AHIP - FINAL EXAM with tested and verified correct answers 100%.
AHIP - FINAL EXAM with tested and
verified correct answers 100%.
Correct 141
Incorrect
AHIP - FINAL EXAM with tested and verified correct answers 100%.
,AHIP - FINAL EXAM with tested and verified correct answers 100%.
1 of 141
Definition
receives claims for payment and processes bill
- process, configuration analysts, examiners, processors
bills: mailed or faxed to health plan
processing:
a) electronic billing (claims or IT)
b) automated processing
c) paper claims
Give this one a go later!
claims dept Case Management
cost-sharing HR dept
Don't know?
2 of 141
Definition
daily performances at work are guided by policies, procedures,
rules and regulations
AHIP - FINAL EXAM with tested and verified correct answers 100%.
,AHIP - FINAL EXAM with tested and verified correct answers 100%.
Give this one a go later!
AHIP - FINAL EXAM with tested and verified correct answers 100%.
, AHIP - FINAL EXAM with tested and verified correct answers 100%.
compliance state regulations
statutory requirements appeals
Don't know?
3 of 141
Definition
- making changes to healthcare delivery system to try to decrease
rate at which spending goes up
- need to grab line moving up, reverse the trend and bend it
downward
Give this one a go later!
qualified small employer health
Government Rating Process
reimbursement arrangement
bending the heatlhcare cost
cost control methods
curve
Don't know?
AHIP - FINAL EXAM with tested and verified correct answers 100%.
AHIP - FINAL EXAM with tested and
verified correct answers 100%.
Correct 141
Incorrect
AHIP - FINAL EXAM with tested and verified correct answers 100%.
,AHIP - FINAL EXAM with tested and verified correct answers 100%.
1 of 141
Definition
receives claims for payment and processes bill
- process, configuration analysts, examiners, processors
bills: mailed or faxed to health plan
processing:
a) electronic billing (claims or IT)
b) automated processing
c) paper claims
Give this one a go later!
claims dept Case Management
cost-sharing HR dept
Don't know?
2 of 141
Definition
daily performances at work are guided by policies, procedures,
rules and regulations
AHIP - FINAL EXAM with tested and verified correct answers 100%.
,AHIP - FINAL EXAM with tested and verified correct answers 100%.
Give this one a go later!
AHIP - FINAL EXAM with tested and verified correct answers 100%.
, AHIP - FINAL EXAM with tested and verified correct answers 100%.
compliance state regulations
statutory requirements appeals
Don't know?
3 of 141
Definition
- making changes to healthcare delivery system to try to decrease
rate at which spending goes up
- need to grab line moving up, reverse the trend and bend it
downward
Give this one a go later!
qualified small employer health
Government Rating Process
reimbursement arrangement
bending the heatlhcare cost
cost control methods
curve
Don't know?
AHIP - FINAL EXAM with tested and verified correct answers 100%.
