WITH ALL PASSED SOLUTIONS.
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Term
What is the basis of the "labor-related share?"
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Facilities' costs related to Facilities' costs related to utilities
payrolls, benefits, and and maintenance
professional fees
Facilities' expenses on medical Facilities' investments in technology
supplies and equipment and infrastructure
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2 of 207
Term
True or False? Payers that use per-diem payment rates reimburse the
provider a fixed rate for each day a covered member is hospitalized.
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GPCI True
Radiation therapy Charge
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3 of 207
Term
Which of the following is NOT an example of discounted fee-for-
service payment method:
a- Allowable Fee (AF)
b- Customary, prevailing, and reasonable (CPR)
c-Usual, customary, reasonable (UCR)
d-Resource-based relative value scale (RBRVS)
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, a-Allowable Fee (AF) d-medical visits
d-All of the above For-profit in the private sector
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4 of 207
Term
All of the following are elements of prescription management
EXCEPT:
a- Links to electronic banking
b-Formulary
c- Patient education
d- Alerts for interactions
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d-Major diagnostic category For-profit in the private sector
d-All of the above a-Links to electronic banking
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5 of 207
Term
, In the US Health system, which payer has the greatest influence on
payment methods?
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State Government American Medical Association
Private Insurance Companies Federal Government
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6 of 207
Term
A group of people who will be covered by a healthcare
insurance plan that has similar risks of loss is called:
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medicare advantage risk pool
cafeteria plan risk contract
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7 of 207