Hospital insurance - Study guides, Class notes & Summaries
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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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Final Exam-Michigan Life and Health Questions and Answers 2023/2024
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What amount will be paid under a policy where the insured misstated his/her age? - Answer- an amount the premium would have purchased at the correct age 
 
the acceptance of a credit life application requires the submission of a certificate of insurance to the insured within_____ days - Answer- 30 days 
 
which of these is considered to be a Living benefit option in a life insurance policy - Answer- Accelerated death benefit 
 
loans obtained by a policy owner against the cash value of a life in...
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AINS 102 Questions With Correct Answers 2023-2024
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AINS 102 Questions With Correct Answers 
All of the following items are examples of personal property, EXCEPT: 
Select one: 
A. Sports equipment 
B. Silverware 
C. A fishing boat 
D. Underground pipes - ANS-Underground pipes 
Which one of the following statements regarding assets exposed to loss is true? 
Select one: 
A. Real property includes only tangible property.Correct. All real property is tangible property having a 
physical form that can be seen or touched. Personal property can includ...
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FOUNDATIONS AND ADULT HEALTH NURSING 9TH EDITION COOPER GOOSNELL TEST BANK CHAPTER 1-41 | COMPLETE GUIDE A+ 2023-2024
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FOUNDATIONS AND ADULT HEALTH NURSING 9TH EDITION COOPER GOOSNELL TEST BANK CHAPTER 1-41 | COMPLETE GUIDE A+ 2023-2024. Which of the following must the nurse recognize regarding the health care delivery system? 
a. It includes all states. 
b. It affects the illness of patients. 
c. Insurance companies are not involved. 
d. The major goal is to achieve optimal levels of health care. 
ANS: D 
The nurse must recognize that in the health care delivery system, the major goal is to achieve 
optimal lev...
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NHA CBCS CERTIFICATION PRACTICE EXAM Questions & Answers GRADED A+ 2023|2024
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NHA CBCS CERTIFICATION PRACTICE EXAM Questions & Answers 
GRADED A+ 2023|2024 
Which of the following is considered the final determination of the 
issues involving settlement of an insurance claim? (ANS - Adjudication 
A form that contains charges, DOS, CPT codes, ICD codes, fees and 
copayment information is called which of the following? (ANS - Encounter 
form 
A patient comes to the hospital for an inpatient procedure. Which of the 
following hospital staff members is responsible for the ini...
Too much month left at the end of the money?
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AINS 102 Exam Questions with 100% Correct Answers |Latest 2024/2025.
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Which one of the following is considered real property? 
Select one: 
A. An automobile 
B. A house 
C. Furniture 
D. A motorhome ️ B 
The Davis family suffered extensive fire damage to its home and was 
temporarily unable to inhabit it. The family was forced to rent a hotel room 
while its home was under repair. The cost incurred to rent the hotel room is 
referred to as which one of the following outcomes of loss? 
Select one: 
A. Lost income 
B. Increased expenses 
C. Reduction in value of p...
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Naham Exam Latest Update with Verified Solutions
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Naham Exam Latest Update with Verified 
 
Solutions 
 
AIDET acknowledge, introduce, duration, explanation, thank you 
 
Press Ganey provides patient service satisfaction surveys, used for both public relations & 
performance improvement 
 
KPI Key Performance Indicator 
 
KPI Example Preregistration percentage, wait times, accuracy rate, pos collections, 
productivity 
 
HEAT Hear them out, empathize with the customer, apologize, take responsibility for 
actions 
 
PPE personal protective equip...
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ATI Fundamentals Remediation 2023 | 100% Correct Answers | Updated & Verified | 62 Pages
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A nurse is explaining differences among various agencies that address healthcare. Nurse should 
note which of following are health care regulatory agencies? (Select all that apply.) 
A: American Nurses Association (ANA) 
B: Joint Commission 
C: State boards of nursing 
D: National League for Nursing (NLN) 
E: Food and Drug Administration (FDA) - B, . Joint Commission; C. State Boards of 
Nursing; E. Food and Drug Administration (FDA) 
Nurse is explaining various types of healthcare coverage clie...
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TEST BANK For Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer | Complete All Chapter 1-38 2024-2025.
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Chapter 1. Introduction to Maternity and Pediatric Nursing 
Chapter 2. Culture 
Chapter 3. Women’s Health Promotion Across the Life Span Unit Two: Pregnancy and the 
Family 
Chapter 4. Human Reproduction and Fetal Development 
Chapter 5. Physical and Psychological Changes of Pregnancy 
Chapter 6. Nursing Care During Pregnancy 
Chapter 7. Promoting a Healthy Pregnancy 
Chapter 8. Nursing Care of the Woman With Complications During Pregnancy Unit Three: 
Birth and the Family 
Chapter 9. Nursing ...
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RPB102: Resolute Professional Billing Fundamentals Questions With Complete Solutions
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What is the difference between a patient record and a guarantor record? correct answer: A patient record represents the person receiving care. It contains the demographic information for the patient 
and the patient's chart. The guarantor record represents the person responsible for the charges. It contains the 
name of the guarantor and the address where the bill will be sent. 
 
True or False: 
A hospital account contains the information about the person ultimately responsible for the charg...
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