Question 1 Suppose that Alice is subscribed to an indemnity
Question 1 Suppose that Alice is subscribed to an indemnity
Question 1
Suppose that Alice is subscribed to an indemnity health plan where her first medical bill of the year will have a deductible of $500 and her co-insurance rate is 25%.
Alice’s first medical bill of the year comes out to be $2500. What will Alice need to pay, in total?
Question 2
John is a policyholder of an indemnity health plan where the deductible only exists on his first medical bill of the year and will be charged at $400. His general co-insurance rate is 20%.
John’s third medical bill of the year comes out to be $1,900. What will John approximately pay, in total?
Question 3
Who provides the schedule of benefits?
Question 3 options:
A)
Policyholder
B)
Health Provider
C)
Health Plan
D)
None of the above
Save
Question 4
The ACA has forced health plans to diversify their risk pools through inclusion of many younger, healthier policy holders (via the Individual Mandate) in exchange for forcibly including high-risk patients.
Question 4 options:
True
False
Save
Question 5 (1 point)
A certain physician works with a capitation-based health plan; this is the physician’s sole source of income.
The physician is paid at $120 PMPM, with a patient pool of 200. How much will this physician approximately gross over 2 months’ time?
Question 6
Which of the following refers to a single provider’s record(s) for a patient?
Question 6 options:
A)
EMR
B)
Health Plan
C)
PMP
D)
EHR
Save
Question 7
Our text’s definition of EHRs is both realistic and practical.
Question 7 options:
True
False
Save
Question 8
What is the name of the formal confirmation / verification process undergone within the medical billing cycle?
Question 8 options:
A)
Deliberation
B)
Adjudication
C)
Observation
D)
Arbitration
Save
Question 9
A physician works within a volume-based fee-for-service health plan model, and they are reimbursed $80 per patient visit.
If the typical patient visit lasts 20 minutes, how much will the physician approximately gross in a year?
Question 9 options:
A)
$300k
B)
$400k
C)
$500k
D)
$600k
Save
Question 10
In a capitation-based model, physicians are compensated at a constant rate for their patient pool, regardless of the volume they attend to (e.g. number of patient visits seen).
Question 10 options:
True
False
"You need a similar assignment done from scratch? Our qualified writers will help you with a guaranteed AI-free & plagiarism-free A+ quality paper, Confidentiality, Timely delivery & Livechat/phone Support.
Discount Code: CIPD30
Click ORDER NOW..
