Exam (elaborations)
QHEALTH MULTIPLECHOICE QUESTIONS WITH COMPLETE ANSWERS
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QHEALTH MULTIPLECHOICE QUESTIONS WITH COMPLETE ANSWERS
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QHEALTH MULTIPLECHOICEQUESTIONS WITH COMPLETE
ANSWERS
The gginsurance ggemployers ggpurchase ggto ggprotect ggtheir ggcompany ggfrom
ggcatastrophic ggloss ggdue ggto gghigh ggcost ggmedical ggcases ggis ggcalled... gg- ggAnswer
ggStop ggloss
What ggdocument ggoutlines ggevery ggdetail ggof ggthe ggplan ggand ggis ggknown ggas ggthe
gg"constitution" ggof ggthe ggplan? gg- ggAnswer ggSPD
Who gggathers ggthe ggteam ggof ggexperts ggto ggdesign ggand ggbuild ggthe gghealth ggplan
ggfor ggself-insured gggroups? gg- ggAnswer ggBroker
Select ggall ggthat ggapply: ggwhat ggeligibility ggitems ggcan gga ggcare ggcoordinator ggupdate
ggin ggPIVIT? gg- ggAnswer gg1. ggphone gg2. ggemail gg3. ggPCP gg4. ggCOB
Continuation ggof ggcoverage, ggsponsored ggby ggthe ggemployer, ggwhen gga ggmember ggis
ggno gglonger ggemployed ggby ggthat ggcompany ggis ggcalled... gg- ggAnswer ggCOBRA
True ggor ggFalse: ggIf gga ggmember ggis ggidentified ggas gghaving gga ggqualifying ggevent
ggfor ggPersonal ggCare ggGuide gg(PCG) ggassistance ggand ggthey ggrefuse ggto gga ggnurse
ggat ggthe ggtime ggof ggthe ggcall, ggthe ggmember ggshould ggstill ggbe ggreferred ggto ggthe
ggPCG ggprogram ggthrough ggPIVIT gg- ggAnswer ggTrue
The ggnetwork ggthat ggcovers ggmembers ggwhen ggthey ggare ggtraveling, ggtemporarily,
ggoutside ggof ggtheir ggprimary ggnetwork ggis ggcalled... gg- ggAnswer ggwrap ggnetwork
Who ggmaintains gga gggroup ggeligibility ggfile ggand ggis ggresponsible ggfor
ggcommunicating ggit ggto ggthird ggparties, ggsuch ggas ggQuantum ggHealth? gg- ggAnswer
ggTPA
Select ggall ggthat ggapply: ggWhich ggof ggthese ggthings ggare ggtrue ggof ggself-funded
gghealth ggplans? gg- ggAnswer gg1. ggfunded ggby ggthe ggemployer gg2. ggthe ggemployee
gghas ggfull ggcontrol ggover ggthe ggplan gg3. ggthe ggplans ggare ggregulated ggby ggERISA
gglaws
, A gggroup ggof ggdoctors, gghospitals, ggand ggother gghealthcare ggproviders ggthat ggare
ggcontracted ggto ggoffer ggtheir ggservices ggfor gga gglower ggthan ggusual ggrate ggis
ggcalled... gg- ggAnswer gga ggnetwork
Any gginstance ggin ggwhich ggQuantum ggHealth ggas ggintervened ggin ggorder ggto ggassist
gga ggpatient, ggphysician, gghospital, ggor ggemployer gggroup ggto ggachieve ggsavings,
ggsatisfaction, ggor ggenhance ggthe ggquality ggof ggcare ggor ggservices ggprovided ggis
ggcalled... gg- ggAnswer ggan ggintervention
True ggor ggFalse: ggPeople ggthat gghave ggan ggestablished ggrelationship ggwith gga ggPCP
gg(Primary ggCare ggPhysician) ggspend ggon ggaverage gg30% ggless ggon gghealthcare gg-
ggAnswer ggtrue
Plan ggexceptions ggcan ggonly ggbe ggmade ggby ggthe... gg- ggAnswer ggemployer
When ggyou ggcannot ggfind ggthe ggdetails ggnecessary ggto ggquote ggbenefits ggon gga
ggmember's ggQBase ggpage ggyou ggshould ggfirst... gg- ggAnswer ggsearch ggSPD ggfor
ggfurther ggbenefit gginformation
The gg______ ggNetwork ggis ggthe ggnetwork ggthat ggwill ggprovide ggmembers ggtheir ggbest
ggbenefit gglevel. gg- ggAnswer ggprimary
To ggdetermine ggif gga ggprovider ggis ggIn-Network ggyou ggcan ggsearch... gg- ggAnswer
ggnetwork ggwebsite
A ggsaving ggaccount ggthat ggis ggfunded ggboth ggby ggthe ggemployer ggand ggthe ggmember
ggto gghelp ggwith gghealthcare ggcosts ggis... gg- ggAnswer ggHSA
18) ggA ggfixed ggdollar ggamount ggthat ggis ggthe ggresponsibility ggof ggthe ggpatient ggat
ggthe ggtime ggof ggservice ggis... gg- ggAnswer ggcopay
19) ggWhen ggviewing gga ggmember's ggbasic ggbenefits ggin ggQBase, ggyou ggwill ggonly
ggbe ggviewing ggbenefits ggthat ggpertain ggto gg... gg- ggAnswer ggsick ggoffice ggvisits ggwith
gga ggPCP ggor ggspecialist
20) ggTrue ggor ggFalse: ggGroups ggmay gginclude gga ggprovision ggin ggtheir ggbenefits
ggthat ggprohibits ggtraveling ggfor ggcare gg- ggAnswer ggtrue
21) ggTo ggincrease gga ggmembers', ggparticipation ggand ggownership ggof ggtheir gghealth,
ggsome ggplans ggoffer... gg- ggAnswer ggbehavioral ggincentives
22) ggTo ggensure ggthat gga ggmember ggis ggreceiving ggthe ggcorrect gglevel ggof ggcare
ggwhile gginpatient, ggthe ggUR ggnurse ggperforms ggdaily... gg- ggAnswer ggconcurrent
ggreviews
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