Payers Study guides, Class notes & Summaries

CSBI: Certified Specialist Business Intelligence Exam (2023/ 2024) Questions and Verified Answers 1. Identify fundamental purpose of engaging in analytics ~ Answer: understand what is happening and finding a path forward 2. Recognize the basic business functions of finance, marketing and operations ~ Answer: - operations is the function that meets the demand for a service or product by marketplace entities ~ Finance ensures monetary resources are in place to conduct operat...

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...

CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A) MCO acronym for - ANSWER-Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - ANSWER-National Association of Medical Staff Services CPCS acronym for - ANSWER-Certified Provider Credentialing Specialist CVO acronym for - ANSWER-Credential Verifications Organization HEDIS acronym for - ANS...

All of the following are commonly recognized to be a right of each patient, except: a. The right to considerate and respectful care b. The right to receive a reasonable response to his/her requests c. The right to communicate with a caregiver in the language of the patients choosing d. For dying patients, the right to receive pain management. - correct answerC. Insurance companies and other payers have introduced pre-admission certification for elective hospital stays in order to:...

Which of the following statements are true of HFMA's Financial Communications Best Practices - 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: - The average number of positive mentions received by the health system or practice and the public comments refuting unfriendly posts on soci...

81. Which of the following is consistent with literature regarding the term psychosexual? 82. Bleuler identified 4 fundamental s//s of schizophrenia, known as the 4 A's, which include which symptoms? 83. The fear/anxiety regarding places from which escape may be difficult is known as which of the following: 84. All of the following are one of the 5 major categories of third-party payers EXCEPT: 85. Which of the following are risk factors for sexual assault EXCEPT: 86. Which of th...

HFMA CRCR exam 2023/2024 with 100% correct answers 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 ...

United States Health Care System, The: Combining Business, Health, and Delivery 3rd Edition by Anne Austin and Victoria Wetle. ISBN-13 978-8. All Chapters 1-14 (Complete Download). TEST BA NK.TABLE OF CONTENTS Chapter 1 Health and Care in America Chapter 2 The Business Side of Health Care Chapter 3 The Payment Process: Insurance and Third-Party Payers Chapter 4 The Payment Process: Government Payment Programs Chapter 5 Health Care Providers: Physicians and Nurses Chapter 6 Other Clinical and Non...

Ladewig, Contemporary Maternal-Newborn Nursing, 8/E Chapter 01 Question 1 Type: MCSA During a prenatal visit, a patient expresses interest in accessing community-based care and services. Which response allows the registered nurse to best describe services that are offered by way of community-based care? 1. "Most healthcare services provided to childbearing women and their families take place in a hospital setting." 2. "Community-based care can provide a patient with certain prima...

Midterm Exam: NRNP 6675/ NRNP6675 Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I Midterm Exam | Questions and Verified Answers| 2023/ 2024 Latest Updated!!! Q 1. Which of the following is consistent with the epidemiology of schizophrenia in the United States? A. The lifetime prevalence of schizophrenia is about 50 percent B. Schizophrenia is more prevalent in children than in adolescents. C. Peak age of onset in men is 10 to 25 years of age D. Onset of schizop...

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...