Beneficiaries who are - Study guides, Class notes & Summaries
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LRM3701 October/November 2024 | Due 31 October 2024
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LRM3701 October/November 2024 | Due 31 October 2024. 
 
Read the case study in this link, and argue whether or not these employees have participated in a strike action. 2. NEGOTIATIONS (5 MARKS) 
Read the following case study and answer the question that follows. 
Underground sit-in at Sibanye’s Kroondal platinum mine ends as workers return to surface 
TimesLIVE reports that the illegal underground sit-in by employees at Sibanye-Stillwater’s Kroondal mine ended on Wednesday afternoon with a...
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PVL2602 Assignment 1 (QUALITY ANSWERS) Semester 1 2024
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This document contains workings, explanations and solutions to the PVL2602 Assignment 1 (QUALITY ANSWERS) Semester 1 2024. For assistance call or us on 0.6.8..8.1.2..0.9.3.4..... Question 1 In Mark 0.00 out of 1.00 
Buhle Baloyi, a 94-year-old retired judge, had been suffering from a prolonged respiratory infection from late 2018. In addition to this, he was diagnosed with rheumatoid arthritis and as a result, he spent most of his days in bed, as he was in severe physical pain. He was looked af...
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NJ Life Producer Exam Study Life Insurance Questions and Answers 100% Pass
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NJ Life Producer Exam Study Life 
Insurance Questions and Answers 100% 
 
Pass 
 
An insurer must renew a renewable term policy at the policyowner's request regardless of the 
insurability status of the insured. Renewable Term Life Insurance 
 
The settlement option that provides for payments to be made in regular installments to a 
beneficiary until the principal and interest are exhausted best describes: Fixed-amount 
 
What hours of operation is a branch office required to have? Must give pu...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 
Steps used to control costs of managed care include: 
Bundled codes 
Capitation 
Payer and Provider to agree on reasonable payment 
 
 
 
DRG is used to classify 
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 
HMO 
Conventional 
PPO and POS 
H...
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LML4804 Assignment 3 Semester 2 2024 | Due 25 September 2024
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LML4804 Assignment 3 Semester 2 2024 | Due 25 September 2024. All questions answered. 
 
 Question 1 (CAPITAL GAINS TAX) 
Ms. Kru, a South African resident worked for O Insure (Pty) Ltd (“O Insure”) as a specialist for 15 
years. As a result of the Covid-19 pandemic that hit the world, O Insure decided to retrench her team 
including Ms. Kru. She was given a severance package of R5 million. Ms. Kru is married in 
community of property to Lolo and they stay in Blue Halley, Pretoria They bo...
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LML4804 Assignment 3 (DISTINCTION ANSWERS) Semester 2 2023
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LML4804 Assignment 3 (DISTINCTION ANSWERS) Semester 2 2023 Answers, guidelines, workings and references.... QUESTION 1 (CAPITAL GAINS TAX) 
Mr. Xaba, a South African resident worked for Acce Pty Ltd (“Acce”) as an electrician for 15 years. As a result of the Covid-19 pandemic that hit the world, Acce decided to retrench the technical employees including Mr. Xaba. He was given a severance package of R5 million. 
Mr. Xaba is married in community of property to his childhood sweetheart, Ma...
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LML4804 Assignment 4 (DETAILED ANSWERS) Semester 2 2024 - DISTINCTION GUARANTEED
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LML4804 Assignment 4 (DETAILED ANSWERS) Semester 2 2024 - DISTINCTION GUARANTEED - DISTINCTION GUARANTEED - DISTINCTION GUARANTEED Answers, guidelines, workings and references ...QUESTION 1 (CAPITAL GAINS TAX) 
Ms. Kru, a South African resident worked for O Insure (Pty) Ltd (“O Insure”) as a specialist for 15 years. As a result of the Covid-19 pandemic that hit the world, O Insure decided to retrench her team including Ms. Kru. She was given a severance package of R5 million. 
Ms. Kru is mar...
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CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 with Complete Solutions
- Exam (elaborations) • 18 pages • 2023
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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...
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CRCR Exam Prep questions and answers 2023/2024
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CRCR Exam Prep 
What are collection agency fees based on? - correct answer A percentage of dollars collected 
 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday 
 
In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates 
 
What customer service improvements might improve the patient accounts department? - correct answer Ho...
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Ahip 2024 module 3 Practice Questions and Answers 100% Pass
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Ahip 2024 module 3 Practice 
Questions and Answers 100% Pass 
Which of the following statements about Medicare Part D are correct? - Correct Answer ️️ 
-I, II, and III only 
-I. Part D plans must enroll any eligible beneficiary who applies regardless of health 
status except in limited circumstances. 
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but 
may choose to have one. 
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only...
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