100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Principles of Healthcare Reimbursement & Revenue Cycle Management Questions and Answers $8.49   Add to cart

Exam (elaborations)

Principles of Healthcare Reimbursement & Revenue Cycle Management Questions and Answers

 3 views  0 purchase
  • Course
  • Healthcare Reimbursement
  • Institution
  • Healthcare Reimbursement

In this healthcare delivery model, the government is the only payer that funds universal healthcare coverage through taxes NATIONAL INSURANCE MODEL In this healthcare delivery model, the insurance company determines that contribution amount that is not based on the policyholder's income PRIVATE IN...

[Show more]

Preview 1 out of 4  pages

  • October 2, 2024
  • 4
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Healthcare Reimbursement
  • Healthcare Reimbursement
avatar-seller
twishfrancis
Principles of Healthcare Reimbursement
& Revenue Cycle Management
Questions and Answers
In this healthcare delivery model, the government is the only payer that funds universal
healthcare coverage through taxes ✅NATIONAL INSURANCE MODEL

In this healthcare delivery model, the insurance company determines that contribution
amount that is not based on the policyholder's income ✅PRIVATE INSURANCE
MODEL

In this healthcare delivery model, employees and employers contribute an income-
based amount of money to funds that are regulated by the government ✅SOCIAL
INSURANCE MODEL

The US healthcare sector represents a significant portion of the US economy. The trend
of __ spending on healthcare has been consistent for more than a decade
✅INCREASED

An employee paying for 40 percent of the insurance premium through payroll
processing is an example of a transaction between _and ✅PATIENT & EMPLOYER

A physician office submitting an invoice (claim) for payment when the patient has health
insurance is an example of a transaction between __and - ✅PROVIDER & THIRD
PARTY PAYER

Why do health insurers pool premium payments for all the insureds in a group and use
actuarial data to calculate the group's premiums ✅1. TO ASSURE THE POOL IS
LARGE ENOUGH TO PAY LOSSES OF ENTIRE GROUP

Dr. Gilbert sees a 14-old-male with adolescent idiopathic thoracic scoliosis. Surgery for
spinal fusion was cancelled after the patient was diagnosed with mononucleosis. On
today's visit the patient is started on prednisone for severe sore throat and difficulty
swallowing. The patient was accompanied by his parents who have health insurance
through the mother's employment at the State Department of Treasury. Who is the first
party in this healthcare reimbursement scenario ✅PARENTS

Dr. Gilbert sees a 14-old-male with adolescent idiopathic thoracic scoliosis. Surgery for
spinal fusion was cancelled after the patient was diagnosed with mononucleosis. On
today's visit the patient is started on prednisone for severe sore throat and difficulty
swallowing. The patient was accompanied by his parents who have health insurance

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $8.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83507 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$8.49
  • (0)
  Add to cart