Which of the following reimburses according to the cost of treatment of specific diagnosis-related groups (DRGs)?

a. Health promotion programs
b. Managed care systems
c. Prospective reimbursement system
d. Health maintenance organizations


ANS: C
A prospective reimbursement system encourages the implementation of cost-effective health care services. Reimbursement is based on the cost of treatment of specific DRGs rather than on per diem costs or total hospital costs divided by patient-days. The payment unit is the diagnosis rather than the patient-day.

Nursing

You might also like to view...

The nurse is instructing the female client how to collect a clean-catch urine specimen, and determines the client understood the instructions when she states:

1. "I will wait to collect the last few drops of urine near the end of my stream." 2. "I will make one swipe from back to front with each of these three antiseptic wipes." 3. "I will be careful not to touch the inside of the container or lid." 4. "I will fill the container as full as possible."

Nursing

Which of the following best describes the goals of nursing case management regardless of setting? (Select all that apply.)

a. Ensure that all clients have a case manager b. Contain costs and control use of services c. Decrease duplication and fragmentation d. Enhance client's quality of life e. Focus on avoiding hospitalization or institutionalization f. Maintain routine communication channels

Nursing

A 44-year-old patient has been seen in the clinic for suspected rheumatic disorder. She is to undergo a procedure to retrieve synovial fluid from her knee for a definitive diagnosis

The nurse knows that which of the following procedures will be involved? A) Angiography B) Myelography C) Paracentesis D) Arthrocentesis

Nursing

A nurse is observing a nurse aide perform denture care for a resident in the nursing home. The nurse recommends that the nurse aide receive additional education on denture care when the nurse observes which of the following?

a. The nurse aide places a face cloth in the sink and fills the sink half full with water. b. The nurse aide uses toothpaste to clean the dentures. c. The nurse aide utilizes a specially designed denture brush to clean the dentures. d. The nurse aide stores the dentures in a denture cup filled with denture cleansing solution.

Nursing