NE BC 2026 CLINICAL OPERATIONS AND
ADMINISTRATION REVIEW PAPER
SOLUTIONS EXPERT SUMMARY SHEET
◉ Proprietorship
Answer: One owner who has personal liability for debt
◉ Partnership
Answer: Two or more owners, not incorporated have equal liability
for debt
◉ Corporation
Answer: Legal entity part from owners - owners have limited
liability and corporation can exist beyond life of owners
◉ Not For Profit Corporation
Answer: Operates in accordance with tax laws, tax exempt, and
profits are not used for private gain
◉ Horizontal Systems
Answer: Businesses which own similar businesses - ex: group of
home care agencies
, ◉ Vertical Systems
Answer: Business which own related providers - ex: home care +
durable medical equipment + home infusion
◉ Integrated Delivery Systems
Answer: Different healthcare providers operating as one
organization - ex: hospital, ambulatory, surgery, clinics
◉ Commercial Payer Source
Answer: Issued by insurance companies, often offered by employers,
may be purchased through ACA
◉ Self Insurers
Answer: Groups (typically employers) who set aside funds to pay for
health care, often use an insurance company to administer plan
◉ Government Payer Sources
Answer: Medicare, Medicaid, Veteran Affairs, Military Health System,
Tricare
◉ Indemnity Insurance
Answer: Pays fixed amount or percent of charges
ADMINISTRATION REVIEW PAPER
SOLUTIONS EXPERT SUMMARY SHEET
◉ Proprietorship
Answer: One owner who has personal liability for debt
◉ Partnership
Answer: Two or more owners, not incorporated have equal liability
for debt
◉ Corporation
Answer: Legal entity part from owners - owners have limited
liability and corporation can exist beyond life of owners
◉ Not For Profit Corporation
Answer: Operates in accordance with tax laws, tax exempt, and
profits are not used for private gain
◉ Horizontal Systems
Answer: Businesses which own similar businesses - ex: group of
home care agencies
, ◉ Vertical Systems
Answer: Business which own related providers - ex: home care +
durable medical equipment + home infusion
◉ Integrated Delivery Systems
Answer: Different healthcare providers operating as one
organization - ex: hospital, ambulatory, surgery, clinics
◉ Commercial Payer Source
Answer: Issued by insurance companies, often offered by employers,
may be purchased through ACA
◉ Self Insurers
Answer: Groups (typically employers) who set aside funds to pay for
health care, often use an insurance company to administer plan
◉ Government Payer Sources
Answer: Medicare, Medicaid, Veteran Affairs, Military Health System,
Tricare
◉ Indemnity Insurance
Answer: Pays fixed amount or percent of charges
