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Health Care Delivery and Financing Questions with Correct Answers.

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2024/2025 Written for academic year
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Course UHC Certification
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Health Care Delivery and Financing Questions with Correct Answers.

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Health Care Delivery and Financing Questions with
Correct Answers
new technology and pharmaceuticals has caused health care cost to
Correct Ans ✓✓ increase


professional standards review organization (PSRO) Correct Ans ✓✓
established to review the quality, quantity, and cost of hospital care
provided through Medicare


utilization review committee (UR) Correct Ans ✓✓ review admissions,
diagnostic tests and therapies provided by physicians to clients


prospective payment system (PPS) Correct Ans ✓✓ eliminated cost-
based reimbursement


diagnosis related groups (DRGs) Correct Ans ✓✓ hospital services for
Medicare clients were bundled into 468 DRGs
fixed reimbursement
severity, regional cost, teaching cost


managed care Correct Ans ✓✓ health care systems in which there is
administrative control over health care to defined population
predetermined payment for each client


national quality forum Correct Ans ✓✓ "never events"

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