Quality bonus payments - Study guides, Class notes & Summaries

Suspect Logic - ANSWER-Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - ANSWER-Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors - ANSWER-* Known/Expected clinical progression of an illness or disease * DME needs * PDE * Laboratory test findings * CPT codes reported during the year in review * HCPCS codes rep...

CDEO Chapter 8 Study Guide with Complete Solutions PREDICTIVE MODELING - Answer️️ -is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic - Answer️️ -Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - Answer️️ -Analysis of the information identified is used to target retrospective r...

HEDIS - ANSWER-Healthcare Effectiveness Data and Information Set QBPs - ANSWER-Quality bonus payments 5 Stars - ANSWER-Excellent Performance 4 Stars - ANSWER-Above Average Performance 3 Stars - ANSWER-Average Performance 2 Stars - ANSWER-Below Average Performance 1 Star - ANSWER-Poor Performance Month of Star Ratings Publication

PREDICTIVE MODELING correct answersis an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic correct answersMany organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews correct answersAnalysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Lo...

WGU C268 Study Guide for EXCEL PA, Exam Questions and answers, 100% Accurate. Verified. Calculate the payment amount for the loan in cell C15. Reference the cells containing the appropriate loan information as the arguments for the function you use. Cells C20-C67 in the "Payment" column are populated with the payment amount from cell C15. =PMT(C13/12,C12,C11) Calculate, in cell D20, the interest amount for period 1 by multiplying the balance in period 0 (cell F19) by the loan inte...

Which of the following is not a type of managed Medicaid plan? PFFS Dual Eligible Special Needs Plans enroll only which type of individual? Individuals who are eligible for medicare and medicaid Plans can receive bonus payments for high star quality ratings. The bonus payments can be used to: All of the aboveProvide additional benefits, reduce cost sharing, reduce enrollee payments Which of the following is not a measure in the Medicare Quality Bonus Program (QBP; i.e. the "Stars" p...

WGU C268 Spreadsheets, Exam Questions and answers, 100% Accurate. Rated A+ Calculate the payment amount for the loan in cell C15. Reference the cells containing the appropriate loan information as the arguments for the function you use. Cells C20-C67 in the "Payment" column are populated with the payment amount from cell C15. [34 Points] - -=PMT(Rate/#months of term,LoanAmt) =PMT(C13/12,C12,C11) Calculate, in cell D20, the interest amount for period 1 by multiplying the balance in...

You can help prevent grievances by: (Select all that apply.) - a. Always confirming availability of the beneficiary's primary and specialist providers by using the provider search tool available on the plan's website. b. Always using plan materials to clearly explain plan benefits and cost (including medications) and check for understanding. c. Always confirming a beneficiary's intent to enroll before accepting their enrollment application. (All of the above) Which of the following is ...

Calculate the payment amount for the loan in cell C15. Reference the cells containing the appropriate loan information as the arguments for the function you use. Cells C20-C67 in the "Payment" column are populated with the payment amount from cell C15. [34 Points] - =PMT(Rate/#months of term,LoanAmt) =PMT(C13/12,C12,C11) Calculate, in cell D20, the interest amount for period 1 by multiplying the balance in period 0 (cell F19) by the loan interest rate (cell C13) divided by 12. Dividing the...

HITECH & Breach Notification questions with correct answers HITECH Act 2009 Correct Answer--American Recovery & Reinvestment Act -Signed into law 2/17/09 -Enforcement date 2/18/2010 What is HITECH? Correct Answer--On February 17, 2009 the Federal Stimulus Bill or American Recovery and Reinvestment Act (ARRA) was signed into law and included provisions to address Health Information Technology For Economic and Clinical Health Act (HITECH). -Purpose is to create a national health information...