CPNRE prep (Timby and Smith) Questions & Answers Solved 100% Correct!!
Healthcare team - consists of specially trained personnel who work together to help clients meet their healthcare needs Healthcare delivery system - refers to the full range of services available to people seeking prevention, identification, treatment, or rehabilitation of health problems. Primary care - first health care worker or agency to assess a person with a health need; emphasis on prevention and education, promoting health secondary care - Care by a physician (specialist) who can perform out-of-the-ordinary procedures in outpatient facilities; includes doctor referrals for further treatment/ tests, potential diagnosis. Tertiary care - intensive care, subacute care; more complex situations related to chronic problems. PPACA - Patient Protection and Affordable Care Act of 2010 (aka obamacare) meant to provide affordable healthcare to US citizens Medicare - A federal program of health insurance for persons 65 years of age and older or on disability; primarily financed through employee payroll taxes Medicare- Part A - -covers hospital care, skilled care, hospice, home health services, and nursing homes (may need some monthly coverage fee if they didn't pay in taxes) Medicare- Part B - covers medically necessary services like physician visits, outpatient care, home health, preventative services; requires annual deductible and if met the participant pays 20% of amount unless they have other insurance Medicare Part C (Medicare Advantage Plans) - Health coverage option includes part A & part b & operated by private insurance companies that are approved by & under contract w medicareMedicare—Part D Prescription Drug Coverage - helps cover and possibly reduce prescription drug costs Medigap insurance - insurance provided b
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