HIM 410 FINAL EXAM | ALL QUESTIONS AND CORRECT
ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTIONS
• Quad-function model of the US healthcare system -✓✓ 1. Financing
2. Insurance
3. Payment
4. Delivery
• National Health Insurance -✓✓ Government finances care through taxes, but care is
through private practice
EX: Canada
• National Health System -✓✓ Care is supported through taxes but the government is
also responsible for delivery and infrastructure
EX: UK
• Socialized Health Insurance -✓✓ Financed through government mandated
contributions by employers and delivered by providers
EX: Germany
• Public Health: -✓✓ A wide variety of activities undertaken by state and local
governments to promote optimal health for society as a whole
• Private Practice -✓✓
• Organize medicine: -✓✓ concerted activities of physicians, mainly to protect their own
interests, through associations such as the American Medical Association
• Defensive Medicine: -✓✓ excessive medical tests and procedures performed as
protection against malpractice law suits, otherwise regarded as unnecessary
• Two Types of Physicians: -✓✓ MD: Doctor of Medicine
DO: Doctor of Osteopathic Medicine
• MD -✓✓ allopathic medicine: medicine is an active intervention
specialists: non-primary care
, • DO -✓✓ Emphasizes musculoskeletal system, correction of joints and tissues, holistic
health
generalists: primary care
• Allied health professionals -✓✓ -techs, assistants, therapists, technologists
-certificate or degree in science related to health field
• Nurses (RN, LPN, APN) -✓✓ -largest group of HCP
many different types/sub groups
• Registered Nurse (RN): -✓✓ Associates or BA in nursing
• Licensed Practical Nurse (LPN): -✓✓ State-approved program and national written
exam
• Advanced Practice Nurse (APN): -✓✓ Nurses who have classifications beyond those
of an RN
ex: CNS, CRNA, NP, CNM
• non-physician practitioner (NPP): -✓✓ -Can provide a large portion of care
-PAs
-NPs
• National Practitioner Data Bank -✓✓ tracks physicians malpractice and peer review
records
• What are third-party payers -✓✓ Insurance companies, Managed care organizations,
Government
• Prospective Payment -✓✓ A bundled payment decided upon before the services are
delivered
EX: optometrist charging flat fee for eye exam, glasses, corrective lenses
• Retrospective Payment: -✓✓ setting rates after evaluating the individual cost of each
service
• episode of care: -✓✓ -the set of services provided to treat a clinical condition or
procedure
ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTIONS
• Quad-function model of the US healthcare system -✓✓ 1. Financing
2. Insurance
3. Payment
4. Delivery
• National Health Insurance -✓✓ Government finances care through taxes, but care is
through private practice
EX: Canada
• National Health System -✓✓ Care is supported through taxes but the government is
also responsible for delivery and infrastructure
EX: UK
• Socialized Health Insurance -✓✓ Financed through government mandated
contributions by employers and delivered by providers
EX: Germany
• Public Health: -✓✓ A wide variety of activities undertaken by state and local
governments to promote optimal health for society as a whole
• Private Practice -✓✓
• Organize medicine: -✓✓ concerted activities of physicians, mainly to protect their own
interests, through associations such as the American Medical Association
• Defensive Medicine: -✓✓ excessive medical tests and procedures performed as
protection against malpractice law suits, otherwise regarded as unnecessary
• Two Types of Physicians: -✓✓ MD: Doctor of Medicine
DO: Doctor of Osteopathic Medicine
• MD -✓✓ allopathic medicine: medicine is an active intervention
specialists: non-primary care
, • DO -✓✓ Emphasizes musculoskeletal system, correction of joints and tissues, holistic
health
generalists: primary care
• Allied health professionals -✓✓ -techs, assistants, therapists, technologists
-certificate or degree in science related to health field
• Nurses (RN, LPN, APN) -✓✓ -largest group of HCP
many different types/sub groups
• Registered Nurse (RN): -✓✓ Associates or BA in nursing
• Licensed Practical Nurse (LPN): -✓✓ State-approved program and national written
exam
• Advanced Practice Nurse (APN): -✓✓ Nurses who have classifications beyond those
of an RN
ex: CNS, CRNA, NP, CNM
• non-physician practitioner (NPP): -✓✓ -Can provide a large portion of care
-PAs
-NPs
• National Practitioner Data Bank -✓✓ tracks physicians malpractice and peer review
records
• What are third-party payers -✓✓ Insurance companies, Managed care organizations,
Government
• Prospective Payment -✓✓ A bundled payment decided upon before the services are
delivered
EX: optometrist charging flat fee for eye exam, glasses, corrective lenses
• Retrospective Payment: -✓✓ setting rates after evaluating the individual cost of each
service
• episode of care: -✓✓ -the set of services provided to treat a clinical condition or
procedure
