Health benefit plans - Study guides, Class notes & Summaries

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

Multi-Line Insurers - CORRECT ANSWER-________-______ Insurers are insurance carriers that offer more than one line of insurance. False - CORRECT ANSWER-True or False? Stock Insurance Companies are "participating" in that the policyholders receive dividends. Attorney-In-Fact - CORRECT ANSWER-Reciprocal Insurers are managed by an ___________________. Association - CORRECT ANSWER-Contrary to popular opinion, Lloyd's of London is not an insurer but rather an ____________. Limits Catas...

→ Immediately available after payment →Both online and in PDF →100% Money Back Guarantee| Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank Test Bank for Community and Public Health Nursing 3rd Edition Rosanna DeMarco; Judith Healey-Walsh Chapter 1-25 Complete Guide A+ Bank For Foundations for Population Health in Community Public Health Nursing 5th Edition Authors: Authors: Marcia Stanhope, Jeanette Lancaster Table of Contents Chapter 1. Community and Prevention Orie...

Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition Test Bank Complete Guide A+ Varcarolis’ Foundations of Psychiatric Mental Health Nursing A Clinical Approach by Margaret Jordan Halter, PhD, APRN 8th Edition Test Bank Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, by Margaret Jordan Halter, PhD, APRN 8th Edition Test Bank for Varcarolis’ Foundations of Psychiatric Mental Health Nursing A Clinical App...

What is the goal of affirmative action? To seek to remedy past practices that innately caused an adverse effect on applicants A female employer is accused of having an employment practice that negatively impacts women. The employer responds that she has the same requirements for male and female applicants and wants to hire other women. Why is this case a potential demonstration of adverse impact? Adverse impact is unintentional and relates to policies applied to all employees. Which prote...

Complete Solutions Manual for Government and Not-for-Profit Accounting: Concepts and Practices, 9th Edition 9e by Michael H. Granof, Saleha B. Khumawala, Thad D. Calabrese. ISBN-13: 3898 1 The Government and Not- for- Profit Environment 1 How Do Governments and Not- For- Profits Compare With Businesses? 2 In Practice: Why Is State And Local Government Accounting Important? 6 What Other Characteristics of Governments and Not- For- Profits Have Accounting Implications? 9 How Do Gove...

A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Before engaging in such a discussion, what should you do? - Answer-You must have her sign a scope of appointment form, indicating which products she wishes to discuss. You may then proceed with the discussion. Agent Harriet Walker has recently begun marketing Medicare Advantage and related products aimed at meeting the needs of senior citi...

Under which situation must insurable interest exist between the applicant and insured at the time of application? - When a third-party applicant names themselves beneficiary. Which of the following is true about a decreasing term life policy? - The face amount reaches zero at policy expiration. Which of the following occurs immediately after the application is submitted and the initial premium paid? - The underwriting process begins For an individual long-term care policy there is an annua...

TEST BANK Varcarolis's Canadian Psychiatric Mental Health Nursing Cheryl L. Pollard, and Sonya L. Jakubec 3rd Edition extra per year? Table of Contents Chapter 01 Mental Health and Mental Illness 1 Chapter 02 Historical Overview of Psychiatric Mental Health Nursing 13 Chapter 03 Overview of Psychiatric Mental Health Nursing Care Within Various Settings 19 Chapter 04 Relevant Theories and Therapies for Nursing Practice 32 Chapter 05 Understanding Responses to Stress 47 Chapter 06 The ...