Hmos - Study guides, Class notes & Summaries

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 ...

Sociology 101 Straighterline Exam Questions and Complete Solutions __________ involves aspects of social life that have to do with order, stability, and social organization that allow societies and groups to hold together and endure. - Answer: Social statics Herbert Spencer viewed society as a system, having important similarities with - Answer: a biological organism __________ refers to processes of social life that pattern institutional development and have to do with social change. -...

Multi-Line Insurers - CORRECT ANSWER-________-______ Insurers are insurance carriers that offer more than one line of insurance. False - CORRECT ANSWER-True or False? Stock Insurance Companies are "participating" in that the policyholders receive dividends. Attorney-In-Fact - CORRECT ANSWER-Reciprocal Insurers are managed by an ___________________. Association - CORRECT ANSWER-Contrary to popular opinion, Lloyd's of London is not an insurer but rather an ____________. Limits Catas...

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify 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 HMO Conventional PPO and POS H...

TEST BANK FOR MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3TH EDITION DEWIT-1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs. b. To define the scope of LPN/LVN practice. c. To improve the quality of care provided by the LPN/LVN. d. To limit the LPN/LVN employment placement. ANS: B While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of the NPA of each state defi...

What is it called when a life insurance policy pays a multiple of the coverage amount when certain types of accidents occur? - multiple indemnity Upon the issuance of a conditional receipt for a renewal when the premium is paid AFTER the time granted by the insurer, what is the maximum amount of time for reinstatement of the policy? - 30 days Which of the following statements regarding a pure life annuity payout option is correct? - This option provides the highest monthly income. Which o...

AHIP 2023/2024 TEST BANK 200 QUESTIONS WITH ANSWERS Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? - ANSWER They are Medicare health plans such as HMOs, PPOs, PFFS, SNPs, and MSAs (W) Mr...

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...

CNML Test 2024 Questions With 100% Verified Solutions.

AHIP CERTIFICATION 2024 EXAM QUESTIONS AND DETAILED ANSWERS| A+ GRADE Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? Correct Answer Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's web...

TEST BANK : MEDICAL SURGICAL NURSING: CONCEPTS & PRACTICE 3RD EDITION BY deWit (CHAPTER 1-48)Chapter 01: Caring for Medical-Surgical Patients Chapter 02: Critical Thinking and the Nursing Process Chapter 03: Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy Chapter 04: Care of Preoperative and Intraoperative Surgical Patients Chapter 05: Care of Postoperative Patients Chapter 06: Infection Prevention and Control Chapter 07: Care of Patients with Pain Chapter 08: Care of Patients wi...

the drive for regulating health stems from controlling: correct answers quality, access, cost; they always have a trade off what was the first form of health insurance? correct answers Baylor Hospitals developed a plan for unlimited access by school teachers in return for prepayment in the form of a set monthly sum blue cross insurance correct answers first nonprofit insurance company that covered inpatient expenses; formed in 1939 the impact of WWII on health insurance? correct answers...