Answer the following statements true (T) or false (F)
1 All health insurance contracts define medical necessity in the same way.
2) If a physician has ordered surgery for a patient, a managed care organization (MCO) case
manager may disallow an inpatient stay if the MCO guidelines designate the procedure as best
suited for outpatient care.
3) A goal of managed care is for the patient to receive care in the most appropriate and most
restrictive setting.
4) A primary care physician (PCP) in a health maintenance organization (HMO) can be an
OB/GYN.
5) An integrated delivery system (IDS) is a network of healthcare organizations under a parent
holding company.
1. FALSE
2. TRUE
3. FALSE
4. TRUE
5. TRUE
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When someone comes for massage in a wheelchair, the best approach is to:
A) Give assistance before being asked to B) Assume they are helpless C) Ask about what assistance they might need D) Assume they have developed skills for complete independence
Despite the visual appearance of soft-tissue injuries like burns, it is important that the AEMT:
A) be aware of other potential lifethreats. B) realize that blood loss with soft-tissue injuries is severe and may lead to shock C) cover soft-tissue injuries with sterile gauze and a secure dressing. D) assess distal circulation from a soft-tissue injury.
A patient has the right to know if his or her information was disclosed by a healthcare facility
A) True B) False
Which of the following factors would MOST likely cause a patient's pulse rate to be slower than normal?
A. beta-blocker medications B. lack of a regular exercise routine C. internal bleeding from trauma D. anxiety or severe stress