HSM 200 || WELL-ENLIGHTENED Q&A!!
DRG correct answers Diagnosis-Related Groups- a case payment system that radically
changed hospital reimbursement shifting hospital reimbursement from the retrospective to a
prospective basis. The DRG system provided incentives for the hospital to spend only what
was needed to achieve optimal patient outcomes. if outcomes could be achieved at a cost
lower than the preset payment, the hospital received an excess payment for those cases. If the
hospital spent more to treat cases than allowed, it absorbed the excess cost. this payment
system was widely adopted by nongovernmental health insurers.
HIPAA correct answers The Health Insurance Portability and Accountability Act of 1996-
permitted individuals to continue insurance coverage after a loss or change of employment by
mandating the renewal of insurance coverage except for specific reasons; regulated the
circumstances in which an insurance plan may limit benefits because of preexisting
conditions; established privacy standards for patient health information ;established
"Administrative Simplification, : by calling for computerization of medical records by 2003.
Plus, patient privacy is confidential and only shared with medical personnel
Veteran's Administration Issues correct answers long wait times, limited number of facilities
Veteran's Administration Purpose correct answers network of health care facilities designed
to provide care to Veterans' only.
Veteran's Administration Eligibility correct answers provided as part of veterans military
fee for service correct answers is a payment model where services are unbundled and paid for
separately. In health care, it gives an incentive for physicians to provide more treatments
because payment is dependent on the quantity of care, rather than quality of care.
ACGME correct answers Accreditation Council for Graduate Medical Education- The
independent, not-for-profit professional origination that accredits 3-7 years programs of
advanced education and clinical practice required by physicians to provide direct patient care
in recognized medical specialty.
What is the Veterans Health Administration? (1) correct answers - Initiated to provide care
for Civil War veterans who were disabled or indigent
- Grew to become one of the world's largest health care delivery systems.
- Currently operates over 100 medical centers, 900 ambulatory care and community
outpatient clinics, 100 nursing homes, 40 residential rehabilitation treatment programs, 200
veteran centers, and comprehensive home care programs.
- Maintains major medical affiliations with more than 100 medical schools throughout the
United States. They also affiliate with numerous dental schools and over 1,000 other schools
throughout the US.
Public Health" is broadly defined as: correct answers community efforts to cope with health
problems arising from people living in groups
Roles of Public Health Departments correct answers Responsibilities:
- monitoring sanitations of restaurants
- conducting immunization programs
DRG correct answers Diagnosis-Related Groups- a case payment system that radically
changed hospital reimbursement shifting hospital reimbursement from the retrospective to a
prospective basis. The DRG system provided incentives for the hospital to spend only what
was needed to achieve optimal patient outcomes. if outcomes could be achieved at a cost
lower than the preset payment, the hospital received an excess payment for those cases. If the
hospital spent more to treat cases than allowed, it absorbed the excess cost. this payment
system was widely adopted by nongovernmental health insurers.
HIPAA correct answers The Health Insurance Portability and Accountability Act of 1996-
permitted individuals to continue insurance coverage after a loss or change of employment by
mandating the renewal of insurance coverage except for specific reasons; regulated the
circumstances in which an insurance plan may limit benefits because of preexisting
conditions; established privacy standards for patient health information ;established
"Administrative Simplification, : by calling for computerization of medical records by 2003.
Plus, patient privacy is confidential and only shared with medical personnel
Veteran's Administration Issues correct answers long wait times, limited number of facilities
Veteran's Administration Purpose correct answers network of health care facilities designed
to provide care to Veterans' only.
Veteran's Administration Eligibility correct answers provided as part of veterans military
fee for service correct answers is a payment model where services are unbundled and paid for
separately. In health care, it gives an incentive for physicians to provide more treatments
because payment is dependent on the quantity of care, rather than quality of care.
ACGME correct answers Accreditation Council for Graduate Medical Education- The
independent, not-for-profit professional origination that accredits 3-7 years programs of
advanced education and clinical practice required by physicians to provide direct patient care
in recognized medical specialty.
What is the Veterans Health Administration? (1) correct answers - Initiated to provide care
for Civil War veterans who were disabled or indigent
- Grew to become one of the world's largest health care delivery systems.
- Currently operates over 100 medical centers, 900 ambulatory care and community
outpatient clinics, 100 nursing homes, 40 residential rehabilitation treatment programs, 200
veteran centers, and comprehensive home care programs.
- Maintains major medical affiliations with more than 100 medical schools throughout the
United States. They also affiliate with numerous dental schools and over 1,000 other schools
throughout the US.
Public Health" is broadly defined as: correct answers community efforts to cope with health
problems arising from people living in groups
Roles of Public Health Departments correct answers Responsibilities:
- monitoring sanitations of restaurants
- conducting immunization programs
