Midterm 103

One who acts on behalf of someone else?

• agent
• intermediary
• proxy
• representative

A fee-for-service is defined as what?

• A model where all services are paid upfront.
• Basis of professional billing, either so much per hour or per identified procedure.

• A system that pays providers a flat rate regardless of services rendered.
• A payment method that only covers preventive care services.

Failure to act with reasonable and prudent care given the circumstances is known as?

• Breach of Contract
• Malpractice
• Intentional Tort
• Negligence

Respondeat superior means what?

• Let the employee answer.
• Let the master answer.
• Let the supervisor respond.
• Let the client decide.

The industry relies upon competition and regulation to control health care costs.

• True

• False

A sole proprietorship is simply one person operating a business for profit, and that person has limited personal liability for the business.

• True

• False

Co. , Corporation ,and Inc are all what

• Limited Liability Company
• Partnership designations

• Corporate designations

• Sole designations

HMO?

• Requires referrals

• Does not pay out for out of network care

• Requires a primary care physician

• Pays for out of network care

• Does not require referral

EOP

• Does not pay for out of network care

• Does not require a primary care physician

• Does not require referrals

• All of the above

In 2015 what percent did the health care industry account for when it came to all goods and services produced in the US

• 12%

• 18%

• 20%

• 15%