POTTER AND PERRY'S CANADIAN
FUNDAMENTALS OF NURSING 7TH EDITION
EXAM QUESTIONS AND SOLUTIONS GRADED
A+
◉ Review the quality and cost of hospital care.
Answer: Professional Standards Review Organizations
◉ Grouped inpatient hospital services for Medicare patients into
diagnosis related groups (GRDs).
Answer: Prospective Payment System
◉ Review admissions and identify and eliminate overuse of
diagnostic and treatment services ordered by physicians caring for
patients on Medicare.
Answer: Utilization Review Committee
◉ IOM.
Answer: Institute of Medicine
◉ each group has fixed reimbursement amount based on case
severity, rural/urban/regional costs, and teaching costs..
, Answer: Diagnostic Related Groups
◉ Capitation.
Answer: Fixed premium
◉ Managed Care Organization.
Answer: Prepaid health plans that provide comprehensive health
care to members. Focus is prevention, early intervention, and
outpatient care.
◉ PPACA.
Answer: Patient Protection and Affordable Care Act, "Obamacare"
◉ Limits enrollee's choice to a list of "preferred" hospitals,
physicians, and providers..
Answer: Preferred Provider Organization
◉ Medicare.
Answer: A federal program of health insurance for persons 65 years
of age and older
◉ Medicaid.
Answer: extended health insurance to welfare recipients
FUNDAMENTALS OF NURSING 7TH EDITION
EXAM QUESTIONS AND SOLUTIONS GRADED
A+
◉ Review the quality and cost of hospital care.
Answer: Professional Standards Review Organizations
◉ Grouped inpatient hospital services for Medicare patients into
diagnosis related groups (GRDs).
Answer: Prospective Payment System
◉ Review admissions and identify and eliminate overuse of
diagnostic and treatment services ordered by physicians caring for
patients on Medicare.
Answer: Utilization Review Committee
◉ IOM.
Answer: Institute of Medicine
◉ each group has fixed reimbursement amount based on case
severity, rural/urban/regional costs, and teaching costs..
, Answer: Diagnostic Related Groups
◉ Capitation.
Answer: Fixed premium
◉ Managed Care Organization.
Answer: Prepaid health plans that provide comprehensive health
care to members. Focus is prevention, early intervention, and
outpatient care.
◉ PPACA.
Answer: Patient Protection and Affordable Care Act, "Obamacare"
◉ Limits enrollee's choice to a list of "preferred" hospitals,
physicians, and providers..
Answer: Preferred Provider Organization
◉ Medicare.
Answer: A federal program of health insurance for persons 65 years
of age and older
◉ Medicaid.
Answer: extended health insurance to welfare recipients
