Common coverage of HMOs include Annual Check-ups, confinements, laboratory fees, doctor's fees and dental care TRUE OR FALSE
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Common coverage of HMOs include Annual Check-ups, confinements, laboratory fees, doctor's fees and dental care
TRUE OR FALSE
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- 3. A patient who has not paid a bill has come to the emergency room for medical treatment. While there, a medical assistant notices a large amount of money in her purse. The medical assistant tells the security guard. The guard stands at the patient’s room and refuses to let her leave until she pays some money toward her bill. Can the patient file charges against the hospital? If so, what will the proper complaint read?Ann Reynolds has recently been hired as practice manager for Dr. LaRue. In reviewing the financial records of the practice, she notices that a substantial amount of money is owed by patients with outstanding balances. Further review finds that the practice has no written financial policies outlining the responsibility of patients in paying for their costs of medical care. Outline a set of basic financial policies to address patient responsibility for payment of charges.A friend has a medical condition but did not inform the insurance company when he purchased the policy. He fell ill but the insurance company refuses to cover his medical expenses. What should he do?
- 1. Which of the following provides insurance against on-the-job accidents, even when the insured individual recovers and returns to work within a month? Group of answer choices disability insurance Social Security workers' compensation Medicare unemployment insurance8. Stan is applying for health insurance. He is worried because he has been experiencing chest pains and shortness of breath lately. He does not mention these symptoms on his application. Which of the following types of fraud is Stan committing? A.hard insurance fraud B. Soft insurance fraud C.discreet insurance fraud D.passive insurance fraudShadyside Insurance Company manages a medical insurance program for its clients. Employees of client firms submit claims for reimbursement of medical expenses. Shadyside processes these claims, checks them to ensure that they are covered by the claimant’s policy, notes whether the claimant has reached any limit on coverage, computes any deductible, and issues a check for the claimant’s refund. Three types of clerks work in the claims processing department: supervisors, senior clerks, and junior clerks. The supervisors are paid $42,000 per year, the senior clerks are paid $37,000 per year, and the junior clerks are paid $32,000 per year. For every 150,000 claims processed per year, Shadyside plans to use one supervisor, six junior clerks, and two senior clerks. Last year, the company processed 2 million medical claims and employed 14 supervisors, 30 senior clerks, and 83 junior clerks. Required Compute the excess costs or cost savings relating to the claims processing staff. How would…
- Anwar Jones has an insurance policy that pays benefits to him in cash when he is hospitalized. What type of insurance would this be? Comprehensive major medical Hospital indemnity Long-term care Cancer Disability incomeProblem 2 - Consistent with GAAP, indicate the amount, if any, a hospital should establish as a liability for each of the flowing independent malpractice claims; Mr. Joe Smith, a heart patient, files a malpractice lawsuit for $600,000. Based on Mr. Smith’s medical records, the hospital’s attorneys are not confident of winning the case and estimate the judgement will range from $350,000 to $400,000. The hospital does not carry medical malpractice insurance. Mrs. Jane Jones has filed a medical malpractice claim of $750,000. The hospital’s attorneys are 95% confident the hospital will win the case if it goes to trial. The hospital does not carry medical malpractice insurance. A hospital is being sued for medical malpractice and the hospital’s attorneys believe it is probable the hospital will lose the case and estimate the potential loss to be $700,000 and legal and court costs to be $40,000. The hospital carries a $750,000 medical malpractice insurance policy with a…Phoebe tested positive for a highly contagious disease and is in the ICU. Notifiedall clients serviced in the prior week. The Public Health Department shut down thesalon for the next two weeks. No services will be provided, but Jane will still takecare of business. Write it as a journal entry.
- Lucy and Sherri have been working through the accounts receiveable for unpaid debt owed to the facility. While reviewing the report Lucy notices there are several patient balances over 120 past due which could account for the decrease in revenue. Lucy and Sherrie begin the collections processfor the outstanding balances owed. by the patient. Describe the first step Lucy and Sheri should take to collect the debt owed by the patients.Explain how the patient debt could have been collected sooner than 120 days.Discuss why it is important to review the accounts receivable report regularly.An archilect who has recently opened an office is concerned about not being able to pay employees' salaries or he office rent it the architect becomes disabled. Which of the following types of policies should this individual purchase? A. Disability Income B. Business Overhead Expense C. Major Medical D. Comprehensive Major MedicalJin, the insured under a life insurance policy, fails to pay the premium on its due date but makes the payment within the next thirty days. Ordinarily, under an antilapse clause, this policy would a. be subject to arbitration concerning the propriety of the payment. b. be adjusted proportionate to the delay in the premium payment. c. automatically lapse. d. not be canceled
