HSA 312 Final Exam Who has final responsibility for all aspects of an independent HMO? - board of directors Medical Directors typically have responsibility for: - Utilization management Benefits determination for appeals Quality managment List at least four core operational competencies of a typical managed care information system - Claims payment, Customer services, Benefit configuration & Provider enrollment What is the most common form of claims submission ? - Electronic Wha...

HSA 312 FINAL EXAM WITH 100% CORRECT ANSWERSWho has final responsibility for all aspects of an independent HMO? - answer board of directors Medical Directors typically have responsibility for: - answer Utilization management Benefits determination for appeals Quality managment List at least four core operational competencies of a typical managed care information system - answer Claims payment, Customer services, Benefit configuration & Provider enrollment What is the most common form of c...

Who has final responsibility for all aspects of an independent HMO? board of directors Medical Directors typically have responsibility for: Utilization management Benefits determination for appeals Quality managment List at least four core operational competencies of a typical managed care information system Claims payment, Customer services, Benefit configuration & Provider enrollment What is the most common form of claims submission ? Electronic What are inter...

AIS EXAM 1 | 2023 WITH COMPLETE SOLUTION What is the difference between info and data? - info is data that has been organized and processed to provide meaning and improve the decision-making process (output) Difference b/w goal congruence and goal conflict? - Goal congruence is when a sub system achieves its goals while contributing to the organization overall goal Goal Conflict is when a subsystem's goals are inconsistent with the goals of another subsystem or the system as a whole V...

Accounting Information Systems, 15e (Romney) Chapter 2 Overview of Transaction Processing and Enterprise Resource Planning Systems 1 Explain how an accounting information system (AIS) adds value to an organization, how it affects and is affected by corporate strategy, and its role in a value chain. 1) Which of the following commonly initiates the data input process? A) a business activity B) automatic batch processing C) an accounting department source document D) a trial balanc...

BUSI 340 quiz 1 Answers Liberty University Update! 4 Which organizational behavior perspective discusses inputs, outputs, and feedback? 5 Scenario: Allison Albright Your roommate, Allison Albright, is a non-business major. When she discovered that you are taking a course in Organizational Behavior, she was thoroughly confused as to why one would need to study OB and what it entails. Based on what you have studied, can you help Allison obtain knowledge of organizational behavior? Allison thin...

1. In the ________ stage of an operational audit, the auditor measures the actual system against an ideal standard. evidence collection evidence evaluation testing internal control 2. An auditor finds that employee absentee rates are significantly higher on Mondays and Fridays than on other work days. This is an example collecting audit evidence by confirmation. reperformance. vouching. analytical review 3. The ________ to auditing provides auditors with a clear understanding of possible errors...

1. In the ________ stage of an operational audit, the auditor measures the actual system against an ideal standard. evidence collection evidence evaluation testing internal control 2. An auditor finds that employee absentee rates are significantly higher on Mondays and Fridays than on other work days. This is an example collecting audit evidence by confirmation. reperformance. vouching. analytical review 3. The ________ to auditing provides auditors with a clear understanding of possible errors ...

Question 1 .4 out of 4 points An accounting information system (AIS) processes ________ to provide users with ________. A) data; information B) data; transactions C) information; data D) data; benefits Question 2 .4 out of 4 points Paid time-off policies, job descriptions, and procedures manuals are examples of information needed to support key decisions in what business process? A) Hire and train employees B) Acquire inventory C) Sell merchandise D) Collect payment from customers Question 3 ...