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1. Officer Browner is an active member of the Air Force. He visited the emergency room for treatment of a wrist fracture. The coder is billing for the emergency room visit and the treatment of the fracture. The coder will most likely submit the claim to
A. TRICARE. B. CHAMPUS. C. CHAMPVA. D. SCHIP. 2. Medicare Part B is classified as A. supplemental medical insurance because people don't automatically receive it. B. an optional supplement for Medicare Part D. C. a mandatory component of Medicare Part A. D. an amendment to Medicare Part C. 3. Which one of the following statements is true according to the "gatekeeper" concept? A. The physician chooses the cases that generate higher reimbursement. B. The medical coder chooses the charts that will be coded. C. The primary care physician or another health care worker is the case manager for the patient. D. The insurance underwriter chooses the patient who receives coverage. 4. What is the purpose of the National Committee for Quality Assurance (NCQA)? A. Monitors the quality of patient care in long-term care facilities B. Reviews complaints filed by patients regarding the quality of physician care C. Monitors the quality of patient care in nursing homes D. Assesses and reports on the quality of managed care plans 5. An insurer's responsibilities include A. clarifying policy questions for OASIS dependents. B. organizing medical records. C. writing the terms of union contracts. D. fixing the terms of coverage. 6. The term active duty would apply to A. physicians who perform duties on 24-hour rotation. B. patients covered under TRICARE. C. nurses who perform duties while active in a specific radius. D. patients covered under Medicare Part D. 7. Medicare Part D covers A. hospital inpatient stays. B. prescription drugs. C. occupational therapy visits. D. physician surgeries. 8. What does Medicaid provide? A. Health care coverage for low-income families that meet certain eligibility requirements B. Dental insurance coverage C. Supplemental insurance for veterans D. Additional coverage for dependents under age 18 9. Healthcare providers who organize to treat Medicare patients are called _______ organizations. A. accountable care B. independent care C. managed care D. geriatric care 10. If you have 80-20 policy coverage, it means A. you pay 80% of the expenses and the insured pays 20%. B. you pay 80% of the expenses and the insurer pays 20%. C. the insurer pays 80% of the expenses and you pay 20%. D. the insured pays 80% of the expenses and you pay 20%
Discuss how typical this type of risky and reckless behavior is in adolescents.
In order to prepare for your first outreach effort with each country, analyze the cultural similarities and differences that exist between the countries and the United States using Geert Hofstede's 6 Dimensions as discussed in class. Provide a disc..
How do Ackerman's views on management differ from a secular school's view of behavior management? What biblical concepts challenge you as someone who may be working with students with behavioral disabilities in the future
Do you notice how Apple and Microsoft keep putting out new products? Dell has new computers. some are all in one, There are new styles of monitors. You can see two whole monitors at one with some software. Windows keeps upgrading. Why all these ch..
Write a summary paper about the article "Why is the evidence base for effectiveness of win-win interventions to benefit humans and biodiversity so poor?" by Andrew S. Pullin.
Explain the consensus and conflict views of crime. Compare and contrast the two. Provide an argument for the United States either having a consensus of conflict society
compared to the middle ages the renaissance worldview was much more secular and humanistic. how do we see values of secularism and humanism reflected in the art and/or architecture of time? why was this
Which of the following is not true of case-control studies:
Since consumer transactions on social media can occur across state lines, determine how the federal government can best control these transactions.
What is ethology
As we explore persuasion, we can divide the persuasive communication into three parts: the communicator, the message, and the audience. First, we will deal with what characteristics of persuaders make people more likely to be persuaded. Next, we w..
Do you think there is a stigma attached to Mental Illness? How might you approach a situation in which someone you know might need Psychological counseling?
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