Question

PLEASE answer the following:

1. Which of the following are responsibilities that can be shared between a risk management professional and a TPA?

A.	Claim Reporting
B.	Claim Investigation
C.	Claim Management Strategy
D.	Settlement
E	none of the above
F.	all of the above

2. Which of the following categories of materials do not need to be maintained in the claim file?

A.	Medical Records
B.	Transcripts of Recorded Interviews
C.	Correspondence
D.	The hospital’s Medicare Cost Reports

3. Establishing a captive insurance company is a form of risk transfer?

A.	True
B.	False

4. Retain the small predictable layers of risk and transfer the unpredictable catastrophic layer of risk. Does this statement promote appropriate risk financing decision making?

A.	True
B.	False

Answer 1

Q.1. option F is correct as all responsibilities are required to be shared between a risk management professional and a TPA for the better proceedings of the health services and financial assistance.

Q.2. Option D is correct as this is not the essential part of the claim file

Q.3. True as it is referred as alternative risk transfer

Q.4. True statement to promote appropriate risk financing decision making