Author Question: When reviewing the medical records of several clients being cared for by a community health nurse, ... (Read 136 times)

karateprodigy · **on:** Jul 8, 2018

When reviewing the medical records of several clients being cared for by a community health nurse, the nurse notes that a mutual company is paying for the services. The nurse identifies this pay source as which of the following?

A) Private insurance company
B) Government health program
C) Self-insured health plan
D) Claims payment agent

Question 2

Which of the following would the community health nurse identify as a drawback to retrospective reimbursement?

A) Spending was limited to necessary tests and treatments.
B) Services for sickness were encouraged rather than wellness.
C) Consumers had to bear increased accountability for cost containment.
D) Payments for services were based on rates calculated from predictions.