HSM 546 Week 1 Quiz

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Question :

(TCO B) The integral components of managed care are _____.

Student Answer:

wellness and prevention

primary-care orientation

utilization management

wellness, prevention, and utilization management

All of the above

2.

Question :

(TCO A) Which organization(s) need a corporate compliance officer (CCO)?

Student Answer:

Health plans with a MedicareAdvantage risk contract

Every organization that provides healthcare.

Hospitals

All of the above

Health plans with a MedicareAdvantage risk contract and hospitals

3.

Question :

(TCO A) Basic elements of credentialing include _____.

Student Answer:

hospital privileges

malpractice history

medical license

continuing medical education (CME)

All of the above

4.

Question :

(TCO B) When selecting a hospital during the network-development phase, an MCO considers the _____.

Student Answer:

occupancy rate

cost of services

scope of services

All of the above

occupancy rate and the scope of services

5.

Question :

(TCO B) Common areas of clinical focus subject to hospital P4P programs include _____.

Student Answer:

community acquired pneumonia

congestive heart failure

acute myocardial infarction

prevention

community acquired pneumonia, congestive heart failure, and acute myocardial infarction only