Fsa case Samenvattingen, Notities en Examens

CEBS GBA1 Exam Questions with Correct Answers Predictive Modeling and Risk Assessment - Answer-A cost containment practice that analyzes claims data and identifies high risk potentially high cost members and intervenes to avoid preventable cost Performance Measurement - Answer-A cost containment practice that collects data after the fact via a provider assessments, reports, and claims data Case Management - Answer-Cost containment that uses a manager to coordinate members care in coll...

GBA 1 Exam : Directing Benefits Programs Part 1 2024 Questions & Answers | 100% Correct | Verified Which risk-handling techniques are being used by a firm that decides to not produce a dangerous chemical, to purchase insurance with a $10,000 deductible on its assets and to install a fire sprinkler system throughout the plant? - Avoidance, retention, insurance and control Which of the following statements regarding prescription drug rebates is correct? - A rebate occurs when there is...

Test - GBA 1 - Practice Exam: Directing Benefits Programs Part 1 Already Passed Which risk-handling techniques are being used by a firm that decides to not produce a dangerous chemical, to purchase insurance with a $10,000 deductible on its assets and to install a fire sprinkler system throughout the plant? Avoidance, retention, insurance and control Which of the following statements regarding prescription drug rebates is correct? A rebate occurs when there is an agreement between a pharmacy b...

CEBS GBA1 Exam Questions with Correct Answers Predictive Modeling and Risk Assessment - Answer-A cost containment practice that analyzes claims data and identifies high risk potentially high cost members and intervenes to avoid preventable cost Performance Measurement - Answer-A cost containment practice that collects data after the fact via a provider assessments, reports, and claims data Case Management - Answer-Cost containment that uses a manager to coordinate members care in coll...

Acute Care Facility - Answer a health care facility that provides care for patients who have extremely serious, severe, or painful conditions that require immediate medical attention Assisted-living Facility - Answer a facility that generally provides housing, group meals, personal care, support services, and social activities in a community setting Complementary Therapies - Answer ("Alternative Medicine"): promote healing through nutrition, exercise, or relaxation. Many are culturally b...

PTCB EXAM 2023 CORRECT ANSWERS (Graded A+) No NPI (National Provider Identifier) or invalid NPI on the claim. The pharmacist must have a contract with the payer. Once the contract is negotiated, the payer will provide an NPI number. This number is then inputted into the pharmacy software and included on all claims. 4-No Cardholder ID Number or invalid Cardholder ID number on the claim. To fix this, you must find the correct Cardholder ID number and resubmit the claim. 5- Plan Limitations E...

A group conversion option may be used in all the following instances EXCEPT - ANSWER-a life-changing event, such as marriage, divorce, or childbirth. Which is the primary purpose of Health Reimbursement Accounts (HRAs)? - ANSWER-To assist covered employees with the payment of medical expenses on a high deductible plan funded through pre-tax contributions. All of the following are characteristics of variable whole life EXCEPT - ANSWER-there is no guaranteed minimum death benefit. When sh...

PSI - NY Life, Accident and Health Practice Exam 17-55 Already Graded A Which policy provision permits the policy owner to take a specified number of days to examine the contract, and allows for cancellation and a full refund if the policy owner rejects the terms or costs? Free Look When will a policy pay on a UCR basis? When particular benefits are not listed on a payment schedule Which type of rider reimburses health and social service expenses incurred in a convalescent or nursing home fac...

PSI: LIFE, ACCIDENT, AND HEALTH PRACTICE EXAM ALREADY PASSED Under the misstatement of age or gender provision, what happens if it is determined at death that the insured's age or gender was misstated on a life insurance policy application? Benefits are adjusted to an amount that the premium would have purchased at the correct age or gender. Which of the following must be given to the insurer within 20 days after occurrence or commencement of any loss covered by the policy, or as thereafter a...

Which risk-handling techniques are being used by a firm that decides to not produce a dangerous chemical, to purchase insurance with a $10,000 deductible on its assets and to install a fire sprinkler system throughout the plant? Avoidance, retention, insurance and control Which of the following statements regarding prescription drug rebates is correct? A rebate occurs when there is an agreement between a pharmacy benefit manager and a drug manufacturer. There are several methods ...