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HSM 546 DeVry Week 3 Quiz

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HSM 546 DeVry Week 3 Quiz

HSM546

HSM 546 DeVry Week 3 Quiz

 

HSM 546 DeVry Week 3 Quiz

  1. Question : (TCO D) Capitation will solve the issue(s) of _____.
  • high-utilization patterns
  • poor quality of care
  • lack of accessibility
  • All of the above
  • None of the above
  1. Question : (TCO D) Which of the following is the leading reason for member complaints?
  • Lack of coverage
  • Enrollment issues, such as a missing ID card
  • Claims issues
  • Interactions with the member’s PCP
  1. Question : (TCO D) Discuss how information technology (IT) can make disease-management programs more successful.
  2. Question : (TCO D) Which of the following is not necessarily a red flag for case management?
  • Long hospital length of stay
  • Expenses beyond a certain threshold
  • Location of care
  • Early referral to a specialist
  1. Question : (TCO D) Which of the following aspects of the claims capability must be counted or measured in order to allocate adequate resources and verify financial assumptions about an insured population?
  • Inventory receipts
  • Timely filing limits
  • Turnaround time, based on the date the MCO received the claim
  • Claims lag
  • IBNR
  • All of the above