Third party payer - Study guides, Class notes & Summaries

Olds Maternal-Newborn Nursing & Women’s Health Across the Lifespan 12th Edition Test Bank Instant delivery Old’s Maternal-Newborn Nursing and Women’s Health, 12e (Davidson/London/Ladewig) Chapter 1 Contemporary Maternal-Newborn Nursing 1) The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with clients and the healthcare community due to research findings that suggest that it has which effect? A) Shortens newborn...

PTCB EXAM TEST BANK QUESTIONS AND ANSWERS LATEST WITH RATIONALE Multiple choice What is the route of administration for a prescription with the following directions: "i supp pr q 6 hr prn"? A. Orally B. Rectally C. Urethrally D. Vaginall {{Correct Ans- B. Rectally Rationale: "pr" means per rectum. What is the meaning of PDA? A. Personal digital aid B. Personal digital assistant C. Physician digital assistant D. Pharmaceutical data assistant {{Correct Ans- B. Personal digital...

Through what document does a hospital establish compliance standards? code of conduct What is the purpose OIG work plant? Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Report a specific circumstance that affected a procedure or service without chan...

Medical Billing & Coding: Final Exam Study Guide with Complete Solutions The largest federal program providing healthcare is __________________ which provides health insurance for citizens aged 65 and older as well as certain patients under the age of 65. Medicare The ___________________ ______________ is responsible for filing insurance claims in most medical offices.. Medical Assistant Patients are generally asked to sign an _____________ of _____________statement, in which the p...

Olds Maternal-Newborn Nursing & Women’s Health Across the Lifespan 11th Edition Test Bank Instant delivery Old’s Maternal-Newborn Nursing and Women’s Health, 11e (Davidson/London/Ladewig) Chapter 1 Contemporary Maternal-Newborn Nursing 1) The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with clients and the healthcare community due to research findings that suggest that it has which effect? A) Shortens newborn...

Master Study Guide I Pre-Encounter Customer Service impressions are formed by the staff's ATTITUDE (state of mind) and BEHAVIOR (action/reaction) towards them. correct answer: 1.ATTITUDE / BEHAVIOR _____________ may be any patient, family member, visitor, physician, other hospital personnel, third party payer, vendors, suppliers, etc. correct answer: 2.CUSTOMERS Internal customers are people in other____________, fellow ___________, management, information services, etc. within th...

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...

NR 511 Midterm Exam Questions and Answers Latest Updated 2024 (GRADED) Which of the following demonstrates a subjective finding? Extremity edema. Eye color. rect! Pain level. Pulse rate. Pain is a subjective finding, as patients self-report their level of pain. All other options are objective findings. Question 2 0 / 1 pts The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health ins...

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...

MHA 610 Final Exam Questions & Answers 2023/2024 "What is meant by the term "health care costs" Give the 3 meanings - ANSWER-1. Billings and premiums that the patient pays 2.How much debt the nation is in for medical expenses 3. The cost of producing services such as supplies and equipment Rand Health - How does it show relationship of rising costs and third party reimbursement? - ANSWER-The experiment showed how people who paid out of pocket were less likely to utilize the services...

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...