Nursing 165 Exam 2 Questions With Correct
Answers
Government Interventions for cost control: What were the two names
| | | | | | | | | |
given to the regulatory payment system established by Congress ? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Prospective Payment System (PPS)
| | | |
Diagnostic Related Groups (DRG) | | |
What is the job of the Professional Standards Review Organization
| | | | | | | | | |
(PSRO's) ? - CORRECT ANSWER✔✔-to review the quality, quantity and
| | | | | | | | | |
cost of hospital care
| | |
Prospective Payment Systems (PPS): | | |
•established by who and when? | | | |
•eliminated what? |
•what did this system do for medicare/medicaid patients? - CORRECT
| | | | | | | | | |
ANSWER✔✔-•Established by congress in 1983 | | | |
•Eliminated cost-based reimbursement | | |
•Hospitals treating Medicare/Medicaid patients were no longer able to
| | | | | | | | |
charge whatever a patient's care cost
| | | | |
,Diagnosis Related Group (DRG):
| | |
•DRGs are grouped together by what?
| | | | |
•each group has a fixed reimbursement amount with adjustments base
| | | | | | | | | |
on what?
|
•hospitals receive a set dollar amount for each patient based on what?
| | | | | | | | | | | |
regardless of what? - CORRECT ANSWER✔✔-•Impatient hospital
| | | | | | |
services for Medicare patients are grouped together in DRG's
| | | | | | | |
•Each group has a fixed reimbursement amount with adjustments
| | | | | | | | |
based on case severity, rural/urban/regional costs, and teaching costs
| | | | | | | |
•Hospitals receive a set dollar amount for each patient based on the
| | | | | | | | | | | |
assigned DRG, regardless of the patients LOS or use of services
| | | | | | | | | |
Medicare:
•funded by who? | |
•managed health insurance for who?
| | | |
•administered in how many part? - CORRECT ANSWER✔✔-•Federally
| | | | | | | |
funded
•Managed health insurance for those over age 65 or disabled
| | | | | | | | | |
, •Administered in 2 parts: A and B | | | | | |
What is Part A Medicare? - CORRECT ANSWER✔✔-•provides basic
| | | | | | | | |
protecting against costs of medical, surgical, and psychiatric hospital
| | | | | | | | |
care
What is Part B Medicare? - CORRECT ANSWER✔✔-•a voluntary medical
| | | | | | | | | |
insurance program financed in part from federal funds and in part from
| | | | | | | | | | | |
premiums contributed by people enrolled in the program
| | | | | | |
Medicaid:
•funded by who? | |
•managed by who? these people determine what?
| | | | | |
•provides health insurance to who? - CORRECT ANSWER✔✔-•Federally
| | | | | | | |
funded
•State managed, state determines eligibility and benefits awarded
| | | | | | |
•Program that provides health insurance to low-income families, health
| | | | | | | | |
assistance to low-income people with long term care disabilities and
| | | | | | | | | |
supplemental coverage and LTC assistance to older adults and Medicare
| | | | | | | | | |
beneficiaries in nursing homes | | |
what are the two types of research? - CORRECT ANSWER✔✔-
| | | | | | | | |
Qualitative
Quantitative
Answers
Government Interventions for cost control: What were the two names
| | | | | | | | | |
given to the regulatory payment system established by Congress ? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Prospective Payment System (PPS)
| | | |
Diagnostic Related Groups (DRG) | | |
What is the job of the Professional Standards Review Organization
| | | | | | | | | |
(PSRO's) ? - CORRECT ANSWER✔✔-to review the quality, quantity and
| | | | | | | | | |
cost of hospital care
| | |
Prospective Payment Systems (PPS): | | |
•established by who and when? | | | |
•eliminated what? |
•what did this system do for medicare/medicaid patients? - CORRECT
| | | | | | | | | |
ANSWER✔✔-•Established by congress in 1983 | | | |
•Eliminated cost-based reimbursement | | |
•Hospitals treating Medicare/Medicaid patients were no longer able to
| | | | | | | | |
charge whatever a patient's care cost
| | | | |
,Diagnosis Related Group (DRG):
| | |
•DRGs are grouped together by what?
| | | | |
•each group has a fixed reimbursement amount with adjustments base
| | | | | | | | | |
on what?
|
•hospitals receive a set dollar amount for each patient based on what?
| | | | | | | | | | | |
regardless of what? - CORRECT ANSWER✔✔-•Impatient hospital
| | | | | | |
services for Medicare patients are grouped together in DRG's
| | | | | | | |
•Each group has a fixed reimbursement amount with adjustments
| | | | | | | | |
based on case severity, rural/urban/regional costs, and teaching costs
| | | | | | | |
•Hospitals receive a set dollar amount for each patient based on the
| | | | | | | | | | | |
assigned DRG, regardless of the patients LOS or use of services
| | | | | | | | | |
Medicare:
•funded by who? | |
•managed health insurance for who?
| | | |
•administered in how many part? - CORRECT ANSWER✔✔-•Federally
| | | | | | | |
funded
•Managed health insurance for those over age 65 or disabled
| | | | | | | | | |
, •Administered in 2 parts: A and B | | | | | |
What is Part A Medicare? - CORRECT ANSWER✔✔-•provides basic
| | | | | | | | |
protecting against costs of medical, surgical, and psychiatric hospital
| | | | | | | | |
care
What is Part B Medicare? - CORRECT ANSWER✔✔-•a voluntary medical
| | | | | | | | | |
insurance program financed in part from federal funds and in part from
| | | | | | | | | | | |
premiums contributed by people enrolled in the program
| | | | | | |
Medicaid:
•funded by who? | |
•managed by who? these people determine what?
| | | | | |
•provides health insurance to who? - CORRECT ANSWER✔✔-•Federally
| | | | | | | |
funded
•State managed, state determines eligibility and benefits awarded
| | | | | | |
•Program that provides health insurance to low-income families, health
| | | | | | | | |
assistance to low-income people with long term care disabilities and
| | | | | | | | | |
supplemental coverage and LTC assistance to older adults and Medicare
| | | | | | | | | |
beneficiaries in nursing homes | | |
what are the two types of research? - CORRECT ANSWER✔✔-
| | | | | | | | |
Qualitative
Quantitative
