Exam 2025-2026 Questions and Answers Graded
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An alternative to the fee for service method of payment is
capitation
3 multiple choice options
Medicare part B helps pay for
diagnostic tests
3 multiple choice options
The prospective payment system is
the federal government announces to a hospital in advance what it will pay for
hospitalization
3 multiple choice options
,Medicaid is
An entitlement program funded by the federal and state governments
3 multiple choice options
Which act created reformed the health care system
affordable care act
3 multiple choice options
he affordable care act established a
health insurance marketplace
3 multiple choice options
Two major ways to finance health care services are
Fee-for-service and capitation
3 multiple choice options
Group health insurance works by
pooling individual contributions to protect them from financial disaster due to
health care bills
3 multiple choice options
,insurance companies charge deductibles, copayments and coinsurance to
increase the profit margins
3 multiple choice options
Medicare Part A helps pay for
inpatient hospital care
3 multiple choice options
A method of financing health care costs in which physicians are paid a fee by the
patient for each service they provide is known as
fee for service
3 multiple choice options
Diagnosis related groups (DRG's) and prospective payment systems are most
clearly the reason for
critical pathways and managed care
3 multiple choice options
The yearly amount an insured person must spend out-of-pocket for health care
services before a health insurance policy will begin to pay its share is known as the
, deductible
3 multiple choice options
Which program offers and incentive to hospitals to dischargepatients as quickly as
possible?
prospective payment system
3 multiple choice options
Once a deductible has been met, the percentage of the total bill paid by the insured
person is known as the
coinsurance
Which of the following constitutes a problem that affects data collected by the
nurse interviewing a chronically ill older patient ? Many older adults who are
covered only by Medicaid Parts A and B find it difficult to pay the cost of what?
prescription drugs while living at home
3 multiple choice options
A 70-year-old patient tells the nurse " I cant go to the hospital for treatment
because I have no hospital insurance. My social security and my pension pay my