Out of pocket Study guides, Class notes & Summaries

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

CAIB 3 Exam Questions with All Correct Answers Civil Law - Answer-the body of law concerned with civil or private rights and remedies, as contrasted with criminal law which deals with wrongs against society. Tort - Answer-a private or civil wrong or injury, other than breach of contract, for which the court will provide a remedy in the form of an award for damages. Breach of Contract - Answer-is the failure, without legal excuse to perform any promise which forms the whole or part of t...

American Government CLEP Exam Questions With 100% Correct Answers The president's constitutional power of ____ allows him/her to reject acts of Congress. - answerVeto. To balance the ability of the legislature to pass laws unilaterally, the president is given this right as part of the system of checks and balances. Congress can ________ a veto with a 2/3 vote of each house. - answerOverride. Part of the system of checks and balances, this power ensures that, given enough votes, even the P...

After verifying Mr. Donovan's date of birth at the pickup counter, which second identifier should you ask for? - Answer- Home Address During the filling process of a prescription, which task can only the pharmacist perform according to most states? - Answer- Final check Which is common side effect of metoprolol? - Answer- Dizziness According to FDA, a medication guide must be provided to patients picking up which Rx from an outpatient pharmacy? - Answer- Sertraline A prescriber has ...

Fiduciary Standard - correct answer-A legal standard that holds a licensee to the highest ethical standards that the law provides. Compensation Disclosure - correct answer-Institute professionals required to "disclose services to be offered and provided, related charges, and compensation." This principle is intended to define an Institute professional's communication responsibilities relating to the scope and cost of services offered and compensation received therefor. Principle 2 requir...

NR 511 Midterm Exam Questions and Answers Latest Updated 2024 (GRADED) Which of the following demonstrates a subjective finding? Extremity edema. Eye color. rect! Pain level. Pulse rate. Pain is a subjective finding, as patients self-report their level of pain. All other options are objective findings. Question 2 0 / 1 pts The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health ins...

PTCB Pharmacy Billing and Reimbursement Practice Test Questions and Answers Latest Rated 100%. DAW/DNS stand for which of the following? A. Dispense as written B. Distribute and work C. Distribution and working D. Dispense as well 3. Which of the following third party plans requires the patient to designate a primary care physician (PCP)? A. Health maintenance organization (HMO) B. Preferred provider organization (PPO) C. Medicare Part D D. TRICARE 4. The cost of the coverage of an i...

Where should you place the needle or syringe after collecting it? - Answer- In an empty bottle or container. If none are available empty the first aid kit into a bag and put the needle into the empty box What is the CC chain of command based on? - Answer- Based on rank and who has been there for the longest. What is the primary role of CC? - Answer- Safety of passengers, crew & aircraft How many hours before commencing duty should CC stop consuming alcohol according to Ryanair requireme...

MHA 610 Final Exam Questions & Answers 2023/2024 "What is meant by the term "health care costs" Give the 3 meanings - ANSWER-1. Billings and premiums that the patient pays 2.How much debt the nation is in for medical expenses 3. The cost of producing services such as supplies and equipment Rand Health - How does it show relationship of rising costs and third party reimbursement? - ANSWER-The experiment showed how people who paid out of pocket were less likely to utilize the services...

INSTRUCTIONS • Use black ink. • Write your answer to each question in the Answer Booklet. The question numbers must be clearly shown. • Fill in the boxes on the front of the Answer Booklet. • Answer five questions in total: Answer one question from Questions 1 and 2 and one question from Questions 3 and 4 in Section A. Choose one Part in Section B. Answer the three questions for that part. INFORMATION • The total mark for this paper is 80. • The marks for each question are...