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Health Care Systems Flashcards | StudBud
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Health Care Systems
Health Care Systems
20 terms
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#highschool #medpro # DHO
Flashcards
20 cards
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Questions
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Answers
1
All health care provided to a patient must have a purpose, and verification of need is frequently required before care
managed care
medigap policy
Value based compensation
health care access
2
Health payment plan in which dr's or providers are paid for each service they render
Managed care
PPO- Preferred provider organization
valued based compensation
fee for service compensation
3
Encompasses a line of authority or chain of command, and should indicate areas of responsibility and lead to efficient o
Health maintenance organization
Health insurance plans
The joint comission
Organizational structure
4
Health insurance plan that provides a managed care plan for the delivery of health care services, for a monthly fee
Preferred Provider Organization (PPO)
Health Maintenance Organization (HMO)
Deductible
Co-payment
5
Federal government program that provides health care for almost all individuals over the age of 65
Managed Care
Medicare
Medicaid
Tricare
6
Perform special diagnostic tests
Laboratories
Emergency care
Rehabilitation facilities
Home health care
7
Hospitals are classified as general, specialty, or government depending on the source of income received
False
True
8
Offices owned by one or more dentist
Private
Dental offices
clinics
General
9
Care directed toward preventative care
Rehabilitation services
Health maintenance Organization HMO
Preferred provider organization PPO
School health services
10
Insurance plans vary in the amount of payment and the type of services covered
False
True
11
Services provided by health departments
All of the above
Health education
clinics for health care and prevention
Immunizations
12
Fee an individual pays for insurance coverage
Co-payment
Deductible
Co-insurance
Premium
13
Most assisted or independent living facilities are associated with nursing homes, extended care facilities, and skilled
True
False
14
A specific amount of money a patient pays for a particular service
Premium
Co-payment
Co-insurance
Deductible
15
Provides basic physical and emotional care
Independent living facilities
Extended care
Residential care
Home health care
16
A federal statue signed into law and designed to expand access to affordable health coverage in the US
Patient Protection and Affordable Care Act (PPACA)
U.S. Department of health and human services
Health Insurance Portability and Accountability Act (HIPAA)
The Joint Commission
17
What year was HIPAA passed by the federal government
2014
2002
1996
1999
18
Include guidance, counseling, and chemical abuse treatment centers
Rehabilitation services
Industrial health centers
Emergency care services
Mental health facilities
19
Health centers located in large companies or industries
Government
Rehabilitation facilities
Industrial Health
Laboratories
20
Another term for a patient
visitor
client
partner
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