Medicare reimbursement Study guides, Class notes & Summaries

CRCR Exam Prep What are collection agency fees based on? - correct answer A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates What customer service improvements might improve the patient accounts department? - correct answer Ho...

NY Series 17-52 Questions and Answers 100% Pass How many eligible employees must be included in a contributory health insurance plan? 50% A man works for Company A and his wife works for Company B. The spouses are covered by health plans through their respective companies that also cover the other spouse. If the husband files a claim, The insurance through his company is primary. What is the period of coverage for events such as death or divorce under COBRA? 36 months Twenty-five days after ...

Which of the following is true in regards to health care today in the United States? There are more primary care physicians than specialty physicians. Primary care receives a higher reimbursement in professional fees. There are more specialty physicians than primary physicians. Outpatient care is slowly decreasing. - ANSWER-There are more specialty physicians than primary physicians. What triggered the downsizing phase in the U.S. hospital industry during the 1980s? Hill-Burton Act Mana...

CPXP Exam Study Guide | 226 Questions with 100% Correct Answers | Verified | Updated 2023 How did the report of quality measures to CMS begin? Hospitals could voluntarily report quality measures starting in 2001- adapting to current state from there What is HCAHPS Hospital Consumer Assessment of Healthcare Providers and System What are some metrics for outcome of care? mortality, readmission, complications, hospital associated infections Describe "Pay for performance" prov...

WGU C430 Healthcare Quality Improvement and Risk Management Questions and Answers Already Passed A hospital officer reports that there were multiple incidences in which toxic chemicals were incorrectly labeled that led to severe injuries of two lab employees. The regulatory department that oversees this area of workplace accidents is the Occupational Safety and Health Administration (OSHA). What is the role of OSHA in providing oversight for this issue? A.) To discipline the staff involved in...

PTCB Pharmacy Billing and Reimbursement Practice Test Questions and Answers Latest Rated 100%. DAW/DNS stand for which of the following? A. Dispense as written B. Distribute and work C. Distribution and working D. Dispense as well 3. Which of the following third party plans requires the patient to designate a primary care physician (PCP)? A. Health maintenance organization (HMO) B. Preferred provider organization (PPO) C. Medicare Part D D. TRICARE 4. The cost of the coverage of an i...

Exam Simulator FL-LH - FL Health and Life and Annuity 100% Pass A non-contributory plan requires _________ participation of all eligible employees 100% A characteristic of preferred provider organizations (PPOS) would be: Discounted fees for the patient Which of the following areas of state regulation is NOT protected by the saving clause in ERISA? Commerce Additional coverage can be added to a whole Life policy by adding a(n): decreasing term rider What benefit does the payor clause on a Ju...

Test Bank - Pharmacology for the Primary Care Provider, 4th Edition (Edmunds, 2023) Chapter 1-73 Complete Guide Latest Assured A+. Pharmacology for the Primary Care Provider, 4th Edition by Marilyn Winterton Edmunds and Maren Stewart Mayhew Test Bank Table of Content PART ONE: ESSENTIAL CONCEPTS FOR THE PRESCRIPTION OF MEDICATIONS Unit 1: Foundations of Prescriptive Practice 1. Prescriptive Authority and Role Implementation: Tradition vs. Change 2. Historical Review of Prescriptive Autho...

Nine Emerging global trends correct answer: 1. overall aging population 2. increasing life expectancy 3. rising number of oldest old 4. chronic diseases are major cause of death 5. some total populations will shrink 6. changing family structure 7. shifting patterns of work & retirement 8. changing social insurance systems 9. new economic challenges Nurse roles in caring for older adults correct answer: generalist and specialist -direct care providers -case managers -nurse leade...

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...