Advance payment model - Study guides, Class notes & Summaries

True Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. True False d. All of the above Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? a. Speak with the investigator as quickly as possible. b. Answer all questions honestly and completely. c. Offer information and documents important to the investigation. d. All of the ...

PBA Exam Questions with Correct Answers What is a benefit of Pega low-code development? - Answer-The Pega low-code development tools create the code for you. Case life cycle design is a model to ______________ and _______________. - Answer-define a structure to create, process, and resolve work define how work is completed for each specific customer request Which of the following scenarios leverages case life cycle design? - Answer-A travel agency creates a Pega Platform™ applicatio...

NUR 1290 Exam Questions With Answers Latest 2024/2025 | 100% Correct (Graded A+) Quality - ANSWER Meeting expectations in the delivery of clinically effective, efficient and affordable health care services Sentinel Event - ANSWER -Unexpected occurrence involving serious injury or death -Different than medical error EX) patient committing suicide when admitted for diabetes Main cause of sentinel events - ANSWER COMMUNICATION Quality Assurance - ANSWER Provision of services that meet an app...

NCTRC STUDY GUIDE CORRECT QUESTIONS and ANSWERS! Formative Evaluation - ANSWER On-going evaluation using step-by-step process of decision making relating to numerous specific aspects of a program rather than one final evaluation, leads to immediate change. Summative Evaluation - ANSWER Terminal and overall assessment of a program intended to judge its impact and effectiveness, a decision to continue or discontinue program is imminent. Discrepancy Evaluation Model - ANSWER Evaluates wh...

A patient is scheduled in your office for Botox injections in her face for her smile lines. She has not met her deductible and states that she is going to use money from her Healthcare Reimbursement Account to pay for it. Is this possible? a. Yes, as long as she has enough money in the account, she may use it for any medical expense she chooses. b. No, cosmetic procedures are ineligible expenses. c. Yes, but only a portion since it is a cosmetic procedure. d. No, because a Healthcare ...

Xcel Testing Solutions-Louisiana Life and Health Exam Simulator - 200 Questions Graded A+ A cease and desist order issued against a producer - Suspends the producer's certificate or broker's license - Prevents the producer from receiving commissions - Prohibits a specific practice listed in the order - Terminates the producer's appointment with the insurer ️Prohibits a specific practice listed in the order A cease and desist order issued against a producer prohibits a specific pract...

NE BC EXAM PREP-PROFESSIONAL MANAGEMENT (SOLVED) CORRECTLY TO SCORE A+

Accountable Care Organization (ACO) - An organization of healthcare providers accountable for the quality, cost, and overall care of Medicare beneficiaries who are assigned and enrolled in the traditional fee-for-service program Purpose: improve delivery of care and save costs Coordination of care Shared Savings Program - ACO payment is made for participants under fee for service who meet performance standards while lowering costs advance payment model - ACO a supplementary program t...

ANCC Exam Questions and Answers In the early stages of iron deficient anemias, blood studies show: (a) macrocytic normochromic (b) microcytic hypochromic (c) normochromic normocytic (d) pancytopenic hypocytic - Correct answer (a) normochromic normocytic" "A 14-year-old, male patient has some general concerns about eczema, as his twin brother was recently diagnosed with this condition. The patient reports urticaria and a rash on his posterior knees bilaterally. The three factors tha...

AAHAM CRCE 2024 EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS 1-day payment window rule -Answer-a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule -Answer-a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission ...