And beneficiaries - Study guides, Class notes & Summaries

CSPR - Certified Specialist Payment Rep (HFMA) Exam (Latest 2024) Questions & Verified Answers 100% Guaranteed Grade A+ Example Question & Answer: Identify the various types of government‐sponsored health coverage: - Answer - Medicare - Government; Beneficiaries enrolled in such plans, but, participation in these plans is voluntary. Medicaid Medicaid Managed Care - Medicaid beneficiaries are required to select and enroll in a managed care plan. Medicare Managed Care (a.k.a. Medicare ...

Life Insurance - Chapter 4: Premium, Proceeds and BeneficiariesA policyowner is allowed to pay premiums more than once a year under which provision? - correct answer Mode of Premium Elements of life insurance premiums include - correct answer mortality rate -- insurers expenses -- interest credit Who has the right to change a revocable beneficiary? - correct answer Policyowner T is the policyowner for a Life insurance policy with an irrevocable beneficiary. if T wished to change the ben...

Chapter 5 Life Insurance Premiums, Proceeds, and BeneficiariesWho is the beneficiary in a life insurance policy? - correct answer The stated person or entity who is designated to receive the death proceeds When a policy loan is requested by a policyowner and it requires the consent of the beneficiary, what kind of beneficiary designation is this? - correct answer Irrevocable beneficiary The beneficiary of a life insurance policy is normally selected by whom? - correct answer Policyowner ...

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...

Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare beneficiaries? a. Medicare Part B generally provides prescription drug coverage. b. Beneficiaries under Original Medicare have no cost-sharing for most preventive services which include immunizations such as annual flu shots. c. Medicare Part A generally covers medically necessary ...

QUESTION 01 1.1 Dipolelo is a paralegal of the Sekhukhune Paralegal Advice Centre, and she wants to highlight the Centre’s role in the community. She has asked a few organisations to help with fundraising for the Centre. She seeks your advice on how to draft a funding proposal. [10] 1. Introduction 2. What goes in a proposal / plan? 2.1 Cover Page The cover page should contain the title, business name, date of the proposal, business address and contact details. 2.2 Executive Summary ...

QUESTION 1 (CAPITAL GAINS TAX) Ms. Kru, a South African resident worked for O Insure (Pty) Ltd (“O Insure”) as a specialist for 15 years. As a result of the Covid19 pandemic that hit the world, O Insure decided to retrench her team including Ms. Kru. She was given a severance package of R5 million. Ms. Kru is married in community of property to Lolo and they stay in Blue Halley, Pretoria They bought the house in 2011 for R900 000. They also own a holiday house in Hermies, Western ...

CPCO EXAM REVIEW QUESTIONS AND ANSWERS, 100% ACCURATE. VERIFIED. The OIG consists of 6 departments: - -1.Immediate OIG — responsible for the overall fulfillment of the OIG's mission and for promoting effective management and quality of the agency's processes and products. 2.Office of Audit Services — performs independent audits of HHS programs and/or HHS grantees and contractors to examine their performance. 3.Office of Evaluation and Inspections — conducts national evaluations...

A savings vehicle designed to first accumulate funds and then systematically liquidates the funds is called a(n) - Deferred Annuity Cindy buys a 10-year certain annuity with an installment refund. After receiving monthly payments for 5 years, Cindy dies. How many remaining payments will the insurer make to her beneficiary? - 60 Payments What distinguishes a deferred annuity from an immediate annuity? - The time at which benefit payments start The systematic liquidation of a sum of money...

HCCA CHC Exam Prep | 750+ Questions and Verified Answers| 2023/ 2024 Q: True of False: A self-audit is an examination or inspection for providers in reducing non-compliance. Self-audits can lower chances of an external audit and create a robust culture of compliance Answer: True Source: CHC Exam Secrets Study Guide Q: CMS released areas of high-risk fraud, some of those include: A. Sudden changes in billing and billing inappropriate specialties B. Billing of inappropriate d...