BUSI 302 Chapter 3 Reading Assignment solutions complete answers

BUSI 302 Chapter 3 Reading Assignment solutions complete answers 

 

Managed care organizations are a

 

Which of the following are part of physician-hospital organizations?

 

What are some of the things licensed health care providers are entitled to before their license is revoked or suspended?

 

Where can copies of state codes be found?

 

______ determines the scope of practice for health care practitioners.

 

Which of the following are accredited by TJC?

 

Which determines the duties/procedures that a person may or may not perform under the auspices of a specific health care professional's license?

 

Licenses for health care professionals can be   or suspended (temporarily recalled) under certain circumstances.

 

Licensure is a   credentialing process established by law.

 

Health care practitioners are usually

 

Courses of study or degree programs are typically completed for __.

 

Which of the following is a true statement regarding reciprocity?

 

Which of the following are most common reasons for loss of license to practice for health care practitioners?

 

Which of the following are examples of professional or personal incapacity?

 

What is a mandatory credentialing process established by law, usually at the state level, that grants the right to practice certain skills and endeavors?

 

In order to be licensed, what must be completed after courses of study?

 

What should a health care practitioner do if a state license is required and reciprocity is not granted?

 

Licenses for health care professionals can be        or        under certain circumstances.

 

Additional reasons whereby a health care practitioner could have his/her license revoked or suspended would include which of the following?

 

Examples of professions that require a state license include

 

What is the definition of certification?

 

Who determines the scope of practice for health care practitioners? 

 

Official authorization or approval for conforming to a specified standard is called       .

 

Which of the following statements about certification are TRUE?

 

What is the determination of the duties/procedures that a person may or may not perform under the auspices of a specific health care professional's license?

 

Which of the following are advantages of accreditation?

 

As part of the accreditation review process during the on-site survey, what are some areas the committees review?

 

In order to maintain accreditation, an organization must undergo an on-site survey at what frequency?

 

Which of the following are accrediting agencies that establish standards for health care delivery?

 

Which organization provides accreditation to Physical Therapists and Physical Therapy Assistants?

 

What do practice acts define?

 

How often are on-site surveys conducted?

 

To earn and maintain TJC accreditation, laboratories must be surveyed every

 

When were medical practice acts first passed?

 

In addition to TJC, other agencies provide accreditation and establish        for health care delivery. 

 

CAAHEP oversees        different allied health educational programs.

 

Which of the following are primary mandates of practice acts?

 

What are state laws written for the express purpose of governing the practice of specific health care professions?

 

Who is responsible for revising each state's medical practice acts?

 

Where will physician assistants find their practice act information?

 

Most boards include which of the following?

 

When applying for licensing what must applicants generally do?

 

A health care professional could be considered guilty of fraud if what can be shown? 

 

How often do states revise their medical practice acts?

 

Insufficient grounds for license revocation include

 

What are bodies established by the authority of each state's medical practice acts for the purpose of protecting the health, safety, and welfare of health care consumers through proper licensing and regulation of physicians and other health care practitioners?

 

Through licensing, what does each state board ensure that health practitioners have or do?

 

What types of acts are generally classified as fraud?

 

Which of the following are considered private "for profit" health care organizations?

 

In a revocation or suspension hearing, the physician has the right to        through the court system for any decisions made.

 

The set advance payment made to providers based on the calculated cost of medical care of a specific population of subscribers is called

 

How are physicians in PGPs paid?

 

PPOs are managed care plans that contract with a network of doctors, hospitals, and other health care providers who provide services for              .

 

What is sold to make money in a publicly held corporation?

 

Physician-hospital organizations are a type of

 

Features of a managed health care plan include

 

Which of the following statements describe a point-of-service plan?

 

General types of HMO models include

 

Which plan requires higher out-of-pocket costs if a provider is outside the group?

 

The managed care plan that is allowed to contract directly with employers to provide health care services is the

 

Which of the following allows a subscriber to see any in-network health care provider without a referral?

 

What is another name for a primary care physician?

 

Managed care plans that contract with a network of doctors, hospitals, and other health care providers who provide services for set fees are called

 

What is the largest integrated health care system in the United States?

 

The goals of PCMH are to offer patients

 

What types of organizations receive a predetermined payment to care for a designated patient population and reward physicians and hospitals for controlling costs and meeting quality standards?

 

Who is responsible for directing all of a patient's medical care and determining whether the patient should be referred for specialty care?

 

Which is one of the accrediting agencies that review PCMH? 

 

The primary payment mechanism for Shared Savings-ACOs is       .

 

What is the intent of an ACO?