Enrollee - Study guides, Class notes & Summaries

CWEA Collections Grade 2 2024 Exam| Questions and Verified Answers| 100% Correct| Grade A Q: What four conditions are necessary to create an explosion? Answer: Combustible gas, adequate oxygen, sufficient heat, and proper mixing of gas and oxygen. Q: What does "transition area" mean in traffic control? Answer: Moves traffic out of its normal path Q: The term "transition area" is one component of a: Answer: Traffic Control Zone Q: What elements should...

HMO plans require the enrollee to: - To have referrals to see a specialist that is generated by the patient's PCP What are PPOs (preferred provider organizations)? - Organizations in which medical professionals and facilities provide services to subscribed clients at reduced rates. What is a covered entity? - Health plans, clearinghouses, and any entity transmitting health information is considered to be as is stated by the Privacy Rule. What are the three steps to be taken when there is a br...

Louisiana life, health, accident or sickness insurance section 103 rated A+ defined benefit plan the employer specifies amount of benefits promised to the employee defined contribution plan focuses on contributions rather than on the benefits they will pay out tax deductible a qualified expense that may reduce the amount of income subject to taxation Attained Age the insured's age at the time the policy is issued or renewed Benefit Period a period of time during which benefits are paid unde...

CPB Final Exam A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one patient to justify services on multiple other patients' claims. The office manager brought the civil suit. What type of case is this? - Qui Tam In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? - An office receives a call from the patient's husband asking for information about his wife's recent office...

A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one patient to justify services on multiple other patients' claims. The office manager brought the civil suit. What type of case is this? - Answer Qui Tam In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? - Answer An office receives a call from the patient's husband asking for information about his wife's recent office vis...

NURS 101 HESI EXAM 2023/2024 ACCURATE EXPERT VERIFIED WITH RATIONALES FOR GUARANTEED PASS LATEST UPDATE. An octogenarian client asks the nurse about the United States' government-funded national health insurance program. About which healthcare plan should the nurse inform the client? A. Medicare B. Long-term care insurance C. Private insurance D. Preferred provider organization A. Medicare. Medicare is a government-funded national health insurance program for people 65 years and older in the ...

Study Guide for North Carolina Medicare Supplement-Long Term What is Medicare? - Answer - Government health insurance program for people over 65 or younger people who may qualify. Who under 65 may qualify for Medicare? - Answer - Individuals who have disabilities such as permanent kidney failure or ALS Medicare part A covers what? - Answer - Hospital Which part of Medicare covers medical insurance? - Answer - Part B Which part of Medicare is known as Medicare Advantage? - Answer - Part C...

Managed Care - Answer 1) acts as the insurance company and the providers of care. 2) Employs mechanisms to control (manage) utilization of medical services. 3) Determines the price at which the services are purchased and how much the providers get paid. 4) Is the most dominant health care delivery system in the United States and available to most Americans. This is includes both Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO). 5) Employers and government ...

A practice agrees to pay $250,000.00 to settle a lawsuit alleging that the practice used x-rays of one patient to justify services on multiple other patients' claims. The office manager brought the civil suit. What type of case is this? - ️️Qui Tam In which of the following circumstances may PHI not be disclosed without the patient's authorization or permission? - ️️An office receives a call from the patient's husband asking for information about his wife's recent office visit. ...

Accelerated benefits - If the insured has a terminal illness, which provision would allow him or her to access a portion of the policy death benefit prior to death? Driving - All of the following are classified as life activities by the ADA (Americans with Disabilities Act) EXCEPT: A misdemeanor - An insurer selling without a license would be guilty of which of the following? 100% - The enrollee pays what percentage of the premium for Medicare Part B?