Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
25 Cards in this Set
- Front
- Back
|
What is the amt. paid for an insurance policy called?
|
Premium
|
|
|
Former name of agency overseeing Medicare & Medicaid? Current name??
|
HCFA-health care financing administration
CMS-Centers for Medicare&Medicaid services |
|
|
Giveing a fixed sum to a health care provider annually per person covered?
|
Capitation
|
|
|
What is coverage for povery level and disabled citizens called?
|
Medicaid
|
|
|
Reviewer of Medicare hopital admissions and length of stay?
|
PRO-professional review organizaions
|
|
|
Method of classifyig illness?
|
DRGs-Diagnosis related groups
|
|
|
Payment made after services are delivered?
|
Retrospective
|
|
|
Activities directed toward achieving excellence
|
Quality management
|
|
|
Funded Hospital construction
|
Nill Burton Act
|
|
|
Degree of Illness
|
Acuty
|
|
|
Controller of patients' access to health care
|
Gate keeper
|
|
|
Payment for health services from personal funds
|
personal payment
|
|
|
Public insureance for citizens 65 and older
|
Medicare
|
|
|
Helath care for all people
|
Universal care
|
|
|
Payment on a per-case basis regardless of cost of services
|
PPS-prospective payment systems
|
|
|
What is the typical HC organizational chart?
|
BOD-> CEO-> CNO-> Nurses
|
|
|
Who is part of the interdisiplinary team?
|
Anyone who is involved & works w/ the patients to meet their needs
|
|
|
What is Functional nursing?
|
personnel worked side by side each performing an assigned task. (IV nurse, POmed nurse)
|
|
|
What is Team nursing?
|
Teams work in groups w/ different skill levels represented by different team members. (tech, RN, LPN)
|
|
|
What is primary nursing?
|
identified nures for every patient during the pts stay. (one nurse all care)
|
|
|
What is case management nursing?
|
cost effective pt. care allowing the nures to oversee pt care and manage the delivery of services from the entire health care team
|
|
|
What is the goal of managed care?
|
Control health care costs
|
|
|
What agencys handle Accreditation?
|
JACHO & HFAP-healthcare facilities accreditation program
|
|
|
What are some causes of health care cost escalation?
|
Inflation
Demographic changes Medicare & Medicaid Third party payment Expensive technology Fraud & abuse of payment systems |
|
|
What are the Methods of payment for healthcare costs?
|
Personal(out of pocket)
Medicare Medicaid Private Insureance Workers Compensation |
