D047 Unit 11 Quiz

A 20-year-old patient who is receiving hemodialysis treatments three days a week will qualify for what type of government program?

Fee for Service

Medicare

Medicaid

Provides health coverage for some low-income people, families and children, pregnant women?

Medicare

Fee for Service

Medicaid

Private Insurance

A payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care?

Fee for Service

Value Based Care

CHIP

Private Insurance

What is the importance of healthcare compliance?

Creating more jobs in healthcare helps everyone.

To maintain rules, regulations, and laws that relate to healthcare.

Only lawyers can protect patients' healthcare.

This helps patients follow their treatment plans.

What does a compliance officer do?

Oversees and manages compliance issues within their company or organization.

Ensures that the organization is in compliance with various regulatory requirements and that employees are in adherence with internal procedures and policies.

All the above

Paying for health care services in a manner that directly links performance on cost, quality and the patient's experience of care?

Value-Based Care

Fee-for-Service

This is hospital insurance that helps cover inpatient care and skilled nursing facilities. It also assists with hospice and home healthcare?

Medicaid Part B

Medicaid Part A

Medicaid Part D

Helps cover doctors' services and outpatient care. It also covers some things such as physical therapy and home health?

Medicaid Part D

Medicaid Part B

Medicaid Part A

A prescription drug coverage and most people must pay a monthly premium for it.

Medicaid Part D

Medicaid Part A

Medicaid Part B

Which are part of the seven elements of effective healthcare compliance programs?

Code of conduct:

Compliance team and officers

A collaborative environment

All the above