Name and describe the types of managed care organizations


Health maintenance organizations, preferred provider organizations or networks, point of service organizations, and managed indemnity insurance plans. Health maintenance organizations arrange for or provide health services to an enrolled population; individuals pay a fixed sum of money monthly or annually. Preferred provider organizations allow the member to decide which physician they will go to, but if using a physician in the PPO, patients pay a discounted rate. Managed indemnity plan is the industry term for traditional health insurance in which the insured patient is reimbursed for expenses after the care has been given; patients pay a deductible and coinsurance fees.

Health Professions

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The abdominal quadrants include all of the following except the:

A) left upper. B) left lower. C) right medial. D) right upper.

Health Professions

____________________ is effective against fire involving alcohols, ketones, and esters

a. Dry powder b. Urea-potassium bicarbonate c. Multipurpose dry chemical d. Potassium chloride

Health Professions

Which Root Operation does NOT use a device in any procedure?

A) Bypass B) Dilation C) Occlusion D) Restriction

Health Professions

Abnormal findings are not coded and reported unless the provider documents their __________

a. clinical significance b. effect on length of stay c. impact on reimbursement d. qualified diagnosis status

Health Professions