Hospitalization insurance - 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...

Test Bank for Davis Advantage for Maternal-Child Nursing Care 3rd Edition by Scannell Ruggiero MULTIPLE CHOICE A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CNMs scope of practice include? • Practice independent from medical supervision • Comprehensive prenatal care • Attendance at all deliveries • Cesarean sections ANS:B The CNM provides comprehensive prenatal and postnatal care, attends uncomplicate...

What amount will be paid under a policy where the insured misstated his/her age? Ans-an amount the premium would have purchased at the correct age the acceptance of a credit life application requires the submission of a certificate of insurance to the insured within_____ days Ans-30 days which of these is considered to be a Living benefit option in a life insurance policy Ans-Accelerated death benefit loans obtained by a policy owner against the cash value of a life insurance policy Ans...

New Jersey Life and Health - Final Exam Set Exam Questions With Revised Correct Answers | Already Passed!! Julie has a $100,000 30-year mortgage on her new home. What type of life insurance could she purchase that is designed to pay off the loan balance if she dies within the 30-year period? - ANSWER : Decreasing term insurance EXCEPT for fraud, the time after issuance of a policy during which an insurance company may contest a health insurance claim due to the statements on a...

Health Insurance Exam-Illinois Questions and Answers 100% Pass What is a health insurance policy? A health insurance policy is a contract between an insurer and the insured that outlines the terms of coverage, including benefits, costs, and exclusions. What does the term "network" refer to in health insurance? A network refers to a group of healthcare providers that have agreed to provide services at negotiated rates for an insurance plan's members. What are essential health...

Final Exam- Tennessee Life & Health Questions and Answers 100% Pass The reason for a business having a Business Overhead Expense Disability Plan is to cover: Fixed Business Expenses What is the initial requirement for an insured to become eligible for benefits under the Waiver of Premium provision? Insured must be under a physician's care K applies for a life insurance policy on herself and submits the initial premium with the application. She is given a receipt by the agent stating that cov...

CISR LIFE & HEALTH Exam 52 Questions with Answer The first step in understanding the elements of a life insurance contract is being able to: A) describe the personal and specific reasons people purchase life insurance B) describe the different parties to a life insurance contract and their relationship - CORRECT ANSWER B) describe the different parties to a life insurance contract and their relationship A policy owner has the power to: A) Name one or more beneficiaries B) Change th...

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...

Typically, Long-Term Disability benefits are coordinated with which benefit plan? - ANSWER Social Security The focus of major medical insurance is providing coverage for - ANSWER medical and hospitalization expenses An insured under a Major Medical expense plan with a zero deductible and 80/20 coinsurance provision files a $1,000 claim. How much of this claim is the insured responsible for? - ANSWER $200 because this policy has a zero deductible, the insures is only responsible for the ...

Chapter 1. Introduction to Maternity and Pediatric Nursing Chapter 2. Culture Chapter 3. Women’s Health Promotion Across the Life Span Unit Two: Pregnancy and the Family Chapter 4. Human Reproduction and Fetal Development Chapter 5. Physical and Psychological Changes of Pregnancy Chapter 6. Nursing Care During Pregnancy Chapter 7. Promoting a Healthy Pregnancy Chapter 8. Nursing Care of the Woman With Complications During Pregnancy Unit Three: Birth and the Family Chapter 9. Nursing Care Durin...