HSC0003 Actual set with Questions and
correct/verified Answers
prepaid plans - ANSWER-one of the major attempts to reduce healthcare costs
prepaid plans - ANSWER-Healthcare providers are paid before rather than after services are performed
Capitation - ANSWER-insurance companies make contracts with health care service group and agree to
provide medical services to the enrollees. Physicians are paid a set amount for each enrollee. This is only
payment received regardless of the type or number of services provided.
Diagnosis-related groups (DRGs) - ANSWER-The typical, expected hospital costs of all common diagnoses
were determined. providers of care for Medicare patients receive that amount, regardless of the actual
cost of care.
managed care plans - ANSWER-response to rising costs, which contain specific built in cost controls
Health Maintenance Organization (HMO) - ANSWER-A prepaid medical service plan that provides a
predetermined medical care benefit package.
fee-for-service - ANSWER-the physician determines what actions to take and the insurance companies
pay for the services.
medicare - ANSWER-health insurance for the elderly (65 and older) and disabled
Hospital Insurance ( Medicare Part A) - ANSWER-Helps pay for inpatient care in a hospital or skilled
nursing facility (following a hospital stay), some health care and hospice care. premium has already been
paid for through payroll taxes
Is medicare free? - ANSWER-many people assume it is free but it is not, medicare has its monthly
premiums, deductibles and coinsurance amounts
T or F - ANSWER-a major concern in the united states today is how to effectively control dramatically
rising healthcare costs.
Quality Improvement - ANSWER-ways to preserve or improve quality of care while decreasing costs
personal health record (PHR) - ANSWER-documents created and maintained by individual patients to
help them communicate with various health care providers.
medical documentation - ANSWER-notes and documents that health care professionals add to the
medical record
medical record - ANSWER-The collection of all documents that are filed together and form a complete
chronological health history of a particular patient
point of care charting - ANSWER-allow information to be entered from the patient's home or hospital
bedside
correct/verified Answers
prepaid plans - ANSWER-one of the major attempts to reduce healthcare costs
prepaid plans - ANSWER-Healthcare providers are paid before rather than after services are performed
Capitation - ANSWER-insurance companies make contracts with health care service group and agree to
provide medical services to the enrollees. Physicians are paid a set amount for each enrollee. This is only
payment received regardless of the type or number of services provided.
Diagnosis-related groups (DRGs) - ANSWER-The typical, expected hospital costs of all common diagnoses
were determined. providers of care for Medicare patients receive that amount, regardless of the actual
cost of care.
managed care plans - ANSWER-response to rising costs, which contain specific built in cost controls
Health Maintenance Organization (HMO) - ANSWER-A prepaid medical service plan that provides a
predetermined medical care benefit package.
fee-for-service - ANSWER-the physician determines what actions to take and the insurance companies
pay for the services.
medicare - ANSWER-health insurance for the elderly (65 and older) and disabled
Hospital Insurance ( Medicare Part A) - ANSWER-Helps pay for inpatient care in a hospital or skilled
nursing facility (following a hospital stay), some health care and hospice care. premium has already been
paid for through payroll taxes
Is medicare free? - ANSWER-many people assume it is free but it is not, medicare has its monthly
premiums, deductibles and coinsurance amounts
T or F - ANSWER-a major concern in the united states today is how to effectively control dramatically
rising healthcare costs.
Quality Improvement - ANSWER-ways to preserve or improve quality of care while decreasing costs
personal health record (PHR) - ANSWER-documents created and maintained by individual patients to
help them communicate with various health care providers.
medical documentation - ANSWER-notes and documents that health care professionals add to the
medical record
medical record - ANSWER-The collection of all documents that are filed together and form a complete
chronological health history of a particular patient
point of care charting - ANSWER-allow information to be entered from the patient's home or hospital
bedside
