Tiers of service - Study guides, Class notes & Summaries

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...

UHC Medicare Basics Test A consumer currently has original Medicare and is enrolled in a stand alone prescription drug plan what will happen if the consumer enrolls in an MA plan that has integrated prescription drug coverage - ANSWER-the consumer will be automatically disenrolled from the standalone PDP upon in Roman in the MA plan that has integrated prescription drug coverage aside from a standalone Medicare prescription drug plan how else could a Medicare eligible consumer get Part ...

WGU D084 Final Exam Prep (New 2024/ 2025 Update) Cloud Platform Solutions | Practice Questions and Verified Answers| 100% Correct – A Grade QUESTION A company needs to upload, download, and copy Azure Storage blobs by using a graphical user interface (GUI) application. Answer: : Azure Storage Explorer QUESTION A company plans to use the Azure Import/Export service to copy data out of an Azure storage account to an on-premises data store. Which service is supported ...

Health Insurance Exam-Illinois Questions and Answers 100% Pass What is a health insurance policy? A health insurance policy is a contract between an insurer and the insured that outlines the terms of coverage, including benefits, costs, and exclusions. What does the term "network" refer to in health insurance? A network refers to a group of healthcare providers that have agreed to provide services at negotiated rates for an insurance plan's members. What are essential health...

NURS 346 1 Exam Questions with Correct Answers Tiers of Service - Answer-6 tiers (general -> peds sub specialty) that help us determine resources and responsibilities 5 Core Domains - Answer-Support, Advocate, Deliver, Create environment, enable RICHER - Answer-Program addressing inequitable pediatric care on DTES (~8.5% of children, diverse) Core capability - Answer-Executive function that develops Neural Plasticity is greatest .... - Answer-in early childhood (first 2 years)...

APICS CSCP Questions and Answers with Verified Solutions As you plan a manufactured product supply chain, what is considered the most crucial element? Component suppliers. without the base components required for the product, the rest of the suppl chain cannot operate as designed. The owner of a coal mine need power for the machinery that he uses to extract the coal. what is this and example of? Doubling back. When a raw material supplier ends up using a component that they produce ...

Building Multi-Tenant SaaS Architectures: Principles, Practices, and Patterns Using AWS 1st Edition 2024 with complete solution Software as a service (SaaS) is on the path to becoming the de facto model for building, delivering, and operating software solutions. Adopting a multi-tenant SaaS model requires builders to take on a broad range of new architecture, implementation, and operational challenges. How data is partitioned, how resources are isolated, how tenants are authenticated, how mic...

WGU D084 Final Exam (2024/ 2025 Update) Cloud Platform Solutions| Questions and Verified Answers | 100% Correct – Grade A Q: describe The Effective Security Rules view Answer: It allows you to drill into each NSG rule and see the exact list of source and destination IP prefixes that have been applied, regardless of how the NSG rule was defined. To access the Effective Security Rules view, your virtual machine must be running. This is because the data is taken directly from the conf...

Which concept has enabled Software as a Service (SaaS), Platform as a Service (PaaS), and Networking as a Service (NaaS) offerings? Answer The separation of the transport and connectivity from the applications and services running atop the transport. Which piece of equipment in a VoIP (voice over Internet protocol) phone system routes a call to the public switched telephone network (PSTN) when the receiving location is from outside the Packet Cable managed IP network? Answer Gateway Wha...

Progression Field Tech 5-6 Conventional Exam Prep (Latest Update 2024/ 2025) Questions and Verified Answers| 100% Correct| Grade A Q: Which piece of equipment in a VoIP phone system routes a call to the public switched telephone network (PSTN) when the receiving location is from outside the PacketCable managed IP network? Answer: Gateway Q: What are the three sub-network interfaces managed by PacketCable? Answer: Hybrid fiber/coax (HFC), managed IP, and public switched tele...