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FINANCIAL MANAGEMENT OF HEALTH CARE ORGANIZATIONS CHAPTER 1 QUESTIONS AND ANSWERS

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2024/2025 Written for academic year
Institution Financial Management For Public Health
Course Financial Management for Public Health
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FINANCIAL MANAGEMENT OF HEALTH CARE ORGANIZATIONS CHAPTER 1 QUESTIONS AND ANSWERS

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LEADERSHIP: CHAPTER 4: FINANCIAL MANAGEMENT IN HEALTH CA
cf cf cf cf cf cf cf



RE:
FINANCIAL MANAGEMENT OF HEALTH CARE
ORGANIZATIONS CHAPTER 1 QUESTIONS AND
ANSWERS

Healthcfinsurancecfexchangecf-cfanswer--Acfstate-
level,cfcompetitivecfinsurancecfmarketplace,cfauthorizedcfbycfthecfACA.cfIncfeachcfstate,cftherecfwillcfbecfoncfforcfindividual
ndcfonecfforcfsmallcfbusinessescfneedingcfinsurance

Accountablecfcarecforganizationcf-cfanswer--
Acfgroupcfofcfhealthcfcarecfproviderscfwhocfprovidecfcoordinatedcfcarecftocftargetcfpatientcfpopulations,cfwithcfthecfintentcfo
yingcffinancialcfincentivescftocfqualitycfoutcomescfandcfloweredcfcosts

Capitationcf-cfanswer--
Acfsystemcfthatcfpayscfproviderscfacfspecificcfamountcfincfadvancecftocfcarecfforcfthecfhealthcfcarecfneedscfofcfacfpopulation
vercfacfspecificcftimecfperiod.

Carecfmappingcf-cfanswer--
Acfprocesscfthatcfspecifiescfincfadvancecfthecfpreferredcftreatmentcfregimencfforcfpatientscfwithcfparticularcfdiagnoses.cfTh
fiscfreferredcftocfascfacfclinicalcfpathway,cfclinicalcfprotocol,cforcfpracticecfguideline.



EHRcf-cfanswer--
Alsocfcalledcfancfelectroniccfmedicalcfrecordcf(EMR),cfthiscfonlinecfversioncfofcfpatients'cfchartscfcancfincludecfpatientcfdem
graphics,cfinsurancecfinformation,cfdictationscfandcfnotes,cfmedicationcfandcfimmunizationcfhistories,cfancillarycftestcfres
ts,cfandcfthecflike.

Evidence-basedcfmedicinecf-cfanswer--
Healthcfcarecfbasedcfoncfthecfbestcfevidencecfcurrentlycfavailablecffromcfbothcfindividualcfclinicalcfexpertisecfandcfresearc
basedcfclinicalcffindings.

Groupcfpurchasingcforganizationscf(GPO)cf-cfanswer--Acfnetworkcfofcfhealthcfcarecforganizationscfandcfacfthird-
partycfvendorcfwhocfarecfablecftocfacquirecflargecfvolumescfofcfsuppliescffromcfmanufacturerscfatcfnegotiatedcfdiscountedc
tescfowingcftocfeconomiescfofcfscale

HIPAAcf-cfanswer--
Acfsetcfofcffederalcfcompliancecfregulationscfenactedcfincf1996cftocfensurecfstandardizationcfofcfbilling,cfprivacy,cfandcfrepo
ngcfpracticescfascfinstitutionscfconvertcftocfelectroniccfsystem

ICDcf10cf-cfanswer--
ThecfWorldcfHealthcfOrganization'scfInternationalcfStatisticalcfClassificationcfofcfDiseasecfandcfRelatedcfHealthcfProblem
(ICD)cfiscfcodingcfsystemcfforcfdiseasescfthatcfiscfusedcfincfthecfUnitedcfStatescfforcfhealthcfinsurancecfclaimcfreimburseme
cfCurrently,cfthecfUnitedcfstatescfusescfthecfninthcfversioncfofcfthesecfcodes.cfOthercfcountriescfusecfthecftenthcfversion,cfIC

10

MedicalcfTourismcf-cfanswer--
Travelcftocfforeigncfcountrycftocfobtaincfnormallycfexpensivecfmedicalcfservicescfatcfacfsteepcfdiscount.

1cf/cf3

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