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HSM/340 HSM340 HSM 340 WEEK 7 QUIZ

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HSM 340 WEEK 7 QUIZ 1. Question : (TCO 7) Coordination of benefits refers to: Question 2. Question : (TCO 7) Which of the following is not a factor promoting the growth of Integrated Delivery Systems: Question 3. Question : (TCO 7) A medical group includes a provision in its contract with an HMO to receive larger PMPM payments if the HMO members are chronically ill. This type of provision is referred to as a: Question 4. Question : (TCO 7) The following reasons are good motives for mergers except: Question 5. Question : (TCO 7) A nursing home contracts with an HMO for skilled nursing care at $2.00 PMPM. If costs are expected to average $120 per day, what is the maximum utilization of days per 1,000 members that the nursing home can experience before it begins to lose money? Question 6. Question : (TCO 7) An uninsured patient receives services with charges of $5,000 from a hospital. The hospital staff bills the patient $1,000 and records $4,000 as charity care. If the hospital’s ratio of cost to charges is 50%, what amount would the hospital recognize as charity care in Schedule H of IRS Form 990? Question 7. Question : (TCO 7) How do a high percentage of Medicaid patients influence a hospital’s prices?

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