Out of pocket payments - Study guides, Class notes & Summaries

MHA 710/ MHA710 Exam 1 Prep: (Latest 2024/ 2025) Questions and Verified Answers| Grade A| 100% Correct Q: How does healthcare spending per person in the US compare to other countries? Answer: US spends far more per person on healthcare than any other large countries. Q: How does US life expectancy at birth compare to other countries? Answer: 27 out of 34 of the OECD countries (bad!) Q: Has the US achieved the same increases in life expectancy relative to their change...

How long after being entitled to disability benefits will an individual be eligible to receive Medicare benefits? A. immediately B. 1 year C. 2 years D. At age 65 - ANSWER-2 years What is the return of premium rider? A. an increasing amount of term insurance that always equals the total of premiums paid up to the current point B. a provision that allows the insured to cancel the policy in the first two years and have premiums refunded C. an increasing amount of term insurance that e...

Commercial Real Estate SAE - Champion's School of Real Estate 495 Questions with Verified Answers Productivity Management - CORRECT ANSWER Measuring the results from the use of available systems and tools for prospecting activities CRM - CORRECT ANSWER Contact Relationship Manager, a tool used to automate prospecting tasks and manage leads Geographic farming - CORRECT ANSWER A particular area that may include neighborhoods that a sales agent or broker markets for the solicitation of bu...

Reimbursement Methodologies Questions and Answers Already Passed What factors influence the development of reimbursement methodologies in healthcare? Factors influencing reimbursement methodologies include healthcare costs, the need for efficiency, regulatory changes, and advancements in medical technology. How do payer contracts impact healthcare provider reimbursement? Payer contracts outline the terms and conditions for reimbursement, including rates, covered services, and billin...

Chapter 9 Reimbursement Questions and Answers Graded A+ How do third-party payers affect the healthcare reimbursement process? Third-party payers, such as insurance companies, facilitate payments to healthcare providers on behalf of patients, often based on pre-negotiated rates. Why is accurate medical coding essential in the reimbursement process? Accurate medical coding ensures that healthcare providers are properly reimbursed by translating diagnoses and procedures into codes t...

Healthcare Reimbursement Chapters 8+ Latest Version Already Passed How do insurance plans typically categorize services for reimbursement? Insurance plans categorize services based on various criteria such as type of care, urgency, and medical necessity, influencing the coverage and reimbursement rates. What role does the Medicare Severity Diagnosis Related Groups (MS-DRGs) play in reimbursement? MS-DRGs classify hospital cases into groups that are expected to have similar hospi...

Reimbursement Methodologies Exam 3 Questions and Answers Already Passed What does "reimbursement methodology" refer to in healthcare? a. The process of hiring healthcare providers b. The system used to determine how healthcare providers are paid for services rendered c. The coding systems for diagnoses d. The administrative tasks involved in patient care How do managed care organizations typically influence reimbursement? a. By negotiating payment rates and controlling healthcare c...

is a pre-determined amount that the patient pays before the insurer begins to pay for services - ANSWERdeductible a percentage of the insurance payment amount that is paid by the patient, along with the amount paid by the insurer. - ANSWERcoinsurance a flat amount that the patient pays at each time of service - ANSWERcopayment payment also includes amounts for services that are not included in the patient's benefit design and amounts for services balance billed by out-of-network provid...

GA Navigator Training Questions and Answers Already Passed What permits an individual to apply a credit toward monthly health insurance premiums--up to a maximum amount? Advance premium tax credit The ACA does not allow insurers to underwrite or rate health insurance based on which of the following factors? Gender What is the name of the ACA provision that requires all health plans to use a certain percentage of all premium dollars collected as payments on claims for health care c...

is a pre-determined amount that the patient pays before the insurer begins to pay for services - deductible a percentage of the insurance payment amount that is paid by the patient, along with the amount paid by the insurer. - coinsurance a flat amount that the patient pays at each time of service - copayment payment also includes amounts for services that are not included in the patient's benefit design and amounts for services balance billed by out-of-network providers. Payments typical...