Questions and 100% Correct Solutions
Five institutional providers - Answer 1.Primary Care (a core component of healthcare
delivery)
2. Post acute short-term care (provide nursing and physical therapy services so clients
can become more independent after medical services)
3. Hospitals (In-Patient- offer medical, surgical, and nursing care to those who are ill or
injured)
4. Long-term care (include nursing homes, assisted living facilities, and retirement
communities, is to provide clients with a superior quality of life)
5. Institutional providers (Hospital, Critical Care, Skilled nursing facility, Home Health
Agency, Hospice)
What does primary care offer? - Answer Mental health services
Psychiatric
Laboratory integrated
Pharmacy services
Who monitors payers organizations, accredits health insurance companies? - Answer
National Committee for Quality Assurance (NCQA)
Who helps improve and monitor providers' quality of care? - Answer Joint Commission
on Accreditation of Healthcare Organizations (JCAHO)
What government organization that protects consumers from harm.
, Is responsible for ensuring that states and national health regulations are enforced? -
Answer U.S. Department of Health and Human Services
Who Increased the number of beds, improved the distribution of those beds and
improved the quality of hospital facilities? - Answer The Hill Burton-Act (The Hospital
Survey and Construction Act of 1946
Ensures the privacy of people's protected information (PHI) - Answer The Health
Insurance Portability and Accountability Act of 1996
Paying the practitioner or hospital a fixed amount for a specific service - Answer
Capitation
The Balanced Budget Act of 1997 - Answer Known as Medicare Advantage and CHIP,
designed to balance the federal budget
When was Medicare and Medicaid established? - Answer Established in 1965 under the
title XVII and Title XIX of the Social Security Act
Federally funded nonprofit health centers or clinics that serve medically underserved
areas and populations. Federally qualified health centers provide primary care services
to undeserved populations - Answer Federally Qualified Health Center (FQHC)
Who is responsible for ensuring that regulations for Medicare and Medicaid are
enforced? - Answer Centers for Medicare and Medicaid Services (CMS)
Who licenses providers and makes state laws for health? - Answer State Department of
Health