Patient service - 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...

National Coverage Determination (NCD) - Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Adjudication - Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which of the following hospi...

CSBI: Certified Specialist Business Intelligence Exam (2023/ 2024) Questions and Verified Answers 1. Identify fundamental purpose of engaging in analytics ~ Answer: understand what is happening and finding a path forward 2. Recognize the basic business functions of finance, marketing and operations ~ Answer: - operations is the function that meets the demand for a service or product by marketplace entities ~ Finance ensures monetary resources are in place to conduct operat...

Debbie O Connor-COPD shadow health 100% Correct Questions and Answers Score A+ 2023-2024. Experience Overview Patient: Debbie O'Connor Digital Clinical Experience Score 93 out of 111 93.8% This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if ...

TEST BANK FOR WILKINS’ CLINICAL ASSESSMENT IN RESPIRA- TORY CARE, 9TH EDITION, AL HEUER Chapter 01: Preparing for the Patient Encounter Heuer: Wilkins’ Clinical Assessment in Respiratory Care, 9th Edition MULTIPLE CHOICE 1. Which of the following is an example of how the respiratory therapist (RT) helps promote high-quality care that is patient-and-family-centered? a. Deliver care given is consistent with each individual’s values, needs, and preferences. b. Help ...

HPEX 300: Inpatient /Outpatient Services (Chapter 6) Questions with Correct Answers

FOUNDATIONS AND ADULT HEALTH NURSING 9TH EDITION COOPER GOOSNELL TEST BANK CHAPTER 1-41 | COMPLETE GUIDE A+ 2023-2024. Which of the following must the nurse recognize regarding the health care delivery system? a. It includes all states. b. It affects the illness of patients. c. Insurance companies are not involved. d. The major goal is to achieve optimal levels of health care. ANS: D The nurse must recognize that in the health care delivery system, the major goal is to achieve optimal lev...

CRCR Exam Prep What are collection agency fees based on? - correct answer A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates What customer service improvements might improve the patient accounts department? - correct answer Ho...

MGSC 485 Final Exam Question and answers correctly solved 2024/2025basic/simple checksheet most basic form of data collection. tally up numbers and total them. frequency plot checksheet appropriate when identifying probabilities of different types of customer concerns about a product/service traveler checksheet this type of checksheet follows the patient through the cycle, timing each step to see how long it takes it is a full cycle observation appropriate when findin...

TEST BANK Varcarolis's Canadian Psychiatric Mental Health Nursing Cheryl L. Pollard, and Sonya L. Jakubec 3rd Edition extra per year? Table of Contents Chapter 01 Mental Health and Mental Illness 1 Chapter 02 Historical Overview of Psychiatric Mental Health Nursing 13 Chapter 03 Overview of Psychiatric Mental Health Nursing Care Within Various Settings 19 Chapter 04 Relevant Theories and Therapies for Nursing Practice 32 Chapter 05 Understanding Responses to Stress 47 Chapter 06 The ...