2024/2025 Exam Questions with 100%
Correct Answers | Latest Update
Associate practice - 🧠ANSWER ✔✔a legal agreement in which physicians
agree to share a facility and staff but do not, as a rule, share responsibility
for the legal actions of each other.
Capitation rate - 🧠ANSWER ✔✔a fixed monthly fee paid by an HMO to
health care providers for providing medical services to patients who are
members of that HMO.
Certification - 🧠ANSWER ✔✔a voluntary credentialing process usually
offered by a professional organization.
Conscience clause - 🧠ANSWER ✔✔legislation or regulation stating that
hospitals and healthcare professionals are not required to assist with such
procedures as abortion and sterilization.
Copayment - 🧠ANSWER ✔✔an agreed-upon fee paid by the insured for
certain medical services; usually $10 to $20.
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, Corporation - 🧠ANSWER ✔✔a type of medical practice, as established by
law, which is managed by a board of directors.
Diagnostic related groups (DRGs) - 🧠ANSWER ✔✔designations used to
identify reimbursement per condition in a hospital; used for Medicare
patients.
Exclusive provider organization (EPO) - 🧠ANSWER ✔✔a type of managed
care that combines the concepts of the HMO and PPO.
Fee splitting - 🧠ANSWER ✔✔an agreement to pay a fee to another
physician or agency for the referral of patients; this is illegal in some states
and is considered to be an unethical medical practice.
Fixed-payment plan - 🧠ANSWER ✔✔a payment plan for medical bills that
offers subscribers (members) complete medical care in return for a fixed
monthly fee.
Franchise - 🧠ANSWER ✔✔a business run by an individual to whom a
franchisor grants the exclusive right to market a product or service in a
certain market area.
Franchisee - 🧠ANSWER ✔✔person or company who holds a franchise.
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COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED