Third party administrator - Study guides, Class notes & Summaries

CDT Exam Questions With Correct Answers 100% Solved Which of these documents, might we find in the Project Manual but they are not contract documents? (A) The Agreement (B) Procurement Documents (C) Addendum (D) Supplemental Conditions - answerAnswer: B Reference: PDPG 11.1.6 Explanation: Procurement requirements are addressed to prospective bidders or proposers interested in the project. Although not necessarily part of a contract, the procurement requirements are usually bound wit...

Any court of law that evaluates the standards of care provided by the psychiatric-mental health nurse practitioner: A. compares actions to the standard of care provided by a psychiatrist. B. considers what a reasonably prudent PMHNP would do in the same or similar circumstance. C. evaluates patient satisfaction data. D. reviews the nurse practitioner's charts for similar patients B. considers what a reasonably prudent PMHNP would do in the same or similar circumstance. The pare...

Kentucky Health Insurance Exam | Study Questions and Verified Answers| 100 % Correct| Grade A (New 2024/ 2025 Update) QUESTION Individuals who itemize deductions can claim deductions for medical expenses not covered by health insurance that exceed what percent of their adjusted gross income? A. 5% B. 7% C. 10% D. 15% Answer: C. 10% QUESTION What is another name for an Administrative Services only arrangement? A. Self funding B. Third party administrator C. A modifie...

Google Workspace: Deployment Services Specialist Exam 2023 with complete solution Android A Google Workspace account is set up with a third-party Single Sign-On (SSO) solution. Which access method will require the user to enter their password stored in Google Workspace versus their SSO login credential? Ensure that GSPS is installed on every writable domain controller. An organization has successfully installed G Suite Password Sync (GSPS) in their environment. They report that not all Act...

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...

MCHES Practice Exam Questions 7th Edition with 100% Verified Answers 2023. d. experimental - correct answer-1. The health education specialist is organizing a summative evaluation. Which evaluation design offers the most control over confounding variables? a. time series b. quasi-experimental c. non-experimental d. experimental b. health disparities - correct answer-2. For people which less than 12 years of education, the infant mortality rate and overall death rate is almost twice as h...

1.1 SPO #1 Relationship between a SPO and a test question A test question must respond directly to an SPO and every SPO may be the basis of a test question 1.1 SPO #2 Reasons for Corrections Training Mandated by State Law To acquire new knowledge and skills To reduce errors and mistakes in performing critical tasks while protecting the public To standardize procedures To increase efficiency To build confidence and morale To promote safety and survival skills To reduce civil liabi...

RCFE Test Prep: Complete Questions (Answered_2022/2023). "Capacity" means maximum number of persons authorized to be provided services at any one time in any licensed facility 87101 True False - (Correct Ans): True "waiver" means variance to a specific regulation based on facility wide need or circumstance. 87101 True False - (Correct Ans): True A ___ day supply of non-perishable food must be maintained in the facility 87411 7 10 14 - (Correct Ans): 7 A ___ day supply of...

Abstract of Title - Answer- A condensed history or summary of all transactions affecting a particular tract of land. Acceleration clause - Answer- A condition in a real estate financing instrument giving the lender the power to declare all sums owing lender immediately due and payable upon the happening of an event, such as sale of the property, or a delinquency in the repayment of a note. Accession - Answer- An addition to property through the efforts of man or by natural forces. Accre...

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...