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Exam (elaborations)

HS 285 (A+ Guaranteed) 2024.

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• Know the advocacy groups for Not-For-Profit and For-Profit Hospitals correct answers for-profit hospitals - federation of american hospitals not-for-profit - american hospital association • Know what the part the Federal Government plays in Healthcare correct answers us department of health and human services - its mission is to protect the health and enhance the well-being of americans Part A of Medicare correct answers Inpatient Services >24 hours Part B of Medicare correct answers Outpatient Services and Physician care Part C of Medicare correct answers Supplemental Insurance Part D of Medicare correct answers Prescription Drugs (care for the elderly) • Know what managed care is correct answers system of health care in which patients agree to visit certain physicians or hospitals, and the cost will be overseen by a managing group • What is a multihospital system correct answers multi-hospital system is any combination of two or more acute-care facilities under one ownership entity. • What is an IHN (Integrated Healthcare Network) correct answers network that provides services to a population and will be held clinically and fiscally responsible for the health of population • What is a vertically integrated healthcare system (network) correct answers system of care that is provided within a single organization • The role of the governing board correct answers Declare mission statement and vision Declare policies and procedures Hire CEO Guarantee Fiscal Viability Guarantee Quality Care • Understand components of Insurance (Deductible, premium, ect) correct answers Premium - Monthly amount you pay to insurance Deductible - what you pay until the insurance kicks in Co-pay - amount you pay when you visit a facility (80/20 split) HIPAA correct answers Health Insurance Portability and Accountability Act Protects those who lose their job so they can get insurance, Hold physicians accountable to keep records confidential EMTALA correct answers Emergency Medical Treatment and Active Labor Act Treat patients who cannot afford it in the case of an emergency. Stops patient dumping

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HS 285
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HS 285








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HS 285
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HS 285

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