Prepaid service plans - Study guides, Class notes & Summaries

CEBS GBA 1 Assignment 3 Questions and Answers All Correct prepaid service plans - Answer-this type of plan provided a set allowance (level of benefit) for hospital/medical services and paid them directly to the provider ex: blue cross blue shield indemnity plans - Answer-plans that reimbursed or indemnified a set dollar amount to the subscriber first dollar coverage - Answer-plan pays benefits from the minute an expense is incurred. the subscriber pays no expense. this model was used ...

Business Continuation Plans - Answer-continue the operation of the business in the event of a disabling sickness to a business owner or key employee Absolute Assignment v. Collateral Assignment - Answer-- absolute: a permanent and irrevocable transfer - collateral: a temporary and/or revocable transfer of benefits (collateral for debt) Accidental Bodily Injury Provision - Answer-require RESULT of injury unexpected or accidental Accidental Death and Dismemberment Insurance - Answer-- covers...

What major changes occurred in medical education as a result of the Flexner Report released in 1910? correct answers 1. Closure of 50% existing medical schools 2. increased sciences in curricula 3. decrease in women and minorities in medicine 4. medical schools become attached to academic centers - universities and colleges. Describe what medicine and the delivery of health care services looked like in the first half of the 20th century. correct answers 1. The medical profession was mostly...

prepaid plans - one of the major attempts to reduce healthcare costs prepaid plans - Healthcare providers are paid before rather than after services are performed Capitation - insurance companies make contracts with health care service group and agree to provide medical services to the enrollees. Physicians are paid a set amount for each enrollee. This is only payment received regardless of the type or number of services provided. Diagnosis-related groups (DRGs) - The typical, expected ...

"No Gain No Loss" - a replacing policy pays for ongoing claims under the policy it replaces Absolute Assignment v. Collateral Assignment - - absolute: a permanent and irrevocable transfer - collateral: a temporary and/or revocable transfer of benefits (collateral for debt) Accidental Bodily Injury Provision - require RESULT of injury unexpected or accidental Accidental Death and Dismemberment Insurance - - covers fatal accident or dismemberment of accidental injury - pure accident cover...

DRGs Diagnostic-Related Groups: payment rate based on specific diagnoses Prospective Payment System Used by Medicare-participating hospitals: pretreatment diagnosis billings based on DRGs; rate decided ahead of time between insurance companies and hospitals Exclusive Provider Used by HMO's: insurance coverage for contracted providers or institutions HMOs Health maintenance organizations: comprehensive healthcare to people who pay a fee for a fixed period of time Capitation...

Test Bank for Fundamentals of Nursing, The Art and Science of Person-Centered Care, 10th Edition 10e Carol R. Taylor, Pamela B Lynn, Jennifer L Bartlett . ISBN 8155 Full Chapters test bank included Unit I Foundations of Thoughtful, Person-Centered Nursing Practice Chapter 1 Introduction to Nursing and Professional Formation HISTORICAL PERSPECTIVES ON NURSING Development of Nursing From Early Civilizations to the 16th Century Florence Nightingale and the Birth of Modern Nursing Devel...

Which of the following types of health insurance covers the cost of providing non-medical custodial care to individuals with cognitive problems? A. Disability income insurance B. Long-term care insurance C. Hospital expense coverage D. Medical Expense coverage B All of the following are characteristics of a group health insurance plan EXCEPT: A. Only group members may be covered. B. There is one master contract B. Each person has a policy D. Benefits are essentially the same for al...

Health Insurance Florida Statutes, Rules, and Regulations Exam with complete solutions | Verified & Updated Minimum Benefit Standards - Contracts available in Florida - Answer ️️ -- Basic Medical Expense plans - Basic Physician's (nonsurgical) Expense plans - Major Medical Expense plans - Supplemental Major Medical plans - Comprehensive Major Medical plans - Health Maintenance Organization (HMO) plans - Preferred Provider Organization (PPO) plans - Exclusive Provider Organization...

Which of the following types of health insurance covers the cost of providing non-medical custodial care to individuals with cognitive problems? A. Disability income insurance B. Long-term care insurance C. Hospital expense coverage D. Medical Expense coverage B All of the following are characteristics of a group health insurance plan EXCEPT: A. Only group members may be covered. B. There is one master contract B. Each person has a policy D. Benefits are essentially the same for al...