Healthcare insurance Study guides, Class notes & Summaries

RRLLB81 ASSIGNMENT 2 MEMO - SEMESTER 1 - 2023 - UNISA - (DETAILED RESEARCH REPORT WITH FOOTNOTES - DISTINCTION GUARANTEED) ALL TOPICS INCLUDED!!!!! THE FOLLOWING TOPICS ARE AVAILABLE:- MERCANTILE LAW TOPIC 1: INSURANCE LAW THE INSURED’S DUTY TO TAKE REASONABLE PRECAUTIONS TO AVOID LOSS OR DAMAGE TO THE OBJECT OF RISK ️ TOPIC 2: BANKING LAW NATIONAL CREDIT ACT 34 OF 2005 AND REGULATIONS: PRE-AGREEMENT ASSESSMENT ️ TOPIC 3: COMPANY LAW BUSINESS RESCUE ️ TOPIC ...

United HealthCare Insurance Questions and Answers Rated A+ When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? The consumer/member would not receive plan related correspondence intended for him/her By agreeing to the Statement of Understanding, the consumer: Acknowledges that they clearly understand they are enrolling in a plan, combined with knowing the specific plan in...

Naham Exam Latest Update with Verified Solutions AIDET acknowledge, introduce, duration, explanation, thank you Press Ganey provides patient service satisfaction surveys, used for both public relations & performance improvement KPI Key Performance Indicator KPI Example Preregistration percentage, wait times, accuracy rate, pos collections, productivity HEAT Hear them out, empathize with the customer, apologize, take responsibility for actions PPE personal protective equip...

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...

What is "economics"? - A Map for decision making. Economics analyzes the allocation of scarce resources. What are some of the specific challenges faced by managers in healthcare? - 1. The central roles of risk and uncertainty 2. The complexities created by insurance 3. The perils produced by information asymmetries 4. The problems posed by not-for-profit organizations 5. The rapid and confusing course of technical and institutional change What does asymmetric information mean? Can you...

United HealthCare Insurance Latest Exam Which of the following statements about AARP are TRUE? (Select 2) Answer: The AARP motto is to serve, not be served AARP advocates for the 50+ population in congress for legislation to lower medical costs Which of the following is TRUE about the production requirement for the Authorized to Offer Elite status? Answer: Each calendar year, agents need to have at least 30 commission-eligible, accepted, and paid AARP Medicare Supplement Pla...

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...

United HealthCare Insurance Exam| Questions and Verified Answers| Grade A (2023/2024 Update) Q: Rosanna is enrolled in a Medicare Advantage Only (MA-Only) Private Fee-for-Service (PFFS) Plan. The plan is suitable for her needs and service area. She has decided she wants to add prescription drug coverage. Which option is available to Rosanna (assuming she is in a valid election period)? Answer: Rosanna could stay enrolled in her MA-Only PFFS plan and enroll in a stand-alone PDP Q:...

ATI Fundamentals Remediation Exam 2024 A nurse is explaining differences among various agencies that address healthcare. Nurse should note which of following are health care regulatory agencies? (Select all that apply.) A: American Nurses Association (ANA) B: Joint Commission C: State boards of nursing D: National League for Nursing (NLN) E: Food and Drug Administration (FDA) -Answer-B, . Joint Commission; C. State Boards of Nursing; E. Food and Drug Administration (FDA) Nurse is expla...

United HealthCare Insurance Questions With Correct Review Solution A+ When completing an enrollment application in LEAN, why is an agent prohibited from entering his or her own email address in a field available for the consumer's email address? The consumer/member would not receive plan related correspondence intended for him/her By agreeing to the Statement of Understanding, the consumer: Acknowledges that they clearly understand they are enrolling in a plan, combined with knowing the s...