Bundle: Understanding Health Insurance: A Guide To Billing And Reimbursement, 14th + Law, Liability, And Ethics For Medical Office Professionals, 6th ... For Green's Understanding Health Insu
14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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Which type of health plan would allow a health maintenance organization (HMO) member to
seek care outside of the provider?
Staff model HMO.
Network model HMO.
Health saving account.
Point of service network.
Patient care is directly related to quality. Quality improvement starts with understanding what needs to be improved on. Can you provide an example of patient-generated data and explain how patient-generated data can help to improve care delivery.
Which type of health plan would allow a health maintenance organization (HMO) member to
seek care outside of the provider?
● Point of service network.
OO
Staff model HMO.
Health saving account.
Network model HMO.
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- A physician focusing on the general medical care of hospitalized patients is known as a/an ____________. intensivist emergency physician hospitalist general practitionerarrow_forwardManaged care has had an impact on the healthcare industry since its inception. It introduced different managed care models as well as different payment systems. More directly, managed care has changed patient and provider behavior in terms of what they can and can’t do. Healthcare providers have been directly impacted in the way they are reimbursed and the factors that lead to maximum reimbursement. Conduct research on how the role of the physician has changed with the advent of managed care. Write a 4-5-page paper that addresses the following: Explain how managed care has changed the healthcare landscape. Discuss how managed care impacts provider reimbursement. Describe how the relationship between physician and patient has changed through managed care. Explain whether, in your opinion, the new focus on healthcare outcomes is better or worse. Discuss who benefits from the new reimbursement approach. Describe the relationship between first, second, and third-party in a managed care…arrow_forwardDevelop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solutionarrow_forward
- True or false: People less than age 40 use the majority of long-term care services in the United States.arrow_forwardWhen asked the difference between a health maintenance organization (HMO) and a preferred provider organization (PPO) plan, what would be the correct response? A patient with a PPO plan will have no additional costs for services. An HMO provides better access to outpatient services and drug benefits. The two plans are essentially the same. A patient may choose any physician with an HMO plan.arrow_forwardThe Role of Information Technology in Health Care reading outlines some different forms of technology. Name the technology and how it is intended to improve care and (or) workflow.arrow_forward
- True or false: Home health care is considered an institutional service.arrow_forwardHow does subacute care benefit a nursing home ? How does subacute care benefit patients and their families ? Both questions has to have one paragraph each make passive voice very clear enough to understand and get straight to the point of the topic subacute care.arrow_forwardName five ethical issues currently facing the profession of health education/promotion. Can an issue be seen as ethical by one person while seen as unethical by another? Give an example of a health-related issue that might create this dynamic.arrow_forward
- Can you help me with a short explanation about why this is the answer of the question? Which are the components of health informatics? science of information and communication - interdisciplinary use of technology in healthcare - Management and aggregation of patient data. Thank you in advance!arrow_forwardExplain how the following are applied in healthcare delivery: Wide area network (WAN) Local area network (LAN) Geographic information systems (GIS)arrow_forwardWhich of the following refers to a real time system that allows patients to access their medical records, medication lists, and referrals, in addition to providing the ability to communicate directly with providers and schedule appointments? A Telemedicine B Electronic medical record C Telehealth D Patient portalarrow_forward
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