Which of the following services can be provided through home health care?
- A. Infusion therapy
- B. Occupational therapy
- C. Physical therapy
- D. Wound therapy
Correct Answer: A,B,C,D
Rationale: Home health care includes infusion, occupational, physical, and wound therapy services.
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What are the two most important factors in economic decisions about patient care?
- A. Appropriate level of care and health insurance plan
- B. Medical necessity and appropriate level of care
- C. Medical necessity and type of health insurance
- D. Type of health insurance and expected length of hospitalization
Correct Answer: B
Rationale: Medical necessity and appropriate level of care determine cost-effective care decisions.
The National Hospice Organization's definition of hospice states that hospice
- A. Provides a continuum of home and inpatient care.
- B. Is coordinated by nurses.
- C. Cares for the patient and family.
- D. Does not include pain medication management.
Correct Answer: A,C
Rationale: Hospice provides comprehensive care for patients and families, including home and inpatient services.
Match the following Key Term(s) or italicized words from your text with the correct description: Managed care
- 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: E
Rationale: Managed care focuses on controlling costs and quality of health care access.
The main goal of case management is to make sure patients at high risk get the care they need at the least cost to the facility.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Case management focuses on cost-effective care for high-risk patients.
Health care provided by various companies and purchased by the individual or an employer is called
- A. Medicare.
- B. Medicaid.
- C. managed care.
- D. private insurance.
Correct Answer: D
Rationale: Private insurance is purchased by individuals or employers, unlike government programs.
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