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FREE AND STUDY GAMES ABOUT LAW/ETHICS CH 4 EXAM
QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -25 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation
Question 1: An associate practice is a legal agreement in which the physicians
Answer:
share a faculty and staff
Question 2: The members of a professional corporation are known as
Answer:
shareholders
Question 3: A medicare-instituted method of hospital payment is
Answer:
DRG
Question 4: Fee splitting occurs when
Answer:
one physician pays another physician for the referral of patients
Question 5: A fixed payment plan of health insurance offers coverage for
Answer:
complete medical care Question 6: Those persons most likely to receive the best care under a managed care system are
Answer:
those who understand the system
Question 7: Capitation is
Answer:
a fixed monthly fee paid to the healthcare provider for providing patient services
Question 8: Medicaid is a
Answer:
federal program of care for the poor implemented by the states
Question 9: Medicare and Medicaid prohibit physicians from
Answer:
referring to services they own
Question 10: Which form of medical practice ends with the death of the owner?
Answer:
A solo practice
Question 11: In a managed care organization, financial risk is shared by the
Answer:
- organization,
- hospital, &
- physician
Question 12: Diagnosis-related groups refer to
Answer:
the classification of patients of illness by diagnosis
Question 13: A person with the appropriate education who practices as a doctor of medicine or doctor of osteopathy is called a/an
Answer:
physician
Question 14: A health maintenance organization (HMO) provides
Answer:
healthcare services available for a predetermined fee per member by a limited group providers Question 15: A gag clause, considered illegal in contracts between physicians and managed care organizations
Answer:
prohibits the physician from discussing financial incentives given by the organization Question 16: A practice in which the physician employs other physicians and pays them a salary is called
Answer:
sole proprietorship
Question 17: The purpose of the gatekeeper is to
Answer:
- approve all non-emergency services,
- approve hospitalizations, &
- approve tests before they are given
Question 18: Medicare is a federal program of
Answer:
- healthcare coverage in which rationing of care might occur in the future &
- healthcare coverage for the elderly and disabled
Question 19: Different methods of medical practice, such as partnerships and corporations, are the result of
Answer:
- increased insurance coverage costs,
- a desire to better serve patients' needs &
- increased patient-initiated malpractice lawsuits
Question 20: Allied health professionals who are certified include all of the following except
Answer:
pharmacists
Question 21: Third party payers are
Answer:
insurance companies
Question 22: Managed care organizations may attempt to limit a patient's
Answer:
- choice of hospital,
- referals to specialists, &
- length of stay in a hospital
Question 23: Benefits of a corporation include all of the following except
Answer:
protections from lawsuits for the corporation Question 24: A business operation consisting of medical practice in which two or more physicians are responsible for the actions of each including debts, is called a/an
Answer:
partnership Question 25: A medical practice consisting of three or more physicians who practice the same speciality and share expenses and income is a/an
Answer:
group practice
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