Out of pocket payments - Study guides, Class notes & Summaries

TEST FOR ADJUSTER PRO, FLORIDA STUDY(QUESTIONS AND ANSWERS)A+ GRADED EXAM 2023-2024 - CORRECT ANSWER-Subtract the deductible from covered damages to get indemnification - CORRECT ANSWER-6 unique characteristics of insurance policy 1 Contracts of adhesion (court ez win) 2 Utmost good faith 3 aleatory 4 personal 5 Unilateral (only insurer has obligation) 6 Conditional - CORRECT ANSWER-1945 regulate insurance Naic doesn't give benefits to comissioners 90 day to pay hijacking on...

Healthcare Reimbursement -Study guide Questions and Answers Rated A+ How does the reimbursement process change when a patient visits out-of-network providers? When a patient visits an out-of-network provider, they often face higher out-of-pocket costs, and the provider may receive lower reimbursement rates or no direct payment from the insurance company. What happens when a claim is denied due to a lack of medical necessity? If a claim is denied for lacking medical necessity, the pr...

MHA 710/ MHA710 Exam 1 Prep: (Latest 2024/ 2025) Questions and Verified Answers| Grade A| 100% Correct Q: How does healthcare spending per person in the US compare to other countries? Answer: US spends far more per person on healthcare than any other large countries. Q: How does US life expectancy at birth compare to other countries? Answer: 27 out of 34 of the OECD countries (bad!) Q: Has the US achieved the same increases in life expectancy relative to their change...

WGU C425 OA Review (UPDATED)questions and answersWhich of the following is true in regards to health care today in the United States? There are more primary care physicians than specialty physicians. Primary care receives a higher reimbursement in professional fees. There are more specialty physicians than primary physicians. Outpatient care is slowly decreasing. There are more specialty physicians than primary physicians. What triggered the downsizing phase in the U.S. hospital indu...

1. A financial counselor/Financial Assistance: In accordance with Section 501(r) regulations through the Affordable Care Act, a hospital must establish a written financial assistance policy and make it available to patients. 2. Batch Processing: Execution of a series of jobs in a computer program without manual intervention; it is used to help maximize the use of computer resources and stabilize response time by performing system-intensive work during hours when users are less likely to require...

GA Navigator Training Questions and Answers Already Passed What permits an individual to apply a credit toward monthly health insurance premiums--up to a maximum amount? Advance premium tax credit The ACA does not allow insurers to underwrite or rate health insurance based on which of the following factors? Gender What is the name of the ACA provision that requires all health plans to use a certain percentage of all premium dollars collected as payments on claims for health care c...

N.C. Claims Adjuster Exam Latest 2023 Rated A+ Inception/Expiration Date an insurance policy covers the insured starting at 12:01am on the day on which coverage begins and expires at 12:01am on the expiration day of the policy. Occurrence Date Date of which the loss occurred Identification of parties involved The loss report should include the names and addresses of the parties involved in the loss, the names and addresses of any injured person(s) and the names and addresses of any witness(s)....

Reimbursement Methodologies Questions and Answers Already Passed What factors influence the development of reimbursement methodologies in healthcare? Factors influencing reimbursement methodologies include healthcare costs, the need for efficiency, regulatory changes, and advancements in medical technology. How do payer contracts impact healthcare provider reimbursement? Payer contracts outline the terms and conditions for reimbursement, including rates, covered services, and billin...

Commercial Real Estate SAE - Champion's School of Real Estate 495 Questions with Verified Answers Productivity Management - CORRECT ANSWER Measuring the results from the use of available systems and tools for prospecting activities CRM - CORRECT ANSWER Contact Relationship Manager, a tool used to automate prospecting tasks and manage leads Geographic farming - CORRECT ANSWER A particular area that may include neighborhoods that a sales agent or broker markets for the solicitation of bu...

Chapter 9 Reimbursement Questions and Answers Graded A+ How do third-party payers affect the healthcare reimbursement process? Third-party payers, such as insurance companies, facilitate payments to healthcare providers on behalf of patients, often based on pre-negotiated rates. Why is accurate medical coding essential in the reimbursement process? Accurate medical coding ensures that healthcare providers are properly reimbursed by translating diagnoses and procedures into codes t...