Healthcare Finance Exam 1
Almshouses - correct answer ✔✔19th century
People who were sick and for people without family to take care of them
maintained by local communities
Pesthouses - correct answer ✔✔19th century
People with infectious diseases
Quality of care was marginal
Maintained by local communities
Marine Hospitals - correct answer ✔✔19th century
Established by the federal government
Take care of sailors who didn't have family
First example of federal healthcare
EMTALA - correct answer ✔✔Emergency Medical Treatment And Act of Labor Act
Prohibited hospitals to turn away people (from ER) without money
Has to provide charity care
If hospital accumulated bad debt, would spread cost to paying patients
Affordable Care Act - correct answer ✔✔2009.
Bill aimed at providing insurance to the uninsured
Improve the overall accessibility and quality of the US Healthcare system
Expands medicaid and closest to universal healthcare
Public Health Prevention Act - correct answer ✔✔Does not exist
, The fund -- Nation's first mandatory funding stream dedicated to improving our nation's health system,
part of ACA
Mental Health Parity Act - correct answer ✔✔1996. Made sure that health insurance policies included
and covered care for mental health, but not full coverage
Medicare - correct answer ✔✔Care/ coverage of insurance for eldery, those with end stage renal
disease, and ALS
Medicare part A Hospital services - correct answer ✔✔Inpatient care in hospitals
Rehabiliation hospitals
Long term care hospitals
Hospice
Home health care services
Skilled nursing facilities(not for custodial care or long-term care)
unlimited visits by home health agency
How is medicare financed? - correct answer ✔✔General revenue, beneficiary premiums, payroll tax
contributions
Fraud - correct answer ✔✔Intentional misrepresentation of fact designed to induce reliance by another
(criminal and civil penalties)
Abuse - correct answer ✔✔Unintentional misrepresentation of fact (civil penalties)
DRG - correct answer ✔✔Help to control cost
Uses codes to what treatments are for certain diseases
Specific payment amount for each diagnosis related groups vs. cost based reimbursement
Efforts to control cost (2) - correct answer ✔✔DRG
Almshouses - correct answer ✔✔19th century
People who were sick and for people without family to take care of them
maintained by local communities
Pesthouses - correct answer ✔✔19th century
People with infectious diseases
Quality of care was marginal
Maintained by local communities
Marine Hospitals - correct answer ✔✔19th century
Established by the federal government
Take care of sailors who didn't have family
First example of federal healthcare
EMTALA - correct answer ✔✔Emergency Medical Treatment And Act of Labor Act
Prohibited hospitals to turn away people (from ER) without money
Has to provide charity care
If hospital accumulated bad debt, would spread cost to paying patients
Affordable Care Act - correct answer ✔✔2009.
Bill aimed at providing insurance to the uninsured
Improve the overall accessibility and quality of the US Healthcare system
Expands medicaid and closest to universal healthcare
Public Health Prevention Act - correct answer ✔✔Does not exist
, The fund -- Nation's first mandatory funding stream dedicated to improving our nation's health system,
part of ACA
Mental Health Parity Act - correct answer ✔✔1996. Made sure that health insurance policies included
and covered care for mental health, but not full coverage
Medicare - correct answer ✔✔Care/ coverage of insurance for eldery, those with end stage renal
disease, and ALS
Medicare part A Hospital services - correct answer ✔✔Inpatient care in hospitals
Rehabiliation hospitals
Long term care hospitals
Hospice
Home health care services
Skilled nursing facilities(not for custodial care or long-term care)
unlimited visits by home health agency
How is medicare financed? - correct answer ✔✔General revenue, beneficiary premiums, payroll tax
contributions
Fraud - correct answer ✔✔Intentional misrepresentation of fact designed to induce reliance by another
(criminal and civil penalties)
Abuse - correct answer ✔✔Unintentional misrepresentation of fact (civil penalties)
DRG - correct answer ✔✔Help to control cost
Uses codes to what treatments are for certain diseases
Specific payment amount for each diagnosis related groups vs. cost based reimbursement
Efforts to control cost (2) - correct answer ✔✔DRG
