Cigna terms - Study guides, Class notes & Summaries

Chapter 5 CPMA Exam: Contract-based Commercial Insurance Plans Questions and Answers Most common commercial insurance plans are - Answer-contract based That is, benefits arise primarily under a contract between the insurance company and the subscriber/patient Where the healthcare provider is in network, - Answer-the provider agrees to abide by certain rules in a separate contract.. The auditor must review the contract to determine the rules the provider is bound to follow For commercial...

1. What are the 4 settings for prescriptive authority? Describe the requirements in each setting for physician supervision, # of NPs, chart review, and any other special requirements in that site. correct answer- 1. Medically Underserved 2. Physician Primary Site 3. Physician Alternate Site 4. Facility Based Practice Site. * General requirements per TBON rule 222.5: regular visits, chart review as determined by APRN & physician, periodic face to face meeting of APRN & physician to...

1. What are the 4 settings for prescriptive authority? Describe the requirements in each setting for physician supervision, # of NPs, chart review, and any other special requirements in that site. correct answer- 1. Medically Underserved 2. Physician Primary Site 3. Physician Alternate Site 4. Facility Based Practice Site. * General requirements per TBON rule 222.5: regular visits, chart review as determined by APRN & physician, periodic face to face meeting of APRN & physician to discuss pt...

HCA- 240 November 15, 2020 Professor Chip Coon Biller / Benefits Coordinator Interview In the healthcare sector, several functions are essential to a healthcare facility's functioning, but medical agents and coders are most important. It is the primary duty of medical coders and billers to examine patient medical notes and allocate the required diagnosis and treatment codes, also known as procedural codes. is a medical coder and biller aged 39 years and interviewed on November 12, 2020. ...