Insulin therapy protocols — Flashcards

Flashcard 1: Do patients with health maintenance organization (HMO) insurance plans require PCP referral for specialist visits?_____

Answer: Yes

Flashcard 2: Which part of Medicare provides **hospital insurance**, covering items such as inpatient care and **hospice care**?

Answer: Part A

Extra: Medicare coverage parts: - **Part A**: Hospital insurance (inpatient stays, skilled nursing facilities, and hospice care). - **Part B**: Medical insurance (physician fees, outpatient services, and preventive care). - **Part C**: Medicare Advantage (private insurance plans that provide the benefits of Parts A and B). - **Part D**: Prescription drug coverage. *Note: Even if a patient has Medicare Part C, hospice care is still typically covered under Part A.*

Flashcard 3: Which healthcare payment model involves physicians receiving a set amount per patient assigned to them per period of time? _____

Answer: Capitation

Flashcard 4: Which major medical insurance plan denies payment for any service that does not meet evidence-based guidelines?_____

Answer: Health maintenance organization

Flashcard 5: Which part of medicare provides insurance for prescription drugs? _____

Answer: Part D

Flashcard 6: Patients with abnormal blood glucose levels receive counseling on: _____

Answer: Healthy diet and physical activity

Extra:  https://onlinemeded.org?ref=anki