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- You attended an in-service education program about the outpatient prospective payment system (OPPS) where you learned that certain Medicare Part B services are paid according to ambulatory payment classifications (APCs), which group services according to similar clinical characteristics and in terms of resources required. A payment rate is established for each APC and, depending on services provided, hospitals may be paid for more than one APC for a patient encounter. As part of the in-service, you are provided with the following information and required to answer each question by applying the formula to calculate APC payments.All of the following are sources of information to an insurance company pertaining to the insurability of an applicant except A) The applicant's personal appearance B) Medical examination report C) Agent's inspection report D) Government tax recordsCalculate the category expense contribution for insurance.
- Considering yourself as an insurance agent, explain your customer on various benefits of a family floater insurance scheme of your company. can you Write in detail the information you provide to convert your potential customer to an actual customer?A copayment is a shared medical expense between a parent and child the insured and the medical insurance company the doctor and the patient the hospital and the doctor OA. OB. OC. D.Why is it important to secure patient authorization when sharing their medical information or condition even to their family
- What is the meaning of debt ratio? Evaluate the meaning of the ratio related to the financial health of the health care organization. Show the calculations. Explain the factors that affect the results related to the financial health of the organization.What are the different information requirements, the risks associated with non-compliance with procedures, and risk mitigation strategies?Commercial insurance policies issued with a deposit or provisional premium would be subject to: a survey a rewrite an audit an inspection
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