An organization that gives members freedom of choice among physicians and hospitals and provides a higher level of benefits if the providers listed on the plan are used is called a/an

Preferred Provider Organization (PPO)

Practitioners in an HMO program may come under peer review by a professional group called a

Quality of improvement organization (QIO)

Kaiser Permanente's medical plan is a closed panel program, which means

Limits choice of personal physicians

A significant contribution to HMO development was the

Health Maintenance organization act of 1973

An organization that gives members freedom of choice among physicians and hospitals and provides a higher level of benefits if the providers listed on the plan are used is called a/an

Preferred Provider Organization (PPO)

Practitioners in an HMO program may come under peer review by a professional group called a

quality improvement organization

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IHMO chapter 11

Practice test questions

Question	Answer
An organization that gives members freedom of choice among physicians and hospitals and provides a higher level of benefits if the providers listed on the plan are used is called a/an	Preferred Provider Organization (PPO)
A program that offers a combination of HMO-style cost management and PPO-style freedom of choice is a/an	Point of service plan (POS)
When a physician sees a patient more than is medically necessary, it is called	Churning
What is the correct procedure to collect a copayment on a managed care plan?	Time of arrival at visit
Practitioners in an HMO program may come under peer review by a professional group called a	Quality of improvement organization (QIO)
Referral of a patient recommended by one specialist to another specialist is known as	Tertiary care
Kaiser Permanente's medical plan is a closed panel program, which means	Limits choice of personal physicians
What plan allows members of Kaiser Permanente Medical Care Program to seek medical help from non-Kaiser physicians?	Point of service (POS)
A significant contribution to HMO development was the	Health Maintenance organization act of 1973
An organization that gives members freedom of choice among physicians and hospitals and provides a higher level of benefits if the providers listed on the plan are used is called a/an	Preferred Provider Organization (PPO)
What is the name of an organization of physicians sponsored by a state or local medical association that is concerned with the development and delivery of medical services and the cost of health care?	Foundation for medical care
Practitioners in an HMO program may come under peer review by a professional group called a	quality improvement organization
A program that offers a combination of HMO-style cost management and PPO-style freedom of choice is a/an	Point of service plan (POS)

Created by: zombiewho

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