CSPR 100 2026 HIGH-YIELD
DECONTAMINATION STERILIZATION AND
DISINFECTION PROCEDURES STUDY
MATERIALS
◉ ACA.
Answer: Affordable Care Act
◉ HMO (Health Maintenance Organization).
Answer: The organization is both the insurer and provider of a set of
defined services. Patients within this network must use an in-
network provider for their services to be covered.
◉ Capitation Payment.
Answer: part of prospective payment in which healthcare providers
receive fixed monthly payments for services rendered regardless of
whether or not services are used
◉ PPO (Preferred Provider Organization).
Answer: A network of healthcare providers, such as hospitals and
physicians. They have entered into a contract with a third-party
,entitled to deliver healthcare services to individuals covered under
the plan.
◉ POS.
Answer: Combines the features of both an HMO and PPO, with costs
for covered persons falling somewhere between the two. Required
to have a PCP, but can self refer to other in-network specialists.
◉ EPO.
Answer: Services are covered only if patients use doctors, specialists
or hospitals in the plan's network. There are no out of network
benefits.
◉ ACO.
Answer: Accountable Care Organization
◉ What employer-based insurance was first?.
Answer: Blue Cross
◉ ERISA (Employee Retirement Income Security Act).
Answer: Federal law that sets minimum standards for most
voluntarily established pension and health plans in private industry
to provide protection for individuals in these plans.
, ◉ Government health Coverage Examples.
Answer: Medicare and Medicaid
◉ Medicare Managed Care Plans.
Answer: These plans charge a monthly premium and a small
copayment for each office visit, but not a deductible. Like private
payer managed care plans, these plans often require patients to use
a specific network of physicians, hospitals, and facilities. Some plans
offer the option of receiving services from providers outside the
network for a higher fee. Participants are generally required to
select a primary care provider (PCP) from within the network.
◉ Medicaid Managed Care.
Answer: Plans that operate under the terms of waivers filed by the
state Medicaid agencies requesting that a program be established
that varies from the traditional Medicaid program.
◉ Medicare Parts.
Answer: - part a (inpatient hospital care)
- part b (MD and outpatient care)
- part c (managed care option)
- part d (prescription drugs)
DECONTAMINATION STERILIZATION AND
DISINFECTION PROCEDURES STUDY
MATERIALS
◉ ACA.
Answer: Affordable Care Act
◉ HMO (Health Maintenance Organization).
Answer: The organization is both the insurer and provider of a set of
defined services. Patients within this network must use an in-
network provider for their services to be covered.
◉ Capitation Payment.
Answer: part of prospective payment in which healthcare providers
receive fixed monthly payments for services rendered regardless of
whether or not services are used
◉ PPO (Preferred Provider Organization).
Answer: A network of healthcare providers, such as hospitals and
physicians. They have entered into a contract with a third-party
,entitled to deliver healthcare services to individuals covered under
the plan.
◉ POS.
Answer: Combines the features of both an HMO and PPO, with costs
for covered persons falling somewhere between the two. Required
to have a PCP, but can self refer to other in-network specialists.
◉ EPO.
Answer: Services are covered only if patients use doctors, specialists
or hospitals in the plan's network. There are no out of network
benefits.
◉ ACO.
Answer: Accountable Care Organization
◉ What employer-based insurance was first?.
Answer: Blue Cross
◉ ERISA (Employee Retirement Income Security Act).
Answer: Federal law that sets minimum standards for most
voluntarily established pension and health plans in private industry
to provide protection for individuals in these plans.
, ◉ Government health Coverage Examples.
Answer: Medicare and Medicaid
◉ Medicare Managed Care Plans.
Answer: These plans charge a monthly premium and a small
copayment for each office visit, but not a deductible. Like private
payer managed care plans, these plans often require patients to use
a specific network of physicians, hospitals, and facilities. Some plans
offer the option of receiving services from providers outside the
network for a higher fee. Participants are generally required to
select a primary care provider (PCP) from within the network.
◉ Medicaid Managed Care.
Answer: Plans that operate under the terms of waivers filed by the
state Medicaid agencies requesting that a program be established
that varies from the traditional Medicaid program.
◉ Medicare Parts.
Answer: - part a (inpatient hospital care)
- part b (MD and outpatient care)
- part c (managed care option)
- part d (prescription drugs)
