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Author Question: A nurse executive reports that the nursing center receives reimbursement through contracted rates. ... (Read 58 times)

joe

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on: Jul 8, 2018
A nurse executive reports that the nursing center receives reimbursement through contracted rates. Which of the following types of reimbursement mechanism is being used?
 
  a. Fee-for-service
  b. Federally Qualified Health Center (FQHC)
  c. HMO provider
  d. Third-party reimbursement

Question 2

A nurse is employed by a nursing center. Which of the following types of services will be pro-vided here?
 
  a. Illness-oriented care
  b. Direct access to nursing services
  c. Free services
  d. Physician diagnosis of health problems


Athena23

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Reply #1 on: Jul 8, 2018
Answer to Question 1

ANS: C
HMO providers pay at contracted rates. Fee-for-service means payment is provided at time of service. FQHC has federal designation that allows cost-based reimbursement per encounter. Third-party reimbursement involves client billing to a public program or commercial/private in-surance.

Answer to Question 2

ANS: B
Nursing centers provide unique opportunities to improve the health status of individuals, families, and communities through direct access to nursing and nursing models of care. A nursing center deemphasizes illness-oriented care, is reimbursed for services, and uses nurses to diagnose and treat.


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joe

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Reply #2 on: Jul 8, 2018
Thank you :)


Athena23

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Reply #3 on: Jul 8, 2018
Happy to help you


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