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ISC HCISPP Practice Test - Questions Answers, Page 17

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Question 161

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Regulatory strategies for health insurance financing seek to control public expenditures for health care by.

Implementing tax-financed health insurance or limiting premiums
Implementing tax-financed health insurance or limiting premiums
Limiting the annual use of services among patients
Limiting the annual use of services among patients
Increasing competition among health insurance plans
Increasing competition among health insurance plans
Only A and C
Only A and C
Suggested answer: A
asked 18/09/2024
Edward Eric
36 questions

Question 162

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The cost controlling strategy that attempts to influence physician behavior by denying payment for services deemed unnecessary is called.

Supply limits
Supply limits
Utilization management
Utilization management
Patient cost sharing
Patient cost sharing
Aggregate unites of payment
Aggregate unites of payment
Suggested answer: B
asked 18/09/2024
Abbas Maleki
24 questions

Question 163

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When controlling the type of supply, increasing the amount of generalists could contain costs because.

Generalists earn lower incomes than specialists
Generalists earn lower incomes than specialists
Generalists practice resource-intensive medicine and generate lower overall health care expenditures
Generalists practice resource-intensive medicine and generate lower overall health care expenditures
Generalists use less hospital and laboratory services
Generalists use less hospital and laboratory services
All of the above
All of the above
Suggested answer: D
asked 18/09/2024
Alexey Bokov
37 questions

Question 164

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The continuous quality improvement model (CQI) seeks to.

improve access to care
improve access to care
develop formalized standards of care
develop formalized standards of care
separate financial and clinical decisions
separate financial and clinical decisions
focus on individual caregivers
focus on individual caregivers
Suggested answer: B
asked 18/09/2024
Said Bouzardaoui
38 questions

Question 165

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Clinical practice guidelines are often ineffective in improving quality of care because.

they are not appropriate for many clinical situations
they are not appropriate for many clinical situations
they may conflict with patient preferences
they may conflict with patient preferences
they are unsuccessful in influencing physicians' practices
they are unsuccessful in influencing physicians' practices
all of the above
all of the above
Suggested answer: C
asked 18/09/2024
GBEMISOLA OSILALU
25 questions

Question 166

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The malpractice liability system negatively impacts quality of care because.

The fear and stress of malpractice litigation creates an "I didn't do it" response from the physician, rather than working on improvement
The fear and stress of malpractice litigation creates an "I didn't do it" response from the physician, rather than working on improvement
The system is economically wasteful and takes dollars away from improving care
The system is economically wasteful and takes dollars away from improving care
It wreaks unnecessary stress on often innocent and talented physicians
It wreaks unnecessary stress on often innocent and talented physicians
All of the above
All of the above
Suggested answer: D
asked 18/09/2024
Haider Nassiry
40 questions

Question 167

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The CQI approach of producing health care "report cards," specifically HEDIS is a tool to encourage health care consumers to choose high-quality caregivers, but often.

these report cards are inaccurate
these report cards are inaccurate
cost, not quality is the driving motivator for employers to choose health care plans for their employees
cost, not quality is the driving motivator for employers to choose health care plans for their employees
HEDIS includes only a limited number of quality performance indicators
HEDIS includes only a limited number of quality performance indicators
None of the above
None of the above
Suggested answer: B
asked 18/09/2024
aakriti grover
51 questions

Question 168

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Which of the following is a true statement about both the amount and quality of medical services available:

an increase in medical services also increases the quality of care because it provides greater access to care
an increase in medical services also increases the quality of care because it provides greater access to care
minimal medical services is needed for increasing quality of care because it reduces misdiagnoses
minimal medical services is needed for increasing quality of care because it reduces misdiagnoses
medical services can be overused or underused which can both be detrimental to the quality of care
medical services can be overused or underused which can both be detrimental to the quality of care
the quantity and quality of care are not related
the quantity and quality of care are not related
Suggested answer: C
asked 18/09/2024
Juan Araya
36 questions

Question 169

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Under HIPAA, what is the entity that processes healthcare claims and performs related functions for a health plan?

Policy Advisory Group
Policy Advisory Group
Third Party Administrator
Third Party Administrator
Joint Commission on Accreditation of Healthcare Organizations
Joint Commission on Accreditation of Healthcare Organizations
Plan Sponsor
Plan Sponsor
Suggested answer: B

Explanation:

A Third Party Administrator processes healthcare claims and performs related functions for a health plan.

Explanation:

asked 18/09/2024
Kristian Gutierrez
47 questions

Question 170

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When responding to a client's request for information about the disclosure of his/her protected health information, which is NOT required?

The purpose of the disclosure
The purpose of the disclosure
A description of what information was sent
A description of what information was sent
Disclosures for treatment, payment, or health care operations
Disclosures for treatment, payment, or health care operations
The dates of disclosure and to whom the information was sent
The dates of disclosure and to whom the information was sent
Suggested answer: C

Explanation:

When responding to a client's request for information about the disclosure of his/her protected health information, the health care provider must account for the disclosures by including a description of what information was sent, the dates of disclosure and to whom the information was sent, and the purpose of the disclosure. This information should be presented to the client in writing.

Explanation:

asked 18/09/2024
Md. Soyaeb Hossain
33 questions
Total 305 questions
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