Service centers, cost centers, profit centers and are the types of responsibility centers.
A. Reliability centers
B. Production centers
C. Investment centers
D. Controlling centers
Which of the following is NOT the disadvantage of decentralization?
A. Loss of control
B. Information relevance
C. Increased need for coordination
D. Lack of managerial talent
An organization unit that has been formally given the responsibility to carry out one or more tasks, to achieve one or more outcomes or both refers to:
A. Responsibility center
B. Responsibility pool C. Task management
C. Control management
The employer set asides dollars for the employee to pay for qualified medical expenses in:
A. Pay-for-performance account
B. Health saving account
C. Health Reimbursement accounts
D. Pay-for-reporting account
Sub-capitation is:
A. where the primary care physician pays a portion of the total capitated dollars received to another provider.
B. where the secondary care physician pays half portion of the total capitated dollars received to another provider.
C. where the primary care physician receives a portion of the total capitated dollars paid to another provider.
D. where the primary care physician receives half of the total capitated dollars paid to another provider.
Actuarial-based formula developed to adjust rates allowing for differences in population demographics is referred to as:
A. Differential factor
B. Conversion factor
C. Calculated factor
D. None of the above
Which of the following is NOT the form of capitation?
A. Sub-capitation
B. Zero-based Budget
C. Pay-for-reporting
D. Contact capitation
The method of setting premium rates based on the actual health care costs of a group or groups is:
A. Premium rating plan
B. Fixed payment rating
C. Actual rating
D. Experience rating
A method of payment in which the provider is paid a fixed amount, over a set period of time usually a month or a year refers to:
A. Time payment
B. Fixed payment
C. Capitation
D. Capitalization
A method that providers use to limit the exposure that comes with the possibility that charges will go far beyond negotiated rates is:
A. Stop-loss
B. Rate-loss
C. End-loss
D. Limit-loss
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