QUESTION: 137

The major form(s) of managed care organizations are:

Fee-for-service with utilization review
Preferred provide organizations (PPOs)
Health maintenance organizations (HMOs)
All of the above.

Answer(s): D

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QUESTION: 138

The form of payment that is based specifically on the individual components of health care is.

Fee-for-service reimbursement.
Per Diem payment.
Reimbursement by episode of illness.
Capitation payment.

Answer(s): A

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QUESTION: 139

Surgeons usually receive a single payment for the surgery and postoperative care. This bundling, or payment per episode, gives surgeons an economic incentive to.

Limit both the number of surgeries they perform and the number of postoperative visits they make.
Increase both the number of surgeries and the number of post operative visits.
Limit the number of surgeries and increase the number of post operative visits.
Increase the number of surgeries and limit the number of post operative visits.

Answer(s): D

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QUESTION: 140

Which of the following best describes the incentives associated with capitation?

Physicians have a higher incentive to sign up only healthy patients.
Physicians have more flexibility to deliver effective and efficient services to patients.
It only pays for an in-person visit with a physician.
A and B only

Answer(s): D

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Free HCISPP Exam Braindumps (page: 36)

QUESTION: 137

QUESTION: 138

QUESTION: 139

QUESTION: 140

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