Prospective payment - Study guides, Class notes & Summaries

Idaho Life and Health Final Exam Questions and Answers Already Passed What are the benefits that must be provided by an individual health insurance policy for prenatal, maternity, and delivery expenses? Prenatal, maternity, and delivery expenses are required to be covered under all health plans subject to the same deductible and coinsurance as other medical and surgical expenses. Which situation would qualify an individual for receiving benefits from a qualified long-term care policy?...

Texas Promulgated Contracts-CHAMPIONS STUDY 2022-2023. The elements of a valid contract are, competent parties, consideration, legal subject matter, in writing, and ___________. (a) Default (b) Mutual consent (c) Property condition (d) Recording A(n) __________________ contract is defined as a contract that is binding on the parties, with one or more of the parties having contractual duties that have not yet been performed. (a) Executory (b) Executed (c) Bilatera...

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...

1. The major provisions of the Patient Protection & Affordable Care Act of 2010 were?Answer: -Banning of preexisting condition coverage limitations -Free preventative care -Medicaid expansion 2. Which of the following statement(s) about the finance department a t large healthcare organizations is/are correct?Answer: -The CFO typically reports directly to the chief executive officer (CEO) -The CFO is usually assisted by a comptroller and treasurer -The department is headed by the chief finan...

HFMA CRCR (ACTUAL) EXAM | 170 QUESTIONS AND VERIFIED SOLUTIONS 2024/2025 IF outpatient diagnostic services are provided within three days of the admission of a Medicare beneficiary to an IPPS (Inpatient Prospective Payment System) hospital, what must happen to these charges - CORRECT ANSWER- They must be billed separately to the part B Carrier what is a recurring or series registration? - CORRECT ANSWER- One registration record is created for multiple days of service What are nonemergen...

HFMA CRCR Exam with 100% Correct Answers 2023 Through what document does a hospital establish compliance standards? - Correct answer-code of conduct What is the purpose OIG work plant? - Correct answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Correct answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier al...

Solutions Manual for Advanced Accounting 15th Edition By Hoyle Full Chapters . Acquisition price ........................................................................... $2,295,000 Equity income ($750,000 × 30%) .................................................. 225,000 Dividends (90,000 shares × $1.00)................................................ (90,000) Investment in O’Fallon as of December 31.................................. $2.430,000 7. A Acquisition price ....................

According to the Code of Ethics, one way executives can avoid or minimize negative implications of conflict of interest is: a) develop a PR plan to address conflict of interest scenarios b) not participate in specific decisions where conflict may exist c) ensure members submit annual holdings for inspection d) make the conflict known to those in superior positions Correct Answer: D The principles of quality improvement require that executives change their management philosophy from: A...

45 Hour Post License Real Estate Florida Test Questions With Answers Latest Updated 2024/2025 | 100% Verified. When consumers, lured by lower prices, venture back into the market, business activity increases and confidence begins to return. Slowly, production facilities gear up to meet the new consumer demand, capital begins to flow back into business enterprises, and additional employees are hired. The three types of operating expenses of an income property are A) fixed, debt service, and...

CCHT final exam 100% already passed 2024/2025 While technical staff are preforming duties in the dialysis unit which team member must always be present A. Registered nurse B. Medical director for unit C. Lab technician - CORRECT ANSWER-A. Registered nurse Two techs are heatedly discussing pt care situation. Which team member is responsible for disciplinary action A. Registered practical nurse B. Human resource manager C. Dialysis nurse manager - CORRECT ANSWER-C. Dialysis nurs...