FACHE - ACHE BOG EXAM – HEALTHCARE Questions with 100% Correct Answers | Latest Version 2024 | Verified

Which of the following si true about a capitated Managed Care Organization (MCO) arrangement: a) The provider shifts financial risk to the MCO b) The provider can bil separately for each service provided c) The provider must wait to bil the MCO until services have been provided to a patient d) The provider is paid a set fee - d) The provider is paid a set fee Which of the following is a unit of measure commonly used to determine provider productivity? a) RVU b) CMS c) IPA d) TJC - a) RVU What population factor is currently having the greatest impact on healthcare organizations? a) Ethnic composition b) Economic status c) Geographic distribution d) Age cohort - d) Age cohort The principle reason for small and midsized employers to join buyers' cooperatives si to enable them to: a) Drop coverage from existing insurersb) Gain leverage to obtain prices similar to large employers c) Negotiate directly with physicians and hospitals d) Lobby government agencies for more protection from insurers - b) Gain leverage to obtain prices similar to large employers All areas of healthcare facilities are subject to safety and other regulatory requirements as dictated by state life safety codes, The Joint Commission, Occupational Safety and Health Administration, state fire marshal, and others. Which area of the facility typically has the highest standards?