Medicaid Study guides, Class notes & Summaries

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage HMO Conventional PPO and POS H...

1. Nurse practitioner prescriptive authority is regulated by: 1. The National Council of State Boards of Nursing 2. The U.S. Drug Enforcement Administration 3. The State Board of Nursing for each state 4. The State Board of Pharmacy 2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: 1. Nurses know more about Pharmacology than other prescribers because they take it both in their basic nursing program and in their APRN program. 2. Nur...

Test Bank for Health Economics and Policy 8e 8th Edition by James W. Henderson. Full Chapters test bank are included PART I: The Relevance of Economics in Health and Medical Care. 1. U.S. Medical Care: A System at the Crossroads. 2. Health Care Spending Issues. 3. Health Care Markets: Can They Work? 4. Welfare Implications in Medical Markets. 5. Economic Evaluation in Health Care. PART II: Demand-Side Consideration. 6. Demand for Health and Medical Care. 7. Population Health. PART II...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Research indicates that the 2014 expansion of Medicaid has led to a number of unintended consequences including: - higher per capita spending on the expansion population than anticipated. Which of the following statements is true about the Medicaid program? - The majority of total outlays are for the elderly and disabled. One of the reasons the 2008 Oregon Experiment was so important is because it(s): - experimental design included random selection of the treatment and control groups. Whi...

Medicare, Medicaide, LTC NC Insurance Exam Questions and Answers 100% CorrectMedicare, Medicaide, LTC NC Insurance Exam Questions and Answers 100% CorrectMedicare, Medicaide, LTC NC Insurance Exam Questions and Answers 100% CorrectMedicare, Medicaide, LTC NC Insurance Exam Questions and Answers 100% Correct Federal Program - ANSWER-Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Departmen...

Telepsychiatry - a provider administers psychiatric care from a distance through a technological interface -a subset of telehealth -telepsychiatric services • psychiatric interview • psychiatric evaluations • therapy • medication management • consultation • client education The American Psychiatric Association (APA, 2020) supports telemedicine as a legitimate component of a mental health delivery system when telepsychiatry services: - -benefit the client -maintain client...

Medicare, Medicaide, LTC NC Insurance QUESTIONS & ANSWERS 2024 ( A+ GRADED 100% VERIFIED)

Federal Program - ANSWER Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services. Private firms contract with the federal government to handle the paperwork, review claims, and disburse claim payments. Medicare Part A - ANSWER Designed primarily to provide hospital insurance and to pay for certain other types of institutional care. Medicare Part B - AN...

Medicare, Medicaide, LTC NC Insurance Rated A+ Federal Program Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services. Private firms contract with the federal government to handle the paperwork, review claims, and disburse claim payments. Medicare Part A Designed primarily to provide hospital insurance and to pay for certain other types of inst...