{"id":124414,"date":"2023-02-14T00:00:00","date_gmt":"2023-02-14T00:00:00","guid":{"rendered":"https:\/\/nursingstudybay.com\/2023\/02\/14\/health-insurance-pt-2-nursing-homework-help\/"},"modified":"2023-02-14T00:00:00","modified_gmt":"2023-02-14T00:00:00","slug":"health-insurance-pt-2-nursing-homework-help","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/help\/health-insurance-pt-2-nursing-homework-help\/","title":{"rendered":"Health insurance pt 2 | Nursing homework help"},"content":{"rendered":"

<\/p>\n

\n\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>Yes, because the patient has end-stage renal disease<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>No, because the patient resides in New Mexico<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>No, because the patient is under age 65<\/td>\n<\/tr>\n
\n

\u00a0\u00a0\u00a0D.\u00a0<\/strong>Yes, because the patient has hypertension<\/p>\n

\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0<\/td>\n<\/tr>\n
\u00a0<\/td>\n<\/tr>\n
13. \u00a0\u00a0The\u00a0first<\/em>\u00a0prepaid health insurance plans in the United States were\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>TRICARE and workers’ compensation.<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>CHAMPUS and CHAMPVA.<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>Blue Cross and Blue Shield.<\/td>\n<\/tr>\n
\n

\u00a0\u00a0\u00a0D.\u00a0<\/strong>Medicare and Medicaid.<\/p>\n

\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0<\/td>\n<\/tr>\n
\u00a0<\/td>\n<\/tr>\n
14. \u00a0\u00a0Which of the following is the largest privately underwritten health insurance contract in the world?\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>Harless program<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>SCHIP\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>Federal Employee Program (FEP)<\/td>\n<\/tr>\n
\n

\u00a0\u00a0\u00a0D.\u00a0<\/strong>CHAMPVA program<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0<\/td>\n<\/tr>\n
\u00a0<\/td>\n<\/tr>\n
15. \u00a0\u00a0A provider is classified as a\/an\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>biller who submits claims to insurance carriers.<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>coder who provides medical record data.<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>individual or group of individuals that provide a health care service.<\/td>\n<\/tr>\n
\n

\u00a0\u00a0\u00a0D.\u00a0<\/strong>beneficiary that provides information for insurance coverage.<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0<\/td>\n<\/tr>\n
\u00a0<\/td>\n<\/tr>\n
16. \u00a0\u00a0Tom 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\u00a0true<\/em>\u00a0as a result of the Balanced Budget Act?\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>There are new surgical treatments available.<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>No new applications are required for TAFT recipients.<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>Patients have expanded preventive-care benefits.<\/td>\n<\/tr>\n
\n

\u00a0\u00a0\u00a0D.\u00a0<\/strong>There are new standards for TRICARE.<\/p>\n

\u00a0<\/p>\n\n\n\n\n
17. \u00a0\u00a0Dr. 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\u00a0main\u00a0<\/em>reason that the doctor orders more tests, exams, and procedures under this system?\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>Fear of being sued<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>To increase resource utilization<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>To make a profit<\/td>\n<\/tr>\n
\n

\u00a0\u00a0\u00a0D.\u00a0<\/strong>Because no one has to pay for it<\/p>\n

\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0<\/td>\n<\/tr>\n
\u00a0<\/td>\n<\/tr>\n
18. \u00a0\u00a0With a PPO, the beneficiary has the ability to\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>choose a hospital within a 50-mile radius only.<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>choose a physician or hospital from the designated provider list.<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>select a dentist within a 10-mile radius.<\/td>\n<\/tr>\n
\n

\u00a0\u00a0\u00a0D.\u00a0<\/strong>select an add-on policy for supplemental unemployment benefits<\/p>\n\n\n\n\n\n\n
\u00a0<\/td>\n<\/tr>\n
\u00a0<\/td>\n<\/tr>\n
19. \u00a0\u00a0Physician-hospital organizations (PHOs) are also called _______ organizations.\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>medical staff-hospital\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>health management\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>individual provider\u00a0<\/td>\n<\/tr>\n
\n

\u00a0\u00a0\u00a0D.\u00a0<\/strong>preferred provider\u00a0<\/p>\n

\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0<\/td>\n<\/tr>\n
\u00a0<\/td>\n<\/tr>\n
20. \u00a0\u00a0Mrs. Fang is a 72-year-old retired school teacher who has been hospitalized for pneumonia. What type of insurance is\u00a0most<\/em>\u00a0likely being used to pay for her hospital stay?\u00a0<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n\n\n\n
\u00a0\u00a0\u00a0A.\u00a0<\/strong>Medicare Part D<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0B.\u00a0<\/strong>Medicare Part B<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0C.\u00a0<\/strong>Medicare Part A<\/td>\n<\/tr>\n
\u00a0\u00a0\u00a0D.\u00a0<\/strong>Medicare Part C<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0A.\u00a0Yes, because the patient has end-stage renal disease \u00a0\u00a0\u00a0B.\u00a0No, because the patient resides in New Mexico \u00a0\u00a0\u00a0C.\u00a0No, because the patient is under age 65\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10601,10596,10882,479,537,172,478,10597,10599,10595],"tags":[10524,10522,10890,10561,10883,10889,10515,10521,10696,10518,10888,10887,10886,10885,10884,10525],"class_list":["post-124414","post","type-post","status-publish","format-standard","hentry","category-assignment-help-by-uks-no-1-writing-service","category-assignment-writers-canada-university-cost","category-free-ai-english-assignment-writers-china","category-nursing-course-hero","category-nursing-essay-pro","category-nursing-study-bay","category-nursing-study-pool","category-professional-assignment-writers-usa","category-uae-1-cheap-assignment-writing-service","category-write-a-word-essay","tag-apa-citation-format-assignment","tag-assignment-writers-australia-college-student","tag-best-nursing-case-study-writing-services","tag-buy-essay-usa","tag-case-study-nursing-writing-services-for-care-plans","tag-free-nursing-case-study-writing-services","tag-help-write-a-page-assignment","tag-i-need-someone-to-do-my-assignment-within-hours","tag-need-assistance-completing-the-assignment","tag-need-to-write-an-essay","tag-nursing-case-studies-with-answers","tag-nursing-case-study-paper-example","tag-nursing-case-study-template-examples-of-case-studies-nursing","tag-pharmacology-case-study","tag-soap-note-case-study","tag-write-pages"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/124414","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=124414"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/124414\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=124414"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=124414"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=124414"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}