Medical expense - Study guides, Class notes & Summaries

A characteristic of Preferred Provider Organizations (PPOs) would be: - The correct answer is "Discounted fees for the patient". Under Preferred Provider Organizations, patient fees are discounted in return for using listed providers. A comprehensive major medical health insurance policy contains an Eligible Expenses provision which identifies the types of health care services that are covered. All of the following health care services are typically covered EXCEPT for - experimental and i...

ATI Proctored Assessment Leadership 2019 A nurse in the ED is performing triage for a group of clients following a MVC. Which of the following clients should the nurse request the provider assess first? -A client who has a closed leg fracture and reports peripheral paresthesia -A client who reports a sprained ankle and has a laceration over the medial ankle -A client who has arm contusions and manifests asymmetrical thoracic movement -A client who has abrasions to the face and is requ...

H&R Block Specialist Test 2024 Sam pays his 19 yr. old son, Joshua, $550/month to maintain the lawn & garden at the family residence. Sam is subject to what household employment tax rules for Joshua? - Answer ️️ -A. Since Joshua is not performing any child case services, the household tax rules do not apply. B. Since Joshua is the taxpayer's child under age 21, the household employment tax rules do not apply. C. Since no evidence is given that Joshua is a student, he is considered to ...

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify 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 HMO Conventional PPO and POS H...

WA Life and Disability Producer Combo Questions with Verified Solutions If a company provides group disability insurance to its employees, which of the following may be tax deductible? The premiums paid by the company as a business expense Which provides benefits for expenses incurred as a result of in-hospital medical treatment and surgery as well as certain outpatient expenses such as doctor's visits, laboratory tests, and diagnostic services? Hospitalization insurance Compared t...

A characteristic of Preferred Provider Organizations (PPOs) would be: - Discounted fees for the patient A comprehensive major medical health insurance policy contains an Eligible Expenses provision which identifies the types of health care services that are covered. All of the following health care services are typically covered EXCEPT for hospital charges physician fees experimental and investigative services nursing services - experimental and investigative services A Health Reimburse...

$240 - Dan has a major medical expense policy with a $200 deductible and an 80/20 coinsurance provision. He incurs covered medical expenses of $100 in November and $400 in January. Under the carryover provision, what will the insurer pay? $800 - Larry has a Major Medical Expense policy for his family with a $1,000 per family/per year deductible and an 80/20 coinsurance provision. If Larry's family files four claims of $400, $800, $100, and $700 in one year, how much will the insurance comp...

Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 5th Edition Fosbre Test Bank Chapter 1 - 28 Updated 2023 Test Bank: Essentials of Psychiatric Mental Health Nursing (5th Edition byVarcarolis) 2 Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE CHOICE 1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community and diagnosed with serious and persistent mental illness? Within 3 months, the...

the transfer of an insured's right to seek damages from a negligent party to the insurer is found in which of the following clauses? correct answer: Subrogation the purpose of managed care health insurance is to correct answer: control health insurance claims expenses a man works for company A and his wife works for company B. The spouses are covered by health plans through their respective companies that also cover the other spouse. If the husband files a claim correct answer: the ins...

Shawn, Mike, and Dave are brothers who have a $100,000 "first to die" joint life policy covering all three of their lives. If Mike dies first, the policy proceeds A.) Will no longer provide insurance protection B.) Will go to Mike's estate C.) Wwill be divided by probate D.) Will not be paid until the last brother dies - A.) Will no longer provide insurance protection Susan is insured through her Group Health Insurance plan and changed her coverage to an individual plan with the sa...