Copayment - Study guides, Class notes & Summaries

NHA,CBCS Exam (New 2024/ 2025 Update) |Questions and Verified Answers| 100% Correct| A Grade QUESTION Which of the following formats are used to submit electronic claims to a third-party payer? Answer: 837 QUESTION Urine moved from the kidneys to the bladder through which of the following parts of the body? Answer: Ureters QUESTION As of April 1, 2014, what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before a further...

PSI practice health and accident Insurance exam Q&A which oft he following is a characteristic of preferred provider org (PPO) A: prearranged costs for services rendered B: providers receive a flat montlyh amount for each user C: ability to receive care at the same cost from any provider D: emergency treatment is restricted to pre-select hospitals - CORRECT ANSWER-A: prearranged costs for services rendered how do most disability policies handle the case of a recurrent disability at leas...

Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Correct Answer: Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? Correct Answer: Encounter form A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insur...

©BRAINBARTER 2024/2025 PSI practice health and accident Exam Questions With Verified Answers. Which oft he following is a characteristic of preferred provider org (PPO) A: prearranged costs for services rendered B: providers receive a flat montlyh amount for each user C: ability to receive care at the same cost from any provider D: emergency treatment is restricted to pre-select hospitals - answerA: prearranged costs for services rendered how do most disability policies handle the case...

RMIN 4000 UGA Brown Test 4 Questions and Answers (Graded A)RMIN 4000 UGA Brown Test 4 Questions and Answers (Graded A)RMIN 4000 UGA Brown Test 4 Questions and Answers (Graded A) fee-for-serive - ANSWER-a separate fee is paid for each service copayment - ANSWER-flat amount the insured must pay each time health services are received calendar year deductible - ANSWER-an aggregate deductible that has to be satisfied only once during the calendar year

Advance Beneficiary Notice (ABN) A form provided to the patient when the provider believes Medicare will probably not pay for services received Allowed Amount The maximum amount a third-party payer will pay for a particular procedure or service Copayment a small fixed fee paid by the patient at the time of an office visit Coinsurance a provision under which both the insured and the insurer share the covered losses, typically 80:20 deductible specific amount of money a patient must pay out...

All Practice Exam Questions - Life, Accident and Sickness - GA State License with 100% Correct Solutions 100% - Correct Answer ️️ -How much participation does a Noncontributory plan require? constructive delivery - Correct Answer ️️ -The insured hands control of the policy to another person (usually the agent) beneficiary change can be made by doing what? - Correct Answer ️️ -Filing a request with the insurer - Recording Method, or by endorsement Entire Contract Provision - C...

What is the term for the total amount of covered medical expenses a policyholder must pay each year out-of-pocket before the health insurance company begins to pay any benefits? A. Copayment B. Deductible C. Secondary Payment D. Coinsurance - correct answer B. Deductible Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? A. Business liability B. Bonding C. Medical malpractice D. Workers...

HOM 5307 Exam 2 What technique is used by many pharmaceutical companies with health plans and PBMs to increase formulary access and utilization of specific products? A- Rebates for preferred formulary position B- Health economic data, including a growing number of head-to-head clinical trials C- Member copayment coupons to offset copayment D- All the above - D- all of the above T/F Recent legislation encourages separate lifetime limits for behavioral care. - false T/F The...