CORRECT QUESTIONS & SOLUTIONS||
RATED A+
Accountable Care Organization (ACO) - ANSWER groups of doctors, hospitals, and
other health care providers, who provide coordinated health care to the Medicare
patients they serve.
Bundled payment - ANSWER A reimbursement strategy in which payers provide a
single payment for all services delievered.
Disenrollment visit - ANSWER A Community paramedic-patient interaction in which the
community paramedic ends the program due to the patient's continual refusal to follow
the plan of care.
end-of-care visit - ANSWER The final community paramedic-patient interaction that
occurs when the plan of care goals are met.
Enrollment visit - ANSWER The first or second encounter the community paramedic
(CP) has with a patient, in which the CP discusses :
1. The Community paramedicine program
2. Goals of the plan of care
3. Ensures the pt's overall understanding of the roles and responsibilities inherent in
program participation
Exclusive Provider Organization (EPO) - ANSWER A managed care plan where
services are covered only when they are delivered by the plan's physicians, specialists,
or hospitals; an exception is made in emergencies.
fee for service patient - ANSWER A patient whose services are billed directly to
medicare and medicaid
Follow up home visit - ANSWER The scheduled nonemergency CP-patient interaction
that focuses on patient monitoring and mangement.
health literacy - ANSWER The ability to gather or otherwise obtain basic health
information, comprehend the information, and make appropriate health decisions based
on that information.
health maintenance organization (HMO) - ANSWER A health insurance plan that may
require insured to live or work in its service area. The plan usually limits. coverage to
care from physicians who work or contract with the HMO.