Which of the following best describes how providers can legally ...

[imanialler]

Which of the following best describes how providers can legally improve their profit under the current reimbursement process?
 
  a. Accept more patients and work more hours so former high income is retained
  b. Order the cheapest generic medications and treatments possible
  c. Convince patients that they do not want expensive treatments
  d. Practice conservatively to earn an incentive payment

Question 2

The local nursing association and the local medical association disagreed vehemently on advanced practice nursing reimbursement.
 
  Which of the following best describes why the two groups agreed to join a coalition to send representatives to testify on a particular bill?
  a.
  Although there was disagreement, both groups agreed to behave politely and professionally.
  b.
  Both associations had formed a coalition to collaborate on a bill that would benefit patients.
  c.
  Because the legislators had asked both groups to appear, the groups did not have a choice.
  d.
  The two groups were sharing costs and expenses, but their testimony would give opposing viewpoints.

[Brummell1998]

Answer to Question 1

ANS: D
As a reward for conservative medical practices, health care providers may receive a specified amount of money or a percentage of the agreed reimbursement if services are delivered below the limit set by the third-party payer. Thus, it is the responsibility of the provider to use this conservative practice. Patient care should not be compromised as providers practice conservatively.

Answer to Question 2

ANS: B
When two or more groups join to maximize resources, increasing their influence and improving their chances of success in achieving a common goal, it is a coalition. Professional groups often form coalitions to advance their shared interests.