Per diem - Study guides, Class notes & Summaries

Calculate the following amounts for a participating provider who bills Medicare: Submitted charge (based on provider's regular fee for office visit) $ 75 Medicare physician fee schedule (PFS) $ 60 Coinsurance amount (paid by patient or supplemental insurance) $ 12 Medicare payment (80 percent of the allowed amount) $ ????? Medicare write-off (not to be paid by Medicare or the beneficiary) $ ????? correct answer: Medicare payment (80 percent of the allowed amount) $48 Medicare write-...

Deemed substantiation - Employers give employees per diem to spend- so employees do not need proof of their expenses. MUST USE THE LESSOR OF: the per diem rate by company or federal per diem rate What is an accountable plan? What are the two requirements of employees? - Expenses incurred by employees are reimbursed by employer- so employees report no expenses. Requirements: 1- must return any excess reimbursement 2- must substantiate expenses (maintain records of) What is the 'catch up...

CLC Exam Questions and Answers 100% Passed 1770 - Answer-The dir DIR shall determine the general prevailing rate of per diem wages Nothing in this article, however, shall prohibit the payment of more than the general prevailing rate of wages to any workman employed on public work. 1771 - Answer-not less than the general prevailing rate of per diem wages for work of a similar character in the locality in which the public work is performed, and not less than the general prevailing rate of ...

HADM 3311 6-12 Latest 2023 Already Passed Adverse selection Enrollment in greater numbers by high-risk individuals Premiums rise for everyone, making health insurance less affordable unless healthy individuals are mandated to buy health insurance Beneficiary the insured Benefits services covered by an insurance plan(medically necessary) specified in a contract dental coverage is often separate Capitation Per member per month(PMPM) fee to cover all needed services Monthly fee=PMPM rate x numbe...

Title 63 - Professions of the Healing Arts Chapter 11 - Psychologists Part 1 - Board of Examiners in Psychology Correct Answer: 63-11-101 Correct Answer: Board Creation [10 members aptd. by gov] Composition [2 faculty, 4 licensed psycs, 2 psyc examiners, 1 private citizen, 1 ABA] Immunity from civil action 63-11-102 Correct Answer: Appointment and terms of members [diff term lengths for each member; 5 yr breaks between appointments] [1 old person and 1 minority] 2 Removal [board m...

MORTGAGE LOAN ORIGINATOR EXAM 2024 WITH 100% CORRECT ANSWERS What does RESPA stand for? - correct answer The Real Estate Settlement Procedures Act (Regulation X) What does ECOA stand for? - correct answer Equal Credit Opportunity Act (Regulation B) What does TILA stand for? - correct answer Truth In Lending Act (Regulation Z) What does TRID stand for? - correct answer TILA-RESPA Integrated Disclosure Rule (a.k.a. "Know Before You Owe") What does CFPB stand for? - correct answer ...

NORTH CAROLINA PHARMACY LAW EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ North Carolina Board of Pharmacy (BOP) Members Correct Answer: 6 Members - 5 Rph, 1 Public. Alll residents of NC. 1 Rph from each of 5 different geographical regions. Rph get elected in April by other Rph's in the state (and residing in NC) and public member is appointed by the governer. Term - 5 years, no more than 2 consecutive terms Board elects Pres, VP and other officers for 1 yr t...

Which of the following is not a traveler responsibility? - ANSWER-Travelers must use DTS to arrange their PCS travel. If a traveler has a GTCC, they must split disburse their trip reimbursement. What two entities split the reimbursement? - ANSWER-Traveler & GTCC vendor Which of these statements accurately describes a DTS role? - ANSWER-The NDEA is able to enter and sign DTS vouchers on the traveler's behalf. Which is not a method for updating your DTS personal profile? - ANSWER-Using t...

Member # of NDS BOP - correct answer 7 members - 5 RPh, 1 pharm tech, 1 general public - 5-yr term for 4 RPh - 1-yr term for 1 RPh - 5-yr term for tech & public members, expire May 8th Each member of the board shall receive a per diem of ________ dollars for attendance at board meetings, and all actual and necessary expenses incurred in attending such meetings and in perform other official duties. - correct answer 200 dollors The secretary and treasurer of the board each must be bonded...

Revenue Management Exam Q&A Solution Update 2023 Patients who are assigned the same DRG have all of the following comparable criteria, except: A.Diagnosis code B.Healthcare protocol C.Length of stay D.Utilization management - ANS->>C.Length of stay Joe Patient was admitted to Community Hospital. two days later, he was transferred to big Medical Center for further evaluation and treatment. He was discharged to home after three days. Community Hospital will receive from Medicare...