HCA320 Module 5 Discussion

Which of the following statements regarding the Patient Protection and Affordable Care Act (ACA) is true?   Group of answer choices a. The ACA eliminates lifetime limits on total health care insurance payments by insurers. b. The ACA limits the total number of surgeries for the insurers. c. The ACA requires employers to reimburse the cost of hospital stays of the insured. d. The ACA decides the insurance payments for dependents. e. The ACA provides major medical insurance with low deductibles to protect against catastrophic illnesses.

Under the National Flood Insurance Program (NFIP), flood insurance is     Only available through Fair Plan insurers who participate in the NFIP's "Write Your Own" program.     Only available directly from the Federal Insurance and Mitigation Administration or FEMA.     Available directly from FEMA or through private insurers who participate in the NFIP's "Write Your Own" program.     Available and underwritten through private insurers who retain all of the underwriting profits or losses.

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Which of the following statements is not correct about Medicaid? Multiple Choice The Social Security Act created Medicaid in 1965. Medicaid is a program of medical assistance to certain low-income individuals and families. Medicaid is administered by each state within certain federal guidelines. Medicaid is financed by both state and federal funds. Medicaid is provided to wealthy individuals.

Correct answer needed.

Indicate whether the statement is true or false, and justify your answer.In the 2010 American health reform law, one primary mechanism for financing the expansion of health insurance to the uninsured involves reducing planned Medicare expenditures.

True or False : Insurance companies are regulated by the federal government, which helps maintain uniform coverage and premiums

Assume that Congress is considering a new bill called the Paid Parental and Medical Leave (PPML) Act. This statute would create the PPML program, which would provide a financial benefit to employees for parental/medical leave and would be financed by a payroll tax paid by both employers and employees. The program would be administered by the Social Security Administration, leveraging the infrastructure already in place for supporting the Social Security Disability Insurance (SSDI) program. The co-sponsors of the bill claim it is revenue-neutral over 5 years. In other words, they claim that over five years, the revenues from payroll tax rate would offset the costs of the payouts plus administrative costs. All claims would be paid out of a newly established federal Paid Parental and Medical Leave Trust Fund. As a congressional staffer, the Representative you work for has asked you to test whether this program actually pays for itself over 5 years. You make some phone calls and obtain the…

Medicaid is provided to certain individuals and families with low income or resources. Which of the following items is not counted towards the income requirements? a. Housing assistance provided by the federal government O b. Social Security benefits O c. Pension Income O d. Veteran's benefits provided by the federal government.

Which of the following is not a regulatory responsibility of the Pension Benefit Guaranty Corporation? Select one: a. They oversee the termination of covered plans. b. They administer an insurance program for defined-benefit plans. c. They interpret legislation. d. They administer an insurance program for defined-contribution plans.

What are the four areas in which the federal law mandated changes in the protection of health information?

Explain the basic elements of the negligence action What is product liability? Can an injured employee sue a coworker? Explain your answer. What is Form CA-1? What is the Federal Black Lung Program? What is Social Security Disability Insurance? Explain the function of Medicare. What is continuation pay? How does a person qualify for Medicaid? What agency is responsible for coordination benefits a person receives on the state and federal level?

Describe the major elements of the affordable care act. What problem is the legislation trying to address? How much is it expected to cost? How will the extra spending be financed? What are the major objections to the legislation?

A variety of SUTA reports need to be filed with respective state governments. Which of the following are not a type of required report: a.  Partial unemployment notices. b.  Wage information reports. c.  Form 940. d.  Status reports.

What are the problems of an insurance industry that are primarily regulated at the state level?

Each state has an insurance commissioner whose job it is to ensure insurance agents and companies are playing within the rules. Why is insurance a highly regulated field?

All of the following may request a fair hearing on the issue of undue hardship with respect to Medi-Cal denial EXCEPT: A ( A ) An individual requesting medical assistance for home and facility care B ( B ) A personal representative of an individual requesting medical assistance for home and facility care C ( C ) The facility in which the individual requesting medical assistance for home and facility care is residing D ( D ) An individual opposing the granting

Am. 373.

N3

Insurers in California are required to offer ________ coverage to consumers due to the substantial risk factors in that state.  A) renters B) liability C) inflation D) earthquake E) bankruptcy

Please describe factors that influence the financial viability of a healthcare organization and discuss the major aspects of Medicare benefits? and how do legal and regulatory issues shape and define the good financial management of an HCO?

The following questions concern the appropriate accounting for a private not-for-profit health care entity. Write complete answers for each question. What is a third-party payor, and how have third-party payors affected the development of accounting principles for health care entities? What is a contractual adjustment, and how does a health care entity record this figure? How does a not-for-profit health care entity account for donated materials and services? How does a not-for-profit health care entity account for donated materials and services?

Which of the following is not an insurance management tool? Group of answer choices deductibles. screening of applicants. limits on insurance. restrictive covenants. signalling.

Which of the following is an exception for application of IFRS 15? a. Insurance contracts. b. Financial audit contracts. c. Pharmaceutical contracts. O d. Service contracts.