Indemnity plan
a. A federal program that provides health insurance primarily for those age 65 and older and persons with chronic disabilities, Amyotrophic Lateral Sclerosis, or end-stage renal disease under the age of 65
b. Also known as traditional, commercial insurance or fee-for-service plans; a type of health insurance that places no restrictions on which doctors may be used; referrals are not required and most pay a percentage of medical expenses based on a UCR, after an annual deductible is paid by the patient
c. Physicians and facilities, such as hospitals, who have agreed to provide services to patients on a discounted fee schedule
d. A federal/state entitlement program that provides medical assistance for families and individuals with low incomes and limited resources
e. New health plan products that give medical consumers more choices and control over spending by having access to funds reserved for health care
f. A type of managed care plan that requires patients to have a gatekeeper, or PCP, in order for health care services to be coordinated and costs to be better controlled
g. A type of managed care plan that includes an in-network and out-of network component allowing patients to choose how benefits will be used.
Broader coverage and less out-of-pocket expense is realized when using services with in-network providers.
f. A type of managed care plan that requires patients to have a gatekeeper, or PCP, in order for health care services to be coordinated and costs to be better controlled
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You are treating a 67-year-old male with chest pain and a history of prior heart attacks as well as diabetes and hypertension. The patient has taken three nitroglycerin tablets which have decreased the pain from 7 to 4/10; however, the pain persists. Initially, his SpO2 was 91% on room air. Oxygen was applied by nasal cannula and now, on 3 lpm O2, his SpO2 is 97%. How would you address the
oxygen, given that he still has chest pain? A) Increase the oxygen to 4 lpm B) Decrease the oxygen to 2 lpm C) Leave the oxygen unchanged D) Discontinue oxygen therapy
You document on your patient care report that you checked a pulse on the top of your patient's foot. Which of the following abbreviations makes it clear where you performed your pulse check?
A) TF (top of the foot) B) PP (pedal pulse) C) AP (anterior pedis) D) DP (dorsalis pedis)
In the Measurement and Monitoring section of ICD-10-PCS, a third-character value of 0 represents the root operation of measurement.
Answer the following statement true (T) or false (F)
An infant is born in apnea of unknown duration. The best course of action would be to
A) monitor the newborn's heart rate B) begin resuscitative efforts immediately C) try to stimulate the infant D) do nothing- this is normal at birth