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Question: Which Hospice Expenses Are Not Covered In Cost Conyaiment Setting?

What is not a feature of a guaranteed renewable provision?

Which of the following is NOT a feature of a guaranteed renewable provisions? The Insurer can increase the policy premium on a individual basis. However, the premium can only be increased on a class basis, not on individual policy. An insured purchased a noncancellable health insurance policy 1 year ago.

Why does cost containment remain an elusive goal in US health services delivery?

Why does cost containment remain an elusive goal in US health services delivery? Partly because there are few if any mechanisms in place to actually generate it. Financing -it is necessary to obtain health insurance or to pay for health care service.

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Under which provision can a physician submit claim?

A physician can submit claim information prior to providing treatment UNDER PROSPECTIVE REVIEW PROVISION. Prospective review occur when a physician is requested to present its claim for the medical services which he is going to render. This may be done in order to compare prices.

Which of the following authorities monitors the financial strength of insurers?

Five independent agencies—A.M. Best, Fitch, Kroll Bond Rating Agency (KBRA), Moody’s and Standard & Poor’s—rate the financial strength of insurance companies.

What is guaranteed renewable policy?

What is a Guaranteed Renewable Policy? A guaranteed renewable policy is an insurance policy feature that ensures that an insurer is obligated to continue coverage as long as premiums are paid on the policy.

Which of the following can legally bind coverage?

Your insurance coverage can be bound one of two ways: coverage can be bound through the insurance company issuing the policy or by the verbal or written commitment (called a “binder”) of an authorized representative of the company, such as an agent.

What is cost containment strategies?

Cost containment is the business practice of maintaining expense levels to prevent unnecessary spending, or thoughtfully reducing expenses to improve profitability without risking long-term damage to the company.

What are the four basic components of a health care delivery system?

The basic components of a delivery system are services, consumers, personnel, and payment.

What is cost containment in health care?

What is Cost Containment? Cost containment is an important set of strategies and tools to reduce benefits costs for your organization and employees—regardless of your organization’s size and health insurance plan funding type.

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What would a physician utilize if he she wanted to know if a treatment is covered?

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Question Answer
What would a physicians utilize if he/she wanted to know if a treatment is covered under an insured’s plan and at what rate it will be paid? Prospective review
A fixed annuity contract provides for Level benefit payment

What happens if a nonmember physician is utilized under the point of service plan?

What happens if a non-member physician is utilized under the point of service plan? The attending physician will be paid a fee for service, but the member will have to pay a higher coinsurance amount.

Which of the following applies to the 10 day free look privilege?

which of the following applies to the 10day freelook privilege? it permits the insured to return the policy for a full refund of premiums paid.

Which is an example of an unfair claims settlement practice?

Typical Example of Unfair Claims Practice

Unfortunately, a fire broke out in the building, causing $100,000 in property damage. The insurance company delays payment, rendering the business owner unable to repair any of the damage. The insurance company continues using delay tactics to avoiding making a payment.

What are the two components of a universal policy?

Universal policy premiums include two components: the cost of insurance amount and the savings component amount, also known as the cash value. The cost of insurance (COI) is the minimum amount you must pay to keep your policy active. This amount varies based on your age, health, and insured risk amount.

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Which of the following is NOT example of insurable interest?

Which of the following is NOT an example of insurable interest? Premium receipt.

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