Which Medicare plan includes HMOs?
Part D
Part C
Part A
Which insurance plan is not dependent on income?
Medicare
SCHIP
Medicaid
Which of the following is a classification and nomenclature system that may be used to calculate reimbursement?
Negotiated Fees
DRG
Capitation
Fee for service
Which type of managed care plan is exclusively for an organization's employees?
PPO
EPO
POS
Which Medicare plan includes HMOs?
Part D
Part C
Part A
PART C
Which insurance plan is not dependent on income?
Medicare
SCHIP
Medicaid
Medicare
Which type of managed care plan is exclusively for an organization's employees?
PPO
EPO
POS
PPO
Which of the following is a classification and nomenclature system that may be used to calculate reimbursement?
Negotiated Fees
DRG
Capitation
Fee for service
Negotiated Fees
Which Medicare plan includes HMOs? Part D Part C Part A Which insurance plan is not...
69) A policy that pays you back for actual expenses is called A) An indemnity plan. B) A deductible plan. C) A reasonable and customary plan. D) A reimbursement plan. E) A coinsurance plan m The set amount that you must pay toward medical expenses before the insurance company pays benefits is called A) Deductible. B) Reimbursement C) Indemnity. D) Internal limit. E) Reasonable and customary charges. 71) Which of the following is a government health care program? A) Health...
What are the differences in insurance plan funding between Medicare (Part A, B, C, D), Medicaid, and Private Insurance plans? Are there any current and/or future healthcare funding concerns for Medicare, Medicaid, and Private Insurance plans? What are the general differences between funding a Single Payer Model (for example, Canada’s Healthcare Model) of healthcare compared to Private Insurance plan model in the United States? What are your thoughts and ideas on how to fix the US healthcare model raising costs...
Chapter 24: Health Plans and Medicare 1. Which type of MA plan is experiencing an increase in availability and enrollment due to broad waivers from CMS? A. Medical savings account plan. B. Health Maintenance Organization plan. C. Private fee-for-service plan. D. Group retiree plan. 2. Dual Eligible Special Needs Plans enroll individuals who are “dual eligible.” Who are the “dual eligible”? A. Individuals who are eligible for Medicare and have Long-Term care insurance B. Individuals who are eligible for Medicare...
Which one of the following is TRUE about the concept of "coinsurance": For property insurance, the main purpose of coinsurance is to get policyholders to share costs with insurers after the deductible is reached. For health insurance, the main purpose of coinsurance is punish policyholders for under insuring. For health insurance, coinsurance is used as an incentive for policyholders to use in-network providers. None of the above are TRUE. 26. а. b. с. d. 27. Which one of the following...
check the answers! Chapter 3 Review L = licensure Applying knowledge LO 3.1 R- Registration Write for licensure, "C" for certification, and R for registration in the space provided to indicate which is applicable in the following descriptions 1. Involves a mandatory credentialing process established by law, usually at the state level. 2 Involves simply paying a fee. 3. Involves a voluntary credentialing process, usually national in scope, most often sponsored by a private sector group. 4. Required of all...
It's due tonight. Thanks! Part 1 refer to pages 370 and 371 answer to the following (10 pts) Outline (list)managed care requirements for patient referrals. Medicaid patients before the fifth of each month. This allows ample time for the beneficiary to receive the medical coupon. If the patient presents for an appointment without a medical coupon, and proof of eligibility cannot be determined elsewhere, it is common practice to have that patient reschedule the appointment. The exception is an emergency...
help pleaas HSA 4170 Exam 2 Study Guide-80 Questions Chapter 4: 1. At ABC company, if assets equal $50,000 and liabilities equal $30,000, what is the total of liabilities and net worth? A) $20,000 B) $50,000 C) $70,000 D) None of these is correct 2. At XYZ corporation, amount? etaned earnings are $10.000 and labases are $25,000, what is the total asset A) $35,000 B) $50,000 C) An unknown figure D) None of these is correct 3. At the General...