Lori Garrett is wondering what elements are in a qualified health plan. Which of the following would be included? (You may select more than one answer. Single click the box with the question ma produce a check mark for a correct answer and double click the box with the question mark to empty the box for a wrong Any boxes left with a question mark will be automatically graded as incorrect.) ? Prescription drugs ?Preventive and wellness services ? Mental health benefits Pet insurance premiums 4
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- Insurance Rejection Scenarios Scenario 1 A patient brings in a prescription for Singulair 10 mg for the pharmacy to fill, and decides to wait for their prescription. After obtaining all of the patients PHI and entering all the data into the computers, the technician proceeds to enter the prescription and adjudicate a claim to the patients insurance. Upon submission, the technician receives a rejection message stating that the patients is over the age of 18 and the insurance formulary requires a prior authorization. (Certain insurance companies will only cover Singulair for adults if doctors diagnose the patient with a specific diagnosis, such as Asthma) a. What steps need to be taken to begin the process of resolving the rejection? b. Who do you need to contact or notify, who completes the notification, and how are the individuals notified? c. What other options might be given and to whom? d. How long should this process take, on average? Scenario 2 A patient brings in a prescription…0 0 The marketing message of a successful procedure should always.. slightly exaggerate mention patients' names keep expectations high to remove anxiety be truthful The reputation of excellence directly connected to a facility's name is an Obranding reaction O marketing ploy educational approach. O advertisementExplain the following entities: (about ten lines each). Use any Internet resources, and please give reference to those resources. (a) HMO (Health Maintenance Organization. (b) PPO (Preferred Provider Organization. (C) CMS (Centers for Medicare and Medicaid Services. (d) PPS (Prospective Payment System. (e) DRG (Diagnosis Related Groups.
- Kindly answer the Problems 6 and 7. Kindly, check and answer what is required.help please and answer all requirements and do not say your about policy need complete and correct answer for all with computation , explanation for every requirements and steps answer in text form answer all or skip need answer correctly and completely for all← → C doctors Chapter 2 Homework: Riley Slo x WP NWP Assessment Player Ul Ap x A Player education.wiley.com/was/ui/v2/assessment-player/index.html?launchid=4131ffcd-b4b1-4c03-9899-2873266f84cf#/question/9 BAR b bartleby w wiley connect MYOCC I CPO →bofa workjam (ulta) workjam ← Chapter 2 Homework Question 10 of 10 Current assets Total assets Current liabilities Long-term liabilities Selected information from the financial statements of Sheridan's Coffee Brewers for the year ended December 31, 2014, appears below: Sales revenue (ulta) school school b bartleby Dividends Net income $165,600 506,000 69,000 82,800 800,400 55,200 123,280 1. The current ratio for 2014 is 2. The debt to assets ratio for 2014 is 3. The working capital for 2014 is Calculate the amounts indicated below relating to the year ended December 31, 2014. The number of shares outstanding at the end of the year was 36,800. Show computations. (Round "Current ratio" and "Earnings per share" to 2 decimal places, e.g.…
- please answer all requirements and do not say your about policy need complete and correct answer for all with computation , explanation for every requirements and steps answer in text form answer all or skip need answer correctly and completely for allgoogle x S Dallas x B Score X M mybox com/ilrn/takeAssignment/takeAssignmentMain.do?invoker=&takeAssignmentSession Calcul x Ber eBook Type of Admission Unscheduled admission Scheduled admission Direct Labor Standards for Nonmanufacturing Expenses Englert Hospital began using standards to evaluate its Admissions Department. The standard was broken into two types of admissions as follows: Standard Time to Complete Admission Record Print Item b. What are the standard hours for the actual volume for the week (round to the nearest whole hour)? hours. Check My Work # 30 min. 20 min. The unscheduled admission took longer because name, address, and insurance information needed to be determined and verified at the time of admission. Information was collected on scheduled admissions prior to the admissions, which was less time-consuming. [3 The Admissions Department employs three full-time people (40 productive hours per week, with no overtime) at $15 per hour. For the most recent week, the…a hata eraian is cures Graiki Rim nows an Com 106
- doctors EXTRA CREDIT OPPORTUNITY X WP NWP Assessment Player Ul Ap x ← C education.wiley.com/was/ui/v2/assessment-player/index.html?launchid=f9637d14-156f-4cb7-b76a-c0fea4e5b627#/question/7 b bartleby w wiley ←EXTRA CREDIT OPPORTUNITY Question 8 of 20 Current Attempt in Progress 1. 2. 3. CPO 4. bofa workjam (ulta) workjam (ulta) 5. 1. No. Account Titles and Explanation 2. A Player school school b bartleby Journalize the following business transactions in general journal form. Identify each transaction by number. You may omit explanations of the transaction. (Credit account titles are automatically indented when amount is entered. Do not indent manually. If no entry is required, select "No Entry" for the account titles and enter O for the amounts.) connect Owner invested $66,500 in exchange for common stock of the corporation. Hired an employee to be paid $500 per week, starting tomorrow. Paid two years' rent in advance, $7,100. Paid the worker's weekly wage. Recorded service revenue…Optional. P Search vout References Mailings Review View Help Aav Aoミ、E、、三E4T AaBbCcDc AaBbCcDc AaBbC AaBbCcl AaB ン、A、三 三三加、、田 I Normal 1 No Spac. Heading 1 Heading 2 Title Paragraph Styles 4. Jeff, age 50, is thinking of purchasing a S100,000 permanent life insurance policy to fund a gift to his local hospital. He was recently treated there after an automobile accident. He does not expect the policy to be surrendered for a number of years and is concerned that inflation might erode the value of his gift. Which of the following products would best suit Jeff's needs? (A) A whole life participating policy with dividends used to reduce the annual premium. (B) A term to 100 life insurance policy. (C) A whole life participating policy with a paid-up additions dividend option. (D) A whole life non-participating policy.O (2) Fountainview A Performane Task (2 x A Documents . Concept map: Luci x 2 Ordinary Annuity G general annuity - b My Questions | ba x + A classroom.google.com/u/0/c/MTC5MDUYODQYMTM1/a/MjkxNDA4MDEwNTU5/details Sentence Sentence Sentence Sentence No sense of rform Structure structure structure is structure is sentence enhances evident; limited; structure or Assic Putz 2 Mar meaning; sentences sentences flow. pints dd or create PROJECT 4.CONCEPT MAPPING: Make a concept map from the given words below by arranging the word into an idea and connect by either a word or a phrase. k as Done day students options whic ursday) if pri ust send me ,(1 +j)" – 1 F = R- Annuity Future Value nments Fair General to Alms Putz Cash Market ordinary annuity Flow Value General Present Class comme annuity ,1-(1+j)~™ P = R Value class comm Rubrics for the above activity: Excellent Good Fair Poor 6:30 PM P Type here to search 3/9/2021 近