Hmos Study guides, Class notes & Summaries

Federal requirements - Answer-by means of the health maintenance act of 1973, Congress strongly supported the growth of health maintenance organizations in this country. The act force employers with more than 25 employees to offer HMO as an alternative to their regular health plans. (The part of the act requiring dual Choice has expired and has not been reenacted) The HMO provides benefits in the form of services rather than in the form of reimbursement for the services of the position or hos...

Chapter 1 The nurse’s Role in Adult Health Nursing MULTIPLE CHOICE 1.The nurse ensures that a clients bedspace is neat and clean with the call light within easy reach.The nurse is focusing on which nursing theorist who realized the importance of the environment for care? 1. Florence Nightingale 2. Sister Callista Roy 3. Dorothea Orem 4. Martha Rogers ANS: 1 Florence Nightingales theory focused on the environment for care. Sister Callista Roys model is based in systems theory and an individuals...

Medicare, Medic aide, LTC NC Insurance Exam Questions And Answers Federal Program - ANS Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services. Private firms contract with the federal government to handle the paperwork, review claims, and disburse claim payments. Medicare Part A - ANS Designed primarily to provide hospital insurance and to pa...

Test Bank For Medical Surgical Nursing 5th Edition By Stromberg | All Chapters 1-49 | Latest Guide A+. Chapter 01: Caring for Medical-Surgical Patients deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition MULTIPLE CHOICE Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs. b. To define the scope of LPN/LVN practice. c. To improve the quality of care provided by the LPN/LVN. d. To limit the LPN/LVN...

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 ...

Test Bank - deWits Medical Surgical Nursing: Concepts and Practice, 4th edition (Stromberg, 2021), Chapter 1-48 | All Chapters Answered-1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs. b. To define the scope of LPN/LVN practice. c. To improve the quality of care provided by the LPN/LVN. d. To limit the LPN/LVN employment placement. ANS: B While improving quality of care provided by the LPN/LVN may be a resul...

NUR 205 Final Exam Questions With Verified Solutions Identify elements of a well-functioning health care delivery system Safe Effective Patient Centered Timely Equitable Describe strategies to increase access to affordable, high-quality care. Establish a national focus Identifying and learning from errors Raising performance standards and expectations Implementing safety systems in health care organizations pay for performance penalties for excess readmissions ...

Medicare, Medicaide, LTC NC Insurance Exam Questions and Answers 100% CorrectMedicare, Medicaide, LTC NC Insurance Exam Questions and Answers 100% CorrectMedicare, Medicaide, LTC NC Insurance Exam Questions and Answers 100% CorrectMedicare, Medicaide, LTC NC Insurance Exam Questions and Answers 100% Correct Federal Program - ANSWER-Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Departmen...

Test Bank For Medical Surgical Nursing 5th Edition By Stromberg | All Chapters 1-49 | Latest Guide A+. Chapter 01: Caring for Medical-Surgical Patients deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition MULTIPLE CHOICE Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs. b. To define the scope of LPN/LVN practice. c. To improve the quality of care provided by the LPN/LVN. d. To limit the LPN/LVN...

Test Bank for Medical-Surgical Nursing 5E Holly Stromberg Chapter 01: Caring for Medical-Surgical Patients Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition MULTIPLE CHOICE 1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs b. To define the scope of LPN/LVN practice c. To improve the quality of care provided by the LPN/LVN d. To limit the LPN/LVN employment placement ANS: B While improv...