a life insurance policy on all of the following persons EXCEPT: 
a)dependent 
b)spouse 
c) business partner d) neighbor 
preexisting condition regarding long term care insurance, the existence of symptoms that would cause an ordinarily prudent person to seek diagnosis or treatment, or a condition for which medical advice or treatment was recommended by or received from a provider of health care serv...
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Comlex Ethics Level 2 Exam 2024 (Verified Answers)
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Comlex Ethics Level 2 Exam 2024 (Verified Answers) 
What is respondeat superior or vicarious liability? - ANSWER it is when an 
employer is responsible for the actions of their employees. Both terms essentially 
mean the same thing. 
what is res ipsa loquitur? - ANSWER it is when a physician acts negligently to 
lead to an accident. 
the thing speaks for itself 
Example is if a physician prescribes the wrong medication leading to injury or 
leaves a scalpel inside someone . 
What is contributory...
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Final exam life and health || Already Passed.
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Risk correct answers Risk is the uncertainty of loss 
 
Capitation correct answers Capitation payments are payments agreed upon in a capitated contract by a health insurance company and a medical provider. They are fixed, pre-arranged monthly payments received by a physician, clinic or hospital per patient enrolled in a health plan, or per capita. 
 
Under a health maintenance organization HMO service providers are paid a fixed monthly fee for each member. This concept is called correct answers ...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions With Complete Solutions
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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...
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PTCB PRACTICE EXAM 2024 WITH 100% CORRECT ANSWERS
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Knowing which of the following can best assist a technician in the prevention of data entry errors? 
 
A. Names of medications 
B. Insurance co-payments 
C. Pharmacokinetics 
D. Physician contact informationAnswer - A. Names of medications 
 
Which of the following injectable drugs would be stored in refrigerator? 
 
A. Clindamycin 
B. Ciprofloxacin 
C. Cyanocobalamin 
D. Calcitonin-salmonAnswer - D. Calcitonin-salmon 
 
The requirement that a non-formulary medication be covered only if approv...
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Comlex Ethics Level 2|98 Final Exam Study Guide Questions Correctly Answered| A+ Guaranteed
- Exam (elaborations) • 16 pages • 2024
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What is respondent superior or vicarious liability? - ️️it is when an employer is responsible for the actions of their employees. Both terms essentially mean the same thing. 
 
what is res ipsa loquitur? - ️️it is when a physician acts negligently to lead to an accident. 
the thing speaks for itself 
 
Example is if a physician prescribes the wrong medication leading to injury or leaves a scalpel inside someone . 
 
What is contributory negligence? - ️️it is when a patient voluntar...
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Test Bank for Medical-Surgical Nursing: Concepts & Practice 3rd Edition by Susan C. deWit, Holly K. Stromberg & Carol Dallred
- Exam (elaborations) • 368 pages • 2023 Popular
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TEST BANK : MEDICAL SURGICAL NURSING: CONCEPTS & PRACTICE 3RD EDITION BY deWit (CHAPTER 1-48)Chapter 01: Caring for Medical-Surgical Patients Chapter 02: Critical Thinking and the Nursing Process Chapter 03: Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy Chapter 04: Care of Preoperative and Intraoperative Surgical Patients Chapter 05: Care of Postoperative Patients Chapter 06: Infection Prevention and Control Chapter 07: Care of Patients with Pain Chapter 08: Care of Patients wi...
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Final Exam Life and Health Questions And Answers Rated A + 2024.
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Risk - Answer Risk is the uncertainty of loss 
 
Capitation - Answer Capitation payments are payments agreed upon in a capitated contract by a health insurance company and a medical provider. They are fixed, pre-arranged monthly payments received by a physician, clinic or hospital per patient enrolled in a health plan, or per capita. 
 
Under a health maintenance organization HMO service providers are paid a fixed monthly fee for each member. This concept is called - Answer Capitation 
 
W...
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Legal Issues for COMLEX Level 1 Questions and Answers Already Passed
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Legal Issues for COMLEX Level 1 
Questions and Answers Already Passed 
 
A fellow physician is smelling of alcohol on the job. What do you do? Report him to state 
medical board and inform chief of staff, etc. 
 
A female is pregnant and she confides in the physician that the baby is NOT her husbands. The 
husband is also a patient of yours, but she request that you not tell her husband. What should the 
physician do? Do *NOT* tell the husband 
-Also, do NOT encourage the patient in any way 
-Le...
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