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1. People who receive Medicare A. are never eligible to receive Medicaid. B. may be eligible to receive Medicaid if they meet the age requirement. C. may be eligible to receive Medicaid coverage. D. can combine Medicare with TRICARE. 2. Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare? A. Yes, because the patient has end-stage renal disease B. No, because the patient resides in New Mexico C. No, because the patient is under age 65 D. Yes, because the patient has hypertension 3. The first prepaid health insurance plans in the United States were A. TRICARE and workers' compensation. B. CHAMPUS and CHAMPVA. C. Blue Cross and Blue Shield. D. Medicare and Medicaid. 4. Which of the following is the largest privately underwritten health insurance contract in the world? A. Harless program B. SCHIP C. Federal Employee Program (FEP) D. CHAMPVA program 5. A provider is classified as a/an A. biller who submits claims to insurance carriers. B. coder who provides medical record data. C. individual or group of individuals that provide a health care service. D. beneficiary that provides information for insurance coverage. 6. Tom is billing an emergency room visit for a Medicaid patient who's being seen for a wellness visit. Which one of the following statements is true as a result of the Balanced Budget Act? A. There are new surgical treatments available. B. No new applications are required for TAFT recipients. C. Patients have expanded preventive-care benefits. D. There are new standards for TRICARE.
7. Dr. Singer is working within a reimbursement system in which the insurance is billed after all the treatment has been given to the patients. What is the main reason that the doctor orders more tests, exams, and procedures under this system? A. Fear of being sued B. To increase resource utilization C. To make a profit D. Because no one has to pay for it 8. With a PPO, the beneficiary has the ability to A. choose a hospital within a 50-mile radius only. B. choose a physician or hospital from the designated provider list. C. select a dentist within a 10-mile radius. D. select an add-on policy for supplemental unemployment benefits
9. Physician-hospital organizations (PHOs) are also called _______ organizations. A. medical staff-hospital B. health management C. individual provider D. preferred provider 10. Mrs. Fang is a 72-year-old retired school teacher who has been hospitalized for pneumonia. What type of insurance is most likely being used to pay for her hospital stay? A. Medicare Part D B. Medicare Part B C. Medicare Part A D. Medicare Part C
Positive symptoms of schizophrenia are the ________ of inappropriate behaviors, and negative symptoms are the ________ of appropriate behaviors.
Entering into a foreign market has its benefits and risks. Provide an explanation of four of the risks associated with entering into a foreign market.
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Provide an overview of the organisation you have selected e.g. Type of business and industry, history of the organisation and its structure etc.
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In a normal distribution, about 68% of values fall within 1 standard deviation of the mean, about 95% fall within 2 standard deviations of the mean, and about 99.7% fall within 3 standard deviations of the mean.
Name and describe the five stages of the product life cycle. Identify a product class, product form, or brand that is in each stage.
Should Attica Memorial Hospital have bought Delphi Hospital? Why or why not? Is there any financial burden on Attica Memorial after acquiring Delphi Hosital? What impact has the Ingelson Burn Center created within the community
The summative assessment for this course is a Final Paper that is due in Week Five. For your Final Paper, you must demonstrate an understanding of a topic in psychology beyond the information presented in the course textbook. Incorporate materia..
Client-to-client communication has dramatically changed. After completing reading/research, you are asked to identify one positive and one negative outcome related to the changes addressed above. Include two examples from real life in your discuss..
Explain the relationship between power and choice in the field of political science.
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