Chapter 4 Medical Law And Ethics at Mitchell Technical Institute | Flashcards & Summaries

Lernmaterialien für chapter 4 medical law and ethics an der Mitchell Technical Institute

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The purpose of the gatekeeper is to
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Approve all nonemergemcy services
Approve hospitalization
Approve of test before they are given
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In a managed care organization financial risk is shared by the 
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Organization
Hospital 
Physician
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Managed care organizations may attempt to limit a patients
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The choice of hospitals 
Referrals to specialists
Length of stay in a hospital
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A health maintenance orginaztion (HMO) provides
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Healthcare services available for predetermined fee per member by provider
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Capitalization rate is
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Fixed monthly fee paid to the provider for providing patient services
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A medicare instituted method of hospital payment is
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DRG
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Diagnosis related groups refer to
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The classification of patients of illness by diagnosis
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Those person most lilely to recieve the best care under a managed care system
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Those who understand the system
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Medicare and medicaid prohibit physicians from
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Referring to services they own
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Fee splitting occurs when
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One physician pays another physician for the referral of patients
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A payment plan for medical bills that offer subscribers complete medical care in return for a fixed monthly fee
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Fixed payment plan
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A fixed payment plan of health imsurance offers coverage for
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TESTE DEIN WISSEN
Complete medical care
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Q:
The purpose of the gatekeeper is to
A:
Approve all nonemergemcy services
Approve hospitalization
Approve of test before they are given
Q:
In a managed care organization financial risk is shared by the 
A:
Organization
Hospital 
Physician
Q:
Managed care organizations may attempt to limit a patients
A:
The choice of hospitals 
Referrals to specialists
Length of stay in a hospital
Q:
A health maintenance orginaztion (HMO) provides
A:
Healthcare services available for predetermined fee per member by provider
Q:
Capitalization rate is
A:
Fixed monthly fee paid to the provider for providing patient services
Mehr Karteikarten anzeigen
Q:
A medicare instituted method of hospital payment is
A:
DRG
Q:
Diagnosis related groups refer to
A:
The classification of patients of illness by diagnosis
Q:
Those person most lilely to recieve the best care under a managed care system
A:
Those who understand the system
Q:
Medicare and medicaid prohibit physicians from
A:
Referring to services they own
Q:
Fee splitting occurs when
A:
One physician pays another physician for the referral of patients
Q:
A payment plan for medical bills that offer subscribers complete medical care in return for a fixed monthly fee
A:
Fixed payment plan
Q:
A fixed payment plan of health imsurance offers coverage for
A:
Complete medical care
chapter 4 medical law and ethics

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