Entries by admin

11.   People who receive Medicare          A. are never eligible to receive Medicaid.    B. may be eligible to receive Medicaid if they meet the age requirement.    C. may be eligible to receive Medicaid coverage.    D. can combine Medicare with TRICARE. 12.   Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?          A. Yes, because the patient has end-stage renal disease    B. No, because the patient resides in New Mexico    C. No, because the patient is under age 65    D. Yes, because the patient has hypertension 13.   The first prepaid health insurance plans in the United States were          A. TRICARE and workers’ compensation.    B. CHAMPUS and CHAMPVA.

COMPLETE CORRECT ANSWERS FOR QUESTIONS 11-20    C. Blue Cross and Blue Shield.    D. Medicare and Medicaid.   11.   People who receive Medicare    A. are never eligible to receive Medicaid.    B. may be eligible to receive Medicaid if they meet the age requirement.    C. may be eligible to receive Medicaid coverage.    D. can combine Medicare with TRICARE.   12.   Ralph is assigning […]

What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?

Reflective Analysis: Risk Management And The Role Of Managed Care   The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs. Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response […]

What is Policy?

NURSING LEADERSHIP  1- What is Policy? 2- Explain each of them:     Public policy— Private policy— Health policy— Social policy— Organizational policy? 3- Who was F lorence Nightingale, and what was her contribution to the Nursing Field? 4- Who was Lillian Wald? 5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?6_ what is  […]