Payers Study guides, Class notes & Summaries

A Medicare patient is receiving chemotherapy at her oncologists office. While the patient is receiving chemotherapy, the oncologist calls in a prescription for pain medication to a pharmacy in the same building . The pharmacy delivers the medication to the patient in the oncologists office for the patient to take home. What part of Medicare should be billed for the pain medication by the pharmacy? A. Part A B. Part B C. Part C D. Part D - correct answer Part D What is medical coding? - ...

D027 Exam Questions & Answers Latest Updated 2023. As an advanced practice nurse, you want to learn more about the CDC’s initiatives relative to asthma care and management in order to advocate for asthma sufferers at the state legislative level. Your goal is to reduce medications costs to patients. Which CDC recommendation supports your goal? (0/1 Point) The CDC recommends that payers and employers promote healthy workspaces to decrease environmental trigger exposures. The CDC recommends...

MHA 707 Exam C Questions & Answers 2023/2024 Moral Hazard - ANSWER-When the act of insuring an event increases the likelihood that the event will happen behaving different when you know someone is taking the risk (induced demand) Adverse Selection - ANSWER-the situation in which one party to a transaction takes advantage of knowing more than the other party to the transaction the sicker people likely want more insurance, compared to those who are healthy Pooling of Risk - ANSWER...

NRNP 6675/ NRNP6675 Midterm Exam Quiz Bank (2023/ 2024) | Complete Guide| Questions and Verified Answers 1. Which of the following is not consistent with benzo withdrawal? - Answer: B) The best way to proceed with benzo withdrawal is to stop it immediately and tx withdrawal s/s 2. Which of the following is true about the legal practice of the PMHNP? - Answer: D) A&B only A) all have some degrees of prescriptive privileges in all states and the district of columbia B) all are considered primary p...

What is a benefit to employers when offering medical benefits to their employees? Federal income tax advantages Which of the following apply to group health plans? Group health plans (GHP) Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:02 / 0:15 Full screen Riders are also called _____. options An employer may do which of the following during negotiations to change benefits to a group policy? Omit a specific benef...

MHA 610 Final Exam Questions & Answers 2023/2024 "What is meant by the term "health care costs" Give the 3 meanings - ANSWER-1. Billings and premiums that the patient pays 2.How much debt the nation is in for medical expenses 3. The cost of producing services such as supplies and equipment Rand Health - How does it show relationship of rising costs and third party reimbursement? - ANSWER-The experiment showed how people who paid out of pocket were less likely to utilize the services...

Relias Quiz, Questions and Answers – Exam Latest Updated 2024/2025 Graded A+. Which of the following could be a replacement behavior for cutting in line? - Teaching to stand in line and wait 2. Which of the following is a consequence intervention involving punishment? - Taking away a token 3. Which of the following could be a replacement behavior for grabbing or stealing food? - Teaching the person to ask for food 4. Which of the following is included in a functional assessment plan: - A...

NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+   NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+ 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases e...

Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? - Answer- The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any. The patient experience includes all of the following except: - Answer- Recognition that revenue cycle processes must be patient-centric and efficient. This is especially true in the areas...

What is a benefit to employers when offering medical benefits to their employees? Federal income tax advantages Which of the following apply to group health plans? (Select all that apply.) The group is considered the policyholder. Employers' human resource departments manage GHP benefits. The individual is considered the certificate holder. Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Which of the fo...