2026/2027 – Full Questions and Answers
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Terms in this set (48)
Mortality The incidence of death in a population
Morbidity The incidence and severity of illness and accidents
in a population
Medigap Health insurance sold by private insurance
companies to fill the "gaps" in original Medicare
plan coverage
Medicare recovery audit program A program to identify and correct improper
payments from Medicare to providers, with the aim
of preventing future improper payments by
Medicare; a common improper payment is for
surgical services provided in the wrong setting
(inpatient instead of outpatient).
, Magnet Recognition Program A program developed by the American Nurses
Credentialing Center that recognizes healthcare
organizations for quality patient care, nursing
excellence and innovations in professional nursing
practice; Magnet designation is the ultimate
credential for high-quality nursing
Long-term care A continuum of maintenance, custodial, and health
services provided to the chronically ill, disabled or
mentally handicapped.
Joint Commission The independent, not-for-profit organization that
evaluiates and monitors the quality of care
provided in hospitals
Interdisciplinary plan of care A documented process that includes the patient,
the family, and all clinical disciplines involved in
planning and providing care to a patient from
system point of entry, throuhgout the entire acute
care episode, and to the next level of care
Independent Practice Association A legal entity that contracts with a group of
independent physicians to provide services to
managed care organizations at a negotiated per
capita rate; the arrangement is usually not
exclusive, so the physicians may sign contracts with
other managed care companies
Indemnity Plans Traditional fee-for-service health plans
Hospitalist A physician who manages broad categories of
hospitalized patients