Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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-Banning of preexisting condition coverage limitations
The major provisions of the Patient Protection & Attordable Care Act of 2010 were? -Free preventative care
-Medicaid expansion
-The CFO typically reports directly to the chief executive oflcer (CEO)
Which of the following statement(s) about the finance department a t large healthcare -The CFO is usually assisted by a comptroller and treasurer
organizations is/are correct? -The department is headed by the chief financial oflcer (CFO) (sometimes called the vice
president-finance)
-Vendor
In a not-for-profit hospital, the following are example(s) of a stakeholder. -Employee
-Community
-Claim on residual liquidation proceeds
Stockholders have all of the following right(s)... -Right of control
-A possible dividend and/or capital gains
Which of the following statements about finance accounting, and financial management is Financial management provides the theory, concepts, and tools necessary to help managers
most correct? make better financial decisions.
External reporting What is a DISADVANTAGE of being a corporation?
Facilities management Which of the following are not finance activities?
What is NOT a advantage of proprietorship? Unlimited liability
A not-for-profit corporation can also be called a 529(b). False
The primary goal of investor-owned corporations is shareholder wealth maximization. True
The fixed amount for a covered service that the insurer mandates that the patient pay to the
Copayments
provider before the patient receives service from the provider.
Coinsurance Requires an individual to pay for a certain percentage of the eligible medical expenses.
Adverse selection Individuals at greater risk of needing health care are more likely to purchase insurance.
The amount that must be paid out of pocket by the policyholder before an insurance provider
Deductibles
will pay any expenses.
The risk of overuse of health services because the insured does not bear the full cost of the
Moral hazard
consequences.
Covers physician services, ambulatory surgical services, outpatient services, and certain other
Medicare Part B
miscellaneous services.
Medicare Part A Covers hospital and some skilled nursing coverage
Medicare Part D Covers prescription drugs
Medicare Part C Is often called Medicare Advantage
Payers pay based ott of pre-determined "chargemaster." These payments are usually dis-
Charge-Based
counted up to 20% to 50%.
Cost-Based Providers were reimbursed for "actual" costs.
Capitation Payment is (usually) made on a per member per month basis
Prospective Payment Are use to pay for either a predefined procedure, diagnosis, per diem or bundled service
Has potential to result in 'gamesmanship that can inflate healthcare charges Charge-Based
May result in up-coding Prospective Payment
No incentive to control costs Cost-Based
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