NU 180 EXAM 3 REVIEW QUESTIONS
WITH 100% VERIFIED ANSWERS
\.Premium - ANSWERS✔-Monthly fee paid for health insurance coverage.
\.Deductible - ANSWERS✔-Annual out-of-pocket amount paid before insurance
covers expenses.
\.Copayment - ANSWERS✔-Set fee paid at the time of service (office visit,
medication).
\.Coinsurance - ANSWERS✔-Percentage of bill paid by the insured after deductible
is met.
\.Capitation - ANSWERS✔-A set monthly fee charged per patient for defined
services (cost-containment model).
\.Fee-for-service - ANSWERS✔-Traditional model where providers are paid for
each service.
\.Medicare - ANSWERS✔-Federal program for those 65+ or with qualifying
disabilities.
, \.Medicare Part A - ANSWERS✔-Covers hospital and inpatient care.
\.Medicare Part B - ANSWERS✔-Covers physician and outpatient care.
\.Medicaid - ANSWERS✔-State & federally funded program based on income
need, helping low-income families, pregnant women, and disabled individuals.
\.Diagnosis-Related Groups (DRGs) - ANSWERS✔-Predetermined payment
amounts for diagnoses, encouraging shorter hospital stays.
\.Prospective Payment System - ANSWERS✔-Hospital knows in advance what it
will be paid, creating an incentive to discharge early.
\.Continuous Quality Improvement (CQI) - ANSWERS✔-Ongoing monitoring to
improve safety, processes, and patient outcomes.
\.Cost-Containment Nursing Actions - ANSWERS✔-Actions include documenting
accurately for reimbursement, managing time efficiently, using supplies wisely,
and preventing complications.
\.Primary Care - ANSWERS✔-First entry into the healthcare system (referring MD,
NP, ambulatory clinic).
WITH 100% VERIFIED ANSWERS
\.Premium - ANSWERS✔-Monthly fee paid for health insurance coverage.
\.Deductible - ANSWERS✔-Annual out-of-pocket amount paid before insurance
covers expenses.
\.Copayment - ANSWERS✔-Set fee paid at the time of service (office visit,
medication).
\.Coinsurance - ANSWERS✔-Percentage of bill paid by the insured after deductible
is met.
\.Capitation - ANSWERS✔-A set monthly fee charged per patient for defined
services (cost-containment model).
\.Fee-for-service - ANSWERS✔-Traditional model where providers are paid for
each service.
\.Medicare - ANSWERS✔-Federal program for those 65+ or with qualifying
disabilities.
, \.Medicare Part A - ANSWERS✔-Covers hospital and inpatient care.
\.Medicare Part B - ANSWERS✔-Covers physician and outpatient care.
\.Medicaid - ANSWERS✔-State & federally funded program based on income
need, helping low-income families, pregnant women, and disabled individuals.
\.Diagnosis-Related Groups (DRGs) - ANSWERS✔-Predetermined payment
amounts for diagnoses, encouraging shorter hospital stays.
\.Prospective Payment System - ANSWERS✔-Hospital knows in advance what it
will be paid, creating an incentive to discharge early.
\.Continuous Quality Improvement (CQI) - ANSWERS✔-Ongoing monitoring to
improve safety, processes, and patient outcomes.
\.Cost-Containment Nursing Actions - ANSWERS✔-Actions include documenting
accurately for reimbursement, managing time efficiently, using supplies wisely,
and preventing complications.
\.Primary Care - ANSWERS✔-First entry into the healthcare system (referring MD,
NP, ambulatory clinic).
