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Healthcare Management: An Introduction Questions and Answers

Question 41

The Mosaic health plan uses a typical electronic medical record (EMR) to document the medical care its members receive. One characteristic of Mosaic's EMR is that it:

Options:

Does not provide any clinical decision support for Mosaic's providers.

Is designed to supply information at the site of care.

Contains a Mosaic member's clinical data only.

Is organized by the type of treatment or by provider.

Question 42

The statements below describe technology used by two health plans to respond to incoming telephone calls:

The Manor Health Plan uses an automated system that answers telephone calls with recorded or synthesized speech and prompts the caller to respond t

Options:

Manor's system is best described as an automated call distributor (ACD).

Both Manor's system and Squire's device are applications of computer/telephone integration (CTI).

Squire's device is best described as an interactive voice response (IVR) system.

All of these statements are correct.

Question 43

Select the correct statement regarding TRICARE Extra plan options to military personnel’s.

Options:

Out of pocket expenses are generally high in tricare extra than TRICARE standard

Enrollment is not necessary to participate in TRICARE Extra

TRICARE Extra provides coordinated care managed by primary care case manager

Question 44

Utilization review offers health plans a means of managing costs by managing

Options:

Cost effectiveness of healthcare services.

Cost of paying healthcare benefits.

Both of the above

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Healthcare Management: An Introduction Questions and Answers

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