Pay benefits based Study guides, Class notes & Summaries

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

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Adjuster Pro - Insurance adjuster test latest 2023 already passed What is insurance? protection against financial loss what is a premium a scheduled amount to be paid for an insurance policy. What are premiums used for premiums are collected into a "pool" or "reserve to pay out claimants when needed. how can insurance companies afford to pay for an individuals catastrophic loss? the insurer collects premiums from all policy holders and uses them to pay out the claims of a few. what is Ind...

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...

Washington Life and Health (Disability) Questions and Answers Latest Update Graded A+ An insurer authorized to do business within this state is considered what type of insurer? A Alien B Domestic C Foreign D Admitted D-Admitted An insurer authorized to do business in this state is referred to as admitted, and could be either domestic, foreign, or alien domiciled. A long-term care policy can exclude from coverage all of the following, except: Hospitalization (acute ca...

A medical expense policy that establishes the amount of benefit paid based upon the prevailing charges which fall within the standard range of fees normally charged for a specific procedure by a doctor of similar training and experience in that geographic area is known as Usual, customary and reasonable What provision would prevent an insurance company from paying a reimbursement claim to someone other than the policyowner? Payment of Claims All of the following are true about gr...

Alle artikelen 2022/2023 §1.1 Article 1: Caprini J., Parker, S., & Griffin M., (2017). – A look back and a leap forward: A review and synthesis of the individual work performance literature. §1.2 Article 2: Cascio, W.F. (2006). – The economic impact of employee behaviors on organizational performance. §1.3 Article 3: Lievens. F., Schapers, P., & Amp; Herde, C.N. (2020). – Performance Management – Que Vadis? Week 2: Performance Management and Feedback and Feedforward (5 articl...

Payroll Fundamentals 1 Midterm 94 Questions with Verified Answers Commencement package (Ch.1) - CORRECT ANSWER -Organization specific forms (personal information forms) -Government forms (federal and provincial personal tax credits return) -Benefit forms (insurance enrollment forms) Hiring form (ch.1) - CORRECT ANSWER May include information on their position such as department, manager, start date, salary/hourly wage, and benefit entitlement Information that must be provided to empl...

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...

New York Life Insurance Exam Questions and Answers 100% CorrectNew York Life Insurance Exam Questions and Answers 100% CorrectAccelerated Benefits - ANSWER-Riders attached to life insurance policies which allow death benefits to be used to cover nursing or convalescent home expenses. Accidental Death Benefits - ANSWER-A policy rider that states that the cause of death will be analyzed to determine if it complies with the policy description of accidental death. Accidental Death Insurance - ...