Duplicate payments occur Study guides, Class notes & Summaries

Colorado Health Insurance Exam| Questions and Verified Answers| Grade A (2023/2024) QUESTION J has a physical impairment, attends school, and is incapable of self-sustaining employment and/ or self care. Which of the following statements is CORRECT about J's medical coverage under J's father's group plan? A. J's coverage ceases, but J may apply for group student coverage. B. J's coverage automatically discontinues at age twenty-six. C. J's coverage continues only as long ...

CRCR Certification Exam Study Guide Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - Respect the patients privacy A nightly room charge will be inc...

12.1% - ANSWER # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - ANSWER Fee-For-Service Prepayment Review - ANSWER Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - ANSWER Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Underpayment - ANSWER A payment a provider recei...

12.1% correct answers # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS correct answers Fee-For-Service Prepayment Review correct answers Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review correct answers Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Underpayment correct...

12.1% - ANSWER # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - ANSWER Fee-For-Service Prepayment Review - ANSWER Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - ANSWER Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Underpayment - ANSWER A payment a provider recei...

Chapter 1 CPMA Exam Prep Questions And Answers 12.1% - ANS # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - ANS Fee-For-Service Prepayment Review - ANS Review of claims prior to payment. Prepayment reviews result in an initial determination. Post Payment Review - ANS Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. ...

Florida Claims Adjuster Exam, 6-20 All Lines Adjuster- Florida- Review Already Passed Peril Something that causes a loss. Hazard Something that increases the probability that a loss will occur. Warranty A policy condition, either based on information in the insureds application or inserted by the insurer. It is a guarantee of a fact. Misrepresentation An untrue statement by the insured, made in an application for insurance but which does not become a part of the policy. Concealment The fail...

CPMA Chapter 1 Exam Prep With 100% Correct Answers 12.1% - Correct Answer-# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Correct Answer-Fee-For-Service Prepayment Review - Correct Answer-Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Correct Answer-Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicatin...

CRCR Certification Exam with Complete Solutions Graded A Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by -Answer-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid -Answer-Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost -Answer-Respect the patients privacy A...

2. An important purpose of full-disclosure laws and regulations is to A. allow company employees to use inside information for personal gain. B. provide information to investors so they can make informed decisions. C. require companies to disclose all information about their operations. D. prevent a stock's par value from dropping below its market value. - ANSWER-2. B Provide information to investors so they can make informed decisions. Full-disclosure laws and regulations require compani...