What is a ppo plan Study guides, Class notes & Summaries
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Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest 2023-2024 Rated A+
- Exam (elaborations) • 11 pages • 2023
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Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest Rated A+. Which government insurance plans offers 4 different parts or areas of different 
coverage? 
A. MedicareB. Medicaid 
C. TRICARE 
D. CHAMPVA 
2. DAW/DNS stand for which of the following? 
A. Dispense as written 
B. Distribute and work 
C. Distribution and working 
D. Dispense as well 
3. Which of the following third party plans requires the patient to designate a primary care 
physician (PCP)? 
A. Health ...
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Test Bank for Medical-Surgical Nursing: Concepts & Practice 3rd Edition by Susan C. deWit, Holly K. Stromberg & Carol Dallred
- Exam (elaborations) • 368 pages • 2023 Popular
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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...
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Kentucky Life and Health Insurance Exam (New 2024/ 2025 Update) Questions and Verified Answers| 100 % Correct| Grade A
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Kentucky Life and Health Insurance Exam 
(New 2024/ 2025 Update) Questions and 
Verified Answers| 100 % Correct| Grade A 
 
 
QUESTION 
 The only party in an insurance contract that makes a legally enforceable promise is the 
insurance company. Because of this, insurance contracts are considered to be: 
 
 conditional 
 aleatory 
 unilateral 
 contracts of adhesion 
 
 
Answer: 
unilateral 
 
Insurance contracts are unilateral. This means that only one party (the insurer) makes any kind of ...
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CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 with Complete Solutions
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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...
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
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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...
And that's how you make extra money
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Aflac Final Exam Questions & Answers Already Graded A+
- Exam (elaborations) • 10 pages • 2024
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Certain conditions, such as dismemberment or total and permanent blinds, will automatically qualify the 
insured for full disability benefits. Which disability policy provision does this describe? - 
presumptive disability 
Which provision concerns the insured's duty to provide the insurer with reasonable notice in the event 
of a loss? - notice of claim 
Because an insurance policy is a legal contract, it must conform to the state laws governing contracts 
which require all of the following el...
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AHIP 2024 Certification Version 2 All New Qs & As for A++ Exam - Guaranteed Pass!
- Exam (elaborations) • 7 pages • 2023
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AHIP 2024 Certification Version 2 All New Qs & As for A++ Exam - Guaranteed Pass! 
 
1. Mrs. Mulcahy, age 65, is concerned that she may not qualify for enrollmentin a 
Medicare prescription drug plan because, although she is entitled to PartA, she is not 
enrolled under Medicare Part B. What should you tell her? 
Answer: An individual who is entitled to Part A or enrolled under Part B is eligible 
to enroll in a Medicare prescription drug plan. As long as Mrs. Mulcahy is entitled 
to Part A, ...
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PTCB Pharmacy Billing and Reimbursement Practice Test Questions and Answers Latest 2023-2024 Rated 100%
- Exam (elaborations) • 11 pages • 2023
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PTCB Pharmacy Billing and Reimbursement Practice Test Questions and Answers Latest Rated 100%. DAW/DNS stand for which of the following? 
A. Dispense as written 
B. Distribute and work 
C. Distribution and working 
D. Dispense as well 
3. Which of the following third party plans requires the patient to designate a primary care 
physician (PCP)? 
A. Health maintenance organization (HMO) 
B. Preferred provider organization (PPO) 
C. Medicare Part D 
D. TRICARE 
4. The cost of the coverage of an i...
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RN ATI Fundamentals (10.0) | Complete Questions and Answers | Graded A+ | Latest 2020.
- Exam (elaborations) • 60 pages • 2023
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RN ATI Fundamentals (10.0) | Complete Questions and Answers | Graded A+ | Latest 2020. 
RN ATI Fundamentals (10.0) 
Chapter 1 
1. A nurse is discussing restorative health care with a newly licensed nurse. Which of 
the following examples should the nurse include in the teaching? (Select all that 
apply.) 
a. Home health care 
b. Rehabilitation facilities 
c. Diagnostic centers 
d. Skilled nursing facilities 
e. Oncology centers 
2. A nurse is explaining the various types of health care coverage ...
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Test Bank For Introductory Medical-Surgical Nursing 12th Edition by Barbara Kuhn Timby, Nancy E. Smith||ISBN NO:10,9781496351333||ISBN NO:13,978-1496351333||All Chapters||Complete Guide A+
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INTRODUCTORY MEDICAL SURGICAL NURSING 12TH EDITION TIMBY SMITH TEST BANK [Author name] [COMPANY NAME] [Company address] INTRODUCTORY MEDICAL SURGICAL NURSING 12TH EDITION TIMBY SMITH TEST BANK 1. CHAPTER 1 Managed care organizations are insurers that carefully plan and closely supervise the distribution of healthcare services. What is one of the goals of managed care? A) Preventing illness through screening and promotion of health activities B) Improving training of healthcare professionals C) E...
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