C425 Flashcards 100% CORRECT

C425 Flashcards 100% CORRECT Supply-side rationing is used by universal healthcare, HMO's and ACO's to cut down on all of these except: A) Duplication of Effort B) Access to specialists C) Decrease provider communication D) Cost - CORRECT ANSWER-C An ACO (Accountable Care Organization) earns additional money by: A) Setting a flexible fee schedule B) Getting a share of money it saves Medicare C) Producing better patient results D) Both C & B - CORRECT ANSWER-D All Americans have the right to __________under the Affordable Healthcare Act. A) Basic Care B) Purchase Care C) Low Cost Medications D) None of the Above - CORRECT ANSWER-B The U.S. Healthcare System is faced with a serious shortage of A) Specialists B) Primary Care Physicians C) Out Patient Surgical Centers D) All of the Above - CORRECT ANSWER-B Which is not a type of universal care utilized in Europe? A) National Health System B) National HMO C) National Health Insurance D) Socialized Health Insurance System - CORRECT ANSWER-B What is not a reason for physician resistance to Evidence Based Practices? A) Too simple B) Too Complex C) Bias D) Not cost effective - CORRECT ANSWER-D Racial and cultural sensitivity is important to healthcare recruitment due to: A) Affirmative action plans B) Population shifting to non-white majority C) The number of people entering the country of treatment D) None of the Above - CORRECT ANSWER-B The IHR (International Health Regulations) is a binding legal agreement to: A) Respect international borders B) Prevent and respond to acute international health risks C) Population Control D) All the Above - CORRECT ANSWER-B Cost control requires all but A) Supply-Side Rationing B) Limit Reimbursement to Providers C) Greater Access to Specialist D) Management of Utilization - CORRECT ANSWER-C Holistic Medicine strives to A) Lower Health Cost B) Treat the whole Person C) Use alternative medicine D) None of the above - CORRECT ANSWER-B What kind of Disease Classification is defined by a severe, short duration episodes though typically treatable: A) Acute B) Sub-Acute C) Chronic D) All the above - CORRECT ANSWER-A What is not one of the determinates of a population or personal health: A) Genetics B) Medical Practice C) Political Affiliation D) Individual Behaviors - CORRECT ANSWER-C What organization is responsible for the safety of medical devices and medications? A) FEMA B) OSHA C) CDC D) FDA - CORRECT ANSWER-D Market Justice holds that people are best served if the: A) Services are prepaid B) Services are Single payer based C) Patient Demand is primary D) Health Need is Primary - CORRECT ANSWER-C Inpatient care continues to decline because of all these reasons except: A) Outpatient Competition B) Expensive inpatient care C) Doctors wishes D) New less invasive procedures - CORRECT ANSWER-C Primary care includes all but: A) Diagnostics B) Counseling C) Inpatient Care D) Minor Surgery - CORRECT ANSWER-C Which one is not true, Tertiary care is: A) Highly technical B) Interdisciplinary C) Not in teaching hospitals D) None of the Above - CORRECT ANSWER-D In the future Primary Care should be: A) The usual Route of entry B) Provide integrated health services C) Partnering with patients and the community D) All the Above - CORRECT ANSWER-D What is not a product of increased preventative care: A) Lower costs B) Longer Life Expectancies C) Better technology D) All the above - CORRECT ANSWER-C To deter patients from utilizing Health Tourism the United States should: A) Not allow non-U.S. residents to train her in U.S. B) Cut costs and continue to lead in quality C) Not sell medical equipment oversees D) Do not publish medical findings - CORRECT ANSWER-B The Role of Gate Keeper is typically assigned to: A) Primary Care Physicians B) Regulatory Agencies C) Specialists D) Surgeons - CORRECT ANSWER-A Countries with health systems oriented toward primary care: A) Achieve better health levels B) Higher satisfaction with health services C) Lower expenditures in the delivery of health D) All the Above - CORRECT ANSWER-D Gene therapy is on the rise, in the future we can expect: A) Greater treatment options B) Less treatment options C) Higher deductibles D) None of the above - CORRECT ANSWER-A Rural healthcare is far less than that of urban centers and it dramatically limits the life expectancy in those areas. The lack of physicians per capita leads to: A) Shorter wait times B) Lower deductibles C) Better coordination of Care D) Worse Coordination of care - CORRECT ANSWER-D The first insurance in the U.S. was: A) Blue Cross B) Medicare C) Workman's Comp D) Medicaid - CORRECT ANSWER-C Telemedicine allows for greater sharing of needed information by: A) Allowing experts to give opinions from far away B) Cutting costs in on duty personnel C) Decreasing on call times D) All the above - CORRECT ANSWER-D Which organization was instrumental in beginning the Blue Cross Network: A) Centers of Disease Control (CDC) B) The Joint Commission/JCAHO (TJC) C) American Hospital Association (AHA) D) None of the Above - CORRECT ANSWER-C Medicare part A covers? A) Physician Fees B) Hospital Fees C) Both A&B D) None of the above - CORRECT ANSWER-B Medicare Covers those who are ________, and those who are __________? A) Impoverished, Disabled B) Disabled, 65 and Over C) 65 and over, Impoverished D) All the Above - CORRECT ANSWER-B What type of Billing Fraud is being used when the organization falsely reports the illness or injury as being more serious than it is? A) Price Fixing B) Conflict of interest C) Up-coding D) All the above - CORRECT ANSWER-C A patient that stays overnight is an_____________, a patient that receives care but does not stay overnight is an ________________. A) Impatient, Dependent B) Outpatient, Dependent C) Inpatient, Outpatient D) None of the Above - CORRECT ANSWER-C Adjusting the utilization of care while active treating the patient is what type of review? A) Prospective Utilization B) Concurrent Utilization C) Both A&B D) None of the Above - CORRECT ANSWER-B This organization leads the effort to improve the quality of healthcare, reduce costs and provide resourced for biomedical research and testing. A) WHO B) FDA C) AHRQ D) CDC - CORRECT ANSWER-C Organizational integration gave rise to which of the following: A) Medical Systems B) Physician/Hospital Partnerships C) Integrated Delivery System D) All the Above - CORRECT ANSWER-D MCOs are accredited by the: A) National Committee for Quality Assurance (NCQA). B) Centers for Disease Control (CDC) C) Department of Health and Human Resources (DHHS) D) None of the Above - CORRECT ANSWER-A Which is not a Utilization Review A) Prospective Utilization Review B) Concurrent Utilization Review C) Retrospective Utilization Review D) CMS Utilization Review - CORRECT ANSWER-D HMO use _________ and PPO offer ___________. A) Discounts, Capitation B) Capitation, Discounts C) Vouchers, Installments D) Installments, Vouchers - CORRECT ANSWER-B