Private health insurance - Study guides, Class notes & Summaries

Chapter 36: Home Health Nursing1. What became effective in 1966 by an act of legislation that revolutionized home care? a. Life insurance b. Medicare c. Private insurance d. Social Security - correct answer ANS: B When Medicare became effective in 1966, it revolutionized home care by changing it to a medical rather than nursing model of practice, defining and limiting services it would reimburse, and changing the payment source and even changing the reason home care was provided. PTS: 1 ...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-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 - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

medication aide (MA) - Answer-a healthcare worker, usually first trained as a nursing assistant, whose main task is administering medications to residents in a long-term care facility. long-term care facilities - Answer-a facility in which residents live and are able to receive 24-hour skilled care. documenting - Answer-keeping a record of care provided. PRN - Answer-abbreviation meaning as needed. professional - Answer-having to do with work or a job. personal - Answer-relating to life o...

Test Bank For Foundations for Population Health in Community Public Health Nursing 5th Edition by Marcia Stanhope, Jeanette Lancaster Chapter 1-32 Complete Guide A+ Test 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 Oriented Practice to Improve Population Health Chapter 2. The History of Public Health and Public and Community Health Nursing Chapt...

What type of insurance allows treatment virtually anywhere with a high deductible that policy holders are willing to pay? a. COBRA b. EPO c. PPO d. HMO - C Veterans with service related disabilities are eligible for case under which of the following programs: a. CHAMPUS b. Medicare c. CHAMPVA d. TRICARE - C _______________________ is usually sponsored and partially paid by an employer. a. TRICARE b. Private Insurance c. Group Health Insurance d. Worker's Aide - C _______________...

Payroll compliance legislation final Exam Chapters 5-9|76 Questions with Verified Answers The Ontario Health Premiums are calculated based on - CORRECT ANSWER employee earnings in excess of $20,000.00 Which of the following provinces funds its health care coverage through premiums? - CORRECT ANSWER British Columbia Newfoundland and Labrador fund their health care systems through: - CORRECT ANSWER employer tax If a province funds their health care systems through the regular tax base,...

Georgia JAM Questions and Answers Rated A+ professional licensing boards division division individual appointed by the Secretary of State as director of the professional licensing boards division within the office of the Secretary of State division director any board, bureau, commission, or other agency of the executive branch of the state government which is created for the purpose of licensing or otherwise regulating or controlling any profession, business, or trade and which is...

A medical expense policy that establishes the amount of benefit paid based upon the prevailing charges which fall within the standard range of fees normally charged for a specific procedure by a doctor of similar training and experience in that geographic area is known as Usual, customary and reasonable What provision would prevent an insurance company from paying a reimbursement claim to someone other than the policyowner? Payment of Claims All of the following are true about gr...

Test Bank For Basic Geriatric Nursing 8th Edition by Patricia A. Williams 2023/2024 Chapter 1-20 PLUS Nclex Case Studies with Answers | All Chapters. Chapter 01: Trends and Issues Williams: Basic Geriatric Nursing 8th Edition MULTIPLE CHOICE 1. Which fact explains the shift of health care focus toward the older adult in the late 1960s? a. Disability was viewed as unavoidable. b. Complications from disease increased mortality. c. Older adults’ needs are similar to those of all adults. d....

HHD - Unit 3: NDIS and Private Health Insurance questions with complete solutions