EXAM-HEALTHCARE WITH
100% CORRECT ANSWERS
GRADED A+ 2026 UPDATE!!
Mortality - answer-The incidence of death in a population
Morbidity - answer-The incidence and severity of illness and accidents in a population
Medigap - answer-Health insurance sold by private insurance companies to fill the
"gaps" in original Medicare plan coverage
Medicare recovery audit program - answer-A program to identify and correct improper
payments from Medicare to providers, with the aim of preventing future improper
payments by Medicare; a common improper payment is for surgical services provided in
the wrong setting (inpatient instead of outpatient).
Magnet Recognition Program - answer-A program developed by the American Nurses
Credentialing Center that recognizes healthcare organizations for quality patient care,
nursing excellence and innovations in professional nursing practice; Magnet
designation is the ultimate credential for high-quality nursing
Long-term care - answer-A continuum of maintenance, custodial, and health services
provided to the chronically ill, disabled or mentally handicapped.
Joint Commission - answer-The independent, not-for-profit organization that evaluiates
and monitors the quality of care provided in hospitals
Interdisciplinary plan of care - answer-A documented process that includes the patient,
the family, and all clinical disciplines involved in planning and providing care to a patient
, from system point of entry, throuhgout the entire acute care episode, and to the next
level of care
Independent Practice Association - answer-A legal entity that contracts with a group of
independent physicians to provide services to managed care organizations at a
negotiated per capita rate; the arrangement is usually not exclusive, so the physicians
may sign contracts with other managed care companies
Indemnity Plans - answer-Traditional fee-for-service health plans
Hospitalist - answer-A physician who manages broad categories of hospitalized patients
Hospital preauthorization - answer-A managed care technique in which the insured
obtains permission from a managed care organization before entering the hospital for
nonemergency care.
Palliative Care - answer-Interdisciplinary care provided to a patient with a serious, life-
threatening, or life-limiting illness that aims not to provide curative treatment but rather
to manage symptoms; relieve pain and discomfort; improve quality of life; and meet the
emotional, social and spiritual needs of the patient and the patient's family
Hospice - answer-An organization that provides medical care and support services (pain
and symptom management, counseling, bereavement services) to terminally ill patients
and their families; it may be a freestandign facility, a unit of a hospital or other
institution, or a separate program of a hospital, agency or institution.
Healthcare Effectiveness Data and Information Set - answer-A comprehensive set of
standardized performance measures designed to provide purchasers and consumers
with the information they need for reliable comparison of health plan performance;
HEDIS measures relate to significant public health issues such as cancer, heart
disease, smoking, asthma, and diabetes.