HSA 6114 EXAM 2 QUIZZES UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
What does "PPS" stand for?
-Preferred Provider System -Primary Physician System -Private Practice
System -Prospective Payment System
Answer:
-Prospective Payment System
Question:
Typically, tertiary care:
-Is highly specialized -Does not depend on technology -Takes place outside of
traditional healthcare facilities -All of the above
Answer:
-Is highly specialized
Question:
What is palliation?
-Pain and symptom management -Psychosocial support -A surgical
intervention -Bed rest -A siginificant problem for PNPs
Answer:
-Pain and symptom management
Question:
How is community-oriented primary care (COPC) different from primary care?
-COPC does not believe in the link between primary and secondary prevention.
-COPC adheres more strongly to the biomedical model. -COPC adds a
population-based approach to identifying and addressing community health
problems. -All of the above
Answer:
-COPC adds a population-based approach to identifying and addressing
community health problems.
Question:
What criterion does the ACA use to classify an employer as a large employer?
-The employer offers health insurance to all its employees. -The employer has
at least 100 full-time-equivalent employees. -The employer has 50 or more
full-time-equivalent employees. -The employer has 200 or more full- and
part-time employees.
Answer:
The employer has 50 or more full-time-equivalent employees.
30+ hours is considered full time
Question:
What is the incentive under fee-for-service reimbursement?
-Patients have the incentive to consume more services than necessary
-Providers have an incentive to deliver nonessential services -Insurers have an
incentive to reduce premium costs -Payers have the incentive to reduce
, reimbursement
Answer:
-Providers have an incentive to deliver nonessential services
Question:
In general, prospective payment systems establish re-imbursement for
-bundled services -services already provided -resources already used -costs
incurred in the delivery of services
Answer:
-bundled services
Question:
When a fixed monthly fee per enrollee is paid to a provider, it is called
-Capitation -Bundled fee -Retrospective reimbursement -Charge
Answer:
-Capitation
Question:
Capitation removes the incentive to
-underutilize health care. -control costs. -file a reimbursement claim. -provide
unnecessary services.
Answer:
-provide unnecessary services.
Question:
Under retrospective reimbursement, a health care organization is paid
according to
-predetermined rates. -the number of patients served. -fees established by the
organization. -the costs incurred in operating the institution.
Answer:
-the costs incurred in operating the institution.
Question:
The amount of reimbursement is determined before the services are
delivered.
-Cost-plus reimbursement -Retrospective reimbursement -Fee-for-service
-Prospective reimbursement
Answer:
-Prospective reimbursement
Question:
A DRG represents
-bundled fees established prospectively -cumulative days of care
-number of discharges from the hospital -a group of principal diagnoses
Answer:
-a group of principal diagnoses (Diagnosis-related group)
Question:
What is the primary mechanism that enables people to obtain health care
services?
-Availability of services -Health insurance -Payment for services -Control of
expenditures
QUESTIONS AND CORRECT ANSWERS
Question:
What does "PPS" stand for?
-Preferred Provider System -Primary Physician System -Private Practice
System -Prospective Payment System
Answer:
-Prospective Payment System
Question:
Typically, tertiary care:
-Is highly specialized -Does not depend on technology -Takes place outside of
traditional healthcare facilities -All of the above
Answer:
-Is highly specialized
Question:
What is palliation?
-Pain and symptom management -Psychosocial support -A surgical
intervention -Bed rest -A siginificant problem for PNPs
Answer:
-Pain and symptom management
Question:
How is community-oriented primary care (COPC) different from primary care?
-COPC does not believe in the link between primary and secondary prevention.
-COPC adheres more strongly to the biomedical model. -COPC adds a
population-based approach to identifying and addressing community health
problems. -All of the above
Answer:
-COPC adds a population-based approach to identifying and addressing
community health problems.
Question:
What criterion does the ACA use to classify an employer as a large employer?
-The employer offers health insurance to all its employees. -The employer has
at least 100 full-time-equivalent employees. -The employer has 50 or more
full-time-equivalent employees. -The employer has 200 or more full- and
part-time employees.
Answer:
The employer has 50 or more full-time-equivalent employees.
30+ hours is considered full time
Question:
What is the incentive under fee-for-service reimbursement?
-Patients have the incentive to consume more services than necessary
-Providers have an incentive to deliver nonessential services -Insurers have an
incentive to reduce premium costs -Payers have the incentive to reduce
, reimbursement
Answer:
-Providers have an incentive to deliver nonessential services
Question:
In general, prospective payment systems establish re-imbursement for
-bundled services -services already provided -resources already used -costs
incurred in the delivery of services
Answer:
-bundled services
Question:
When a fixed monthly fee per enrollee is paid to a provider, it is called
-Capitation -Bundled fee -Retrospective reimbursement -Charge
Answer:
-Capitation
Question:
Capitation removes the incentive to
-underutilize health care. -control costs. -file a reimbursement claim. -provide
unnecessary services.
Answer:
-provide unnecessary services.
Question:
Under retrospective reimbursement, a health care organization is paid
according to
-predetermined rates. -the number of patients served. -fees established by the
organization. -the costs incurred in operating the institution.
Answer:
-the costs incurred in operating the institution.
Question:
The amount of reimbursement is determined before the services are
delivered.
-Cost-plus reimbursement -Retrospective reimbursement -Fee-for-service
-Prospective reimbursement
Answer:
-Prospective reimbursement
Question:
A DRG represents
-bundled fees established prospectively -cumulative days of care
-number of discharges from the hospital -a group of principal diagnoses
Answer:
-a group of principal diagnoses (Diagnosis-related group)
Question:
What is the primary mechanism that enables people to obtain health care
services?
-Availability of services -Health insurance -Payment for services -Control of
expenditures
