Health insurance billing - Study guides, Class notes & Summaries

Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest Rated A+. Which government insurance plans offers 4 different parts or areas of different coverage? A. MedicareB. Medicaid C. TRICARE D. CHAMPVA 2. DAW/DNS stand for which of the following? A. Dispense as written B. Distribute and work C. Distribution and working D. Dispense as well 3. Which of the following third party plans requires the patient to designate a primary care physician (PCP)? A. Health ...

NR 511 Midterm Exam Questions and Answers Latest Updated 2024 (GRADED) Which of the following demonstrates a subjective finding? Extremity edema. Eye color. rect! Pain level. Pulse rate. Pain is a subjective finding, as patients self-report their level of pain. All other options are objective findings. Question 2 0 / 1 pts The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health ins...

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...

Medical Coding and Billing Certification (MCBC) Study Guide I The services medically necessary for diagnostic code linkage - correct answer What must a coder understand in order to determine the correct diagnosis code assignment? Correctly identifying primary and secondary insurance policies in order to preserve coordination of benefits - correct answer Avoiding the duplication of benefits paid by the primary and secondary insurance is achieved by: Use the combination code - correct answe...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by (Ans- The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid (Ans- Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost (Ans- Respect the patients privacy A nightly room charge will be incorrect if the patient's ...

NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+   NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+ 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases e...

Colorado Accident & health laws state Exam simulator Questions and Answers Which of the following is an example of defamation? A brochure including an untrue statement regarding a competitor's ability to pay claims A truthful estimate of the dividends A pamphlet listing a competitor's financial rating A verbal statement of a competitor's complaint ratio A brochure including an untrue statement regarding a competitor's ability to pay claims Which of the following is an example...

1. The respiratory care practitioner is conducting a patient interview. The main purpose of this interview is to: a. review data with the patient. b. gather subjective data from the patient. c. gather objective data from the patient. d. fill out the history form or checklist. ANS: B The interview is a meeting between the respiratory care practitioner and the patient. It allows the collection of subjective data about the patient’s feelings regarding his/her condition. The history shoul...

Analytical Methods of Healthcare Leaders - D514 Verified Answers In conversations with her patients, a physical therapist notices that patients who are on Workman's Compensation and have supportive supervisors, eager for them to return to work, have more positive outcomes in rehabilitation than those patients whose supervisors have a negative attitude toward their employee's injury: insisting they not return to work until they are at 100% because if anything less they are "useless t...