Hmo Study guides, Class notes & Summaries
Looking for the best study guides, study notes and summaries about Hmo? On this page you'll find 6444 study documents about Hmo.
All 6.444 results
Sort by
-
CSPR - Certified Specialist Payment Rep (HFMA) questions with correct answers
- Exam (elaborations) • 29 pages • 2023
- Available in package deal
-
- $14.99
- 8x sold
- + learn more
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 s...
-
ALABAMA INSURANCE TEST QUESTIONS & ANSWERS (100% CORRECT)
- Exam (elaborations) • 12 pages • 2023 Popular
- Available in package deal
-
- $9.49
- 5x sold
- + learn more
ALABAMA INSURANCE TEST QUESTIONS & ANSWERS (100% CORRECT) 
ALABAMA INSURANCE TEST QUESTIONS & ANSWERS (100% CORRECT) 
 
Which welfare program provides assistance to the needy? - ANSWER - Medicaid 
 
Barbara has the right to change the beneficiary designation on her life insurance policy. Barbara's beneficiary is a(n): - ANSWER - revocable beneficiary 
 
Within how many calendar days must all clean electronic health insurance claims be paid in Alabama? - ANSWER - 30 
 
Which type of term policy a...
-
FLORIDA 2-15 INSURANCE LICENSE EXAM ACTUAL UPDATE WITH LATEST ONLINE WRITTEN EXAM QUESTIONS AND ANSWERS
- Exam (elaborations) • 10 pages • 2023
-
- $8.49
- 17x sold
- + learn more
FLORIDA 2-15 INSURANCE LICENSE EXAM ACTUAL UPDATE WITH LATEST ONLINE WRITTEN EXAM QUESTIONS AND ANSWERS 
 
Accumulation units are converted into annuity units: 
 
A group life insurance plan in which the employer pays the entire premium is known as a ________________ plan. 
 
If a disabled worker covered under Social Security disability benefits recovers and then is disabled again within five years, a new waiting period is required before benefits begin again. 
 
Robert had an accident and qua...
-
HFMA CRCR exam 2023 with 100% correct answers
- Exam (elaborations) • 17 pages • 2023
-
- $13.49
- 56x sold
- + learn more
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...
-
CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 with Complete Solutions
- Exam (elaborations) • 18 pages • 2023
-
- $13.49
- 9x sold
- + learn more
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...
-
CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
- Exam (elaborations) • 18 pages • 2023
- Available in package deal
-
- $32.49
- 4x sold
- + learn more
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...
-
Kentucky Life and Health Insurance Exam (New 2024/ 2025 Update) Questions and Verified Answers| 100 % Correct| Grade A
- Exam (elaborations) • 51 pages • 2024
- Available in package deal
-
- $10.99
- 1x sold
- + learn more
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 ...
-
AMCA BILLING & CODING TEST Questions and Answers Solved Correctly
- Exam (elaborations) • 22 pages • 2023
- Available in package deal
-
- $8.49
- 1x sold
- + learn more
What type of insurance allows treatment virtually anywhere with a high deductible that policy holders 
are willing to pay? 
a. COBRA 
b. EPO 
c. PPO 
d. HMO - C 
Veterans with service related disabilities are eligible for case under which of the following programs: 
a. CHAMPUS 
b. Medicare 
c. CHAMPVA 
d. TRICARE - C 
_______________________ is usually sponsored and partially paid by an employer. 
a. TRICARE 
b. Private Insurance 
c. Group Health Insurance 
d. Worker's Aide - C 
_______________...
-
Test Bank for Psychology of Women and Gender, 1ebyMiriam Liss, Kate Richmond, Mindy Erchull
- Exam (elaborations) • 242 pages • 2023
-
- $25.49
- 1x sold
- + learn more
Test Bank for Psychology of Women and Gender, 1ebyMiriam Liss, Kate Richmond, Mindy Erchull 
 
Test Bank for Psychology of Women and Gender, 1ebyMiriam Liss, Kate Richmond, Mindy Erchull
-
Principles of Economics, 2nd Australian Edition, 2e Joseph Stiglitz, Carl Walsh, Jeffrey Gow, Ross Guest, William Richmond, Max Tani (Test Bank)
- Exam (elaborations) • 447 pages • 2023
-
- $29.49
- 1x sold
- + learn more
Principles of Economics, 2nd Australian Edition, 2e Joseph Stiglitz, Carl Walsh, Jeffrey Gow, Ross Guest, William Richmond, Max Tani (Test Bank) 
 
Principles of Economics, 2nd Australian Edition, 2e Joseph Stiglitz, Carl Walsh, Jeffrey Gow, Ross Guest, William Richmond, Max Tani (Test Bank)