Health insurance coverage - Study guides, Class notes & Summaries

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...

An unresponsive 2-year-old child was found by his mother with a bottle labeled "Elavil 50 mg" by his side. Which piece of information is important to obtain from his mother? A. The size of the medication bottle. B. The expiration date of the medication. C. The number of pills left in the bottle. D. The person for whom the medication was prescribe. -Answer C. The number of pills left in the bottle. A nurse providing crisis intervention to the family of a seriously ill child can best ke...

Multi-Line Insurers - CORRECT ANSWER-________-______ Insurers are insurance carriers that offer more than one line of insurance. False - CORRECT ANSWER-True or False? Stock Insurance Companies are "participating" in that the policyholders receive dividends. Attorney-In-Fact - CORRECT ANSWER-Reciprocal Insurers are managed by an ___________________. Association - CORRECT ANSWER-Contrary to popular opinion, Lloyd's of London is not an insurer but rather an ____________. Limits Catas...

The type of policy where the insurer can send a notice to the insured that the policy has been cancelled in the middle of the term is called - cancelable Krissa purchases a 10-year level term life insurance policy that has a death benefit of $200,000. Which of these statements is true? The policy automatically converts to whole life after the 10-year period - The face amount and premium will remain constant over the 10 year period Which of the following provides Medicare supplement policie...

All of the following are correct about the required provisions of a health insurance policy EXCEPT A. The entire contract clause means the signed application, policy, endorsements, and attachments constitute the entire contract. B. A reinstated policy provides immediate coverage for an illness. C. Policies become incontestable after being in force for 3 years. D. A grace period of 31 days is found in an annual pay policy. - correct answer B. A reinstated policy provides immediate co...

Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo & Robinson Test Bank UNIT I. THE FOUNDATION Chapter 1. The Role of the Nurse Practitioner as Prescriber Chapter 2. Review of the Basic Principles of Pharmacology Chapter 3. Rational Drug Selection Chapter 4. Legal and Professional Issues in Prescribing Chapter 5. Adverse Drug Reactions Chapter 6. An Introduction to Pharmacogenetics Chapter 7. Nutrition and Neutraceuticals Chapter 8. Herbal Therapies and Cannabis Chapter...

Missouri Life and Health Exam Questions and Answers 100% Pass In a Life insurance contract, an insurance company's promise to pay stated benefits is called the: a) insuring clause b) consideration clause c) entire contract d) owner's rights insuring clause under which circumstance MUST a health insurer have an expedited grievance review procedure? when the enrollee's life or health is jeapordized The Consideration clause in a life insurance contract contains what pertinent information? ...

When an insurance company requests an attending physician's report, the request must be accompanied by a - Copy of the signed authorization Which of the following is NOT a required uniform provision in individual health policies? - Change of occupation "Life insurance creates an immediate estate". This phrase means - When the insured dies, a death benefit is paid A person who asserts a right of recovery under an insurance policy is called - Claimant Before an insurer is allowed to test...

→ Immediately available after payment →Both online and in PDF →100% Money Back Guarantee| Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank Test Bank for Community and Public Health Nursing 3rd Edition Rosanna DeMarco; Judith Healey-Walsh Chapter 1-25 Complete Guide A+ Bank For Foundations for Population Health in Community Public Health Nursing 5th Edition Authors: Authors: Marcia Stanhope, Jeanette Lancaster Table of Contents Chapter 1. Community and Prevention Orie...

WA Life and Disability Producer Combo Questions with Verified Solutions If a company provides group disability insurance to its employees, which of the following may be tax deductible? The premiums paid by the company as a business expense Which provides benefits for expenses incurred as a result of in-hospital medical treatment and surgery as well as certain outpatient expenses such as doctor's visits, laboratory tests, and diagnostic services? Hospitalization insurance Compared t...