5 parts of ppaca - Study guides, Class notes & Summaries

California Life Accident and Health Exam Practice 353 Questions with Answers A ABC INSURANCE - CORRECT ANSWER JOHN IS THE AGENT FOR ABC INSURANCE AND JANE IS THE INSURED. WHO IS THE PRINCIPAL IN THIS AGENCY RELATIONSHIP? A ABC INSURANCE B JOHN C JANE D NONE D ADMITTED - CORRECT ANSWER A(N) ________ INSURER IS AUTHORIZED TO WRITE INSURANCE POLICIES IN A PARTICULAR STATE. A DOMESTIC B NON-ADMITTED C FOREIGN D ADMITTED B A PERSON WHO NEGOTIATES INSURANCE CONTRACTS ...

CPHQ Study Set March 2023 ,questions and answers with complete top solutions What is a system? a set of interdependent or connected items that are referred to in CAS as independent agents. CASs is an acronym for? Complex Adaptive Systems or complexity science 00:54 01:42 The Institute of Medicine (IOM) identified 6 aims for healthcare improvement. They are? safety, effectiveness, patient-centered, timelines, efficiency, equity A system constraint is? anything ...

NSG 6006 Study Guide Policies & Practice Standards • State Nurse Practice Act NSG6006 Study Guide 5000 (Roles) • _History and Developmental Aspects of Advanced Practice Nursing • Definition of advanced practice nurse (APN) - A nurse who has completed an accredited graduate-level education program preparing her or him for the role of certified nurse practitioner, certified registered nurse anesthetist, certified nurse-midwife, or clinical nurse specialist; has passed a national c...

Webce Life and Health Comprehensive Review Questions and Answers Representations and Warranties - Correct answer Representations are statements the applicant makes on an application that are deemed to be true to the applicant's best knowledge. Warranties are statements the insurer makes in the contract." "Underwriting vs. Actuarial Departments - Correct answer Two related insurance company functions. Through the process of _________, applications are assessed for insurability and to ass...

AAPC CPC Chapter 1. Questions with answers. Latest update 2022/2023. Rated A+ masterpiece Document Content and Description Below What document is referenced to when looking for potential problem areas identified by the government indicating scrutiny of the services within the coming year?: A) OIG Compliance Plan Guidance B) OIG Security Summary C) OIG Work Plan D) OIG Investigation Plan - ☑☑C (Rationale: Twice a year, the OIG releases a Work Plan outlining its priorities for the fiscal yea...

US Healthcare Systems Quiz 1 correctly answeredHealth care delivery and health services delivery refer to the: Components, processes,and provisions Objectives of health care: 1. Access: able to receive or access care when need (after hours etc) 2. Cost: treatments and care 3. Quality: needs to meet certain standards Health care in developed countries (US versus other countries) Other countries: most have a national system of healthcare where universal access comes from (but no...

AAPC CPC exam prep Compliance and Regulatory Test_2022. 1. A covered entity does NOT include: A) Health plans B) Patients C) Healthcare providers D) Clearinghouses 2. AAPC credentialed coders have proven mastery of what information?: A) Code sets B) Evaluation and management principles C) Documentation guidelines D) All of the above 3. According to AAPC's Code of Ethics, an AAPC member shall use only ____ and ____ means in all professional dealings: A) private and profession...

What are the external and internal parts of health care compliance? - Answer- External: Federal and state statutes and regulations (e.g. HIPPA, FTC) Internal: Organizational policies and procedures (e.g. private practice has their own policies and you must follow) What does the PPACA Section 6401 say? - Answer-Requires all health care providers, regardless of their size, to implement formal health care compliance programs as a condition of their enrollment in Medicare, Medicaid, CHIP, and TR...

*(P:308-9) know what battery, assault etc mean, what is Slander - and be able to apply. - ANS ASSAULT: intentional threat toward another person that places the person in reasonable fear of harmful, imminent or unwelcome contact. BATTERY: is any intentional offensive touching without consent, or lawful justification. FALSE IMPRISONMENT: occurs with unjustified restraint of a person without a legal reason. DEFAMATION OF CHARACTER: is the publication of false statements that result in damage ...

STUDY GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: • Recogn...