Nokea
Fill in the blank with the correct health-care practitioner: The personnel who help patients with disabilities to develop new skills, recover lost skills, or maintain functional skills so that they can perform activities of daily living (ADLs) are called
- A. Occupational therapists
- B. Physical therapists
- C. Speech therapists
- D. Social workers
Correct Answer: A
Rationale: Occupational therapists help patients with ADLs through skill development or maintenance.
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___ is a government-run insurance program for poor people and some people who are disabled.
- A. Medicare
- B. Medicaid
- C. Private insurance
- D. Managed care
Correct Answer: B
Rationale: Medicaid supports low-income individuals and those with disabilities.
TRICARE for retired military personnel and their families and CHAMPVA for veterans are examples of
- A. preferred provider organizations (PPOs).
- B. point-of-service (POS) insurance plans.
- C. insurance for special populations.
- D. insurance through charitable organizations.
Correct Answer: C
Rationale: TRICARE and CHAMPVA are specialized insurance programs for military personnel and veterans.
At what age are people eligible for Medicare?
- A. 62
- B. 63
- C. 64
- D. 65
Correct Answer: D
Rationale: Medicare eligibility begins at age 65 for most people.
Match the following Key Term(s) or italicized words from your text with the correct description: Case management
- A. Patient care approach aimed at coordinating the care of patients who are vulnerable, at risk, or cost intensive so that their specific needs are met in the most cost-effective manner while still bringing them to optimum health
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis
Correct Answer: A
Rationale: Case management coordinates care for vulnerable or high-cost patients to ensure cost-effectiveness and optimal health outcomes.
Match the following Key Term(s) or italicized words from your text with the correct description: Third-party payer
- A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis
Correct Answer: D
Rationale: A third-party payer is the insurance company that covers the cost of health care for a beneficiary.