How are services provided by a healthcare institution described when a claim is submitted?

Answers

Answer 1

Healthcare institutions pay for the expenditure which are covered in their healthcare insurance.

When an insuree claims from healthcare institutions they first check the legitamacy of the claim and if they find the claim to be legit they grant the claim according to the terms and conditions of the insurance under which the insuree is protected. Sometimes healthcare institutions have their own facilities which allows cashless claims for insurees

Learn more about healthcare insurance.here:

https://brainly.com/question/1941778

#SPJ10


Related Questions

The criteria retailer must meet to receive a reduced penalty and protect the license if an illegal alcohol sale takes place at the establishment is often referred to as

Answers

Answer:

The criteria that a retailer must meet to receive a reduced penalty and/or protect the license/permit if an illegal alcohol sale takes place at the establishment is often referred to as safe harbor.

What is an Illegal Sale of Alcohol?

This refers to the sale of alcoholic substances to underaged persons or to persons who are barred from taking alcohol.

Hence, we can see that if a retailer wants to receive a reduced penalty and/or protect the license/permit if an illegal alcohol sale takes place, he would have to be the safe harbor act

Explanation:

hope it helps you and give me a brainliest


Why did the Dodd-Frank Act amend the Investment Advisers Act?

Answers

It was amended with the intent to:

1. To promote the financial stability of the US

2. To improve the accountability and transparency of the fin'l system

3. End "TOO BIG TO FAIL"

4. End bailouts (Chrysler, GM, & Goldman Sachs)

5. To protect consumers from abusive financial services practices.

Silas asks his friend Shelby to come to his property to go fishing at his pond. If he fails to warn her that the pier has a rotten spot and she falls through and is injured, Silas would be held liable in most states. Group of answer choices True False

Answers

Answer:

True in most States. He knew there was a rotten spot but did not tell her. Shelby got injured because of the rotten spot. Well it's not all of Silas fault because someone else might owns the place but did not fix it.

The court cases San Antonio Independent School District v.Rodriguez and Serrano v. Priest dealt with concerns over ______.

Answers

Answer:

school financing

Explanation:

Because courts of law and equity have merged, the principles of equity are no longer applied. Group of answer choices True False

Answers

Answer:

false

Explanation:

equity is still applied in the law

Diller lists seven examples of factors that might result in cultural bias in testing or assessment. choose two of those examples and describe what they mean

Answers

The factors that may result in cultural bias in testing are:

Unfamiliaritylanguage differences

How does unfamiliarity lead to cultural bias?

When there is a case of non exposure to certain factors in the testing it could lead to cultural bias for the person that is being tested.

What is language difference?

This means that the person that is being tested is unable to decipher the language that is used for communication.

Read more on cultural bias here:

https://brainly.com/question/2500538

#SPJ1

Can you get arrested for having an ounce of marijuana

Answers

Answer: It depends on the state and country. In some state u will get arrested while in others u will just receive civil penalty

Explanation: Federal law criminalizes possession of any amount of marijuana. But in some states, possession of small amounts of marijuana carries only a civil penalty or no penalty at all.

Answer:

It shows the minimum weight of marijuana in ounces one can possess in each state before he or she receives a felony charge and everything that comes with it. That's right, possessing even two ounces of marijuana in a recreational state such as Washington could lead to a felony arrest.

Explanation:

Identify a situation where none of the legal protection mechanisms discussed would prove useful and explain why they would not be useful.

Answers

Legal protection mechanisms would be prove useful in product invention.

What is the product invention about?

Note that any product invention is one that often needs Legal protection mechanisms if one do not want your intellectual property to be stolen.

Note that the use of Legal protection mechanisms for one's product will make it so that it cannot be easily reverse-engineered.

Learn more about  legal protection from

https://brainly.com/question/14479936

#SPJ12

Extractive institutions like coal, timber, etc.—that are often economically dominant in rural settings—tend to concentrate power ___________ .
A.Rural communities
B.Among entire local and regional populations
C.in urban communities
D.Among the few

Answers

Extractive institutions like coal, timber, etc.—that are often economically dominant in rural settings—tend to concentrate power in urban communities.

What are extractive institutions?

This is a term that is used to refer to institutions that extract wealth and natural resources from other areas.

The resources are often gotten from the rural areas and they are used in companies that are in the urban centers.

Read more on extractive institutions here:

https://brainly.com/question/10698634

#SPJ1

Mr. Schultz was still working when he first qualified for medicare. At that time, he had employer group coverage that was creditable. During his initial part d eligibility period, he decided not to enroll because he was satisfied with his drug coverage. It is now a year later and mr. Schultz has lost his employer group coverage within the last two weeks. How would you advise him?.

Answers

Before taking a 63-day break from coverage, Mr. Schultz should enroll in a Part D plan to avoid having to pay a premium penalty.

What is the Plan D of Medicare?

The majority of outpatient prescription medicines are covered under Medicare Part D. Private businesses provide Part D as a stand-alone plan for people with Original Medicare or as a package of benefits bundled within Medicare Advantage Plan.

People who are 65 years of age or older typically enroll in Medicare as a form of insurance in order to receive medical help. Some prescription medications, hospital stays, and other healthcare costs are covered by Medicare.

According to the aforementioned scenario, Schultz lost his employer's group insurance coverage within the last two weeks. He must sign a part D plan to avoid paying a penalty for the payment.

Learn more about medicare here:

https://brainly.com/question/2863737

#SPJ1

Mr. Lynn, an agent for Acme Insurance, Inc. thinks that, since state laws are preempted concerning the marketing of Medicare health plans, he doesn't have much to worry about. What might you, as his colleague, advise him concerning the type of scrutiny he will be under?

a.
The state sets most requirements for marketing Medicare health plans, but each plan has different policies that he must adhere to.

b.
The Medicare agency conducts only complaint-based oversight and he can market the products he represents as he sees fit, as long as he does so in a manner that would be considered ethical by a reasonable layperson.

c.
Organizations sponsoring Medicare health plans are not responsible for enforcing compliance with applicable law and guidance. This job belongs solely to the Medicare agency

d.
Organizations sponsoring Medicare health plans are responsible for the behavior of their contracted representatives and will be conducting monitoring activities to ensure compliance with all applicable federal law and guidance and plan policies. Furthermore, state agent licensure laws are not preempted and he must abide by their requirements.

Answers

What might you, as his colleague, advise him concerning the type of scrutiny he will be under is: d. Organizations sponsoring Medicare health plans are responsible for the behavior of their contracted representatives and will be conducting monitoring activities to ensure compliance with all applicable Federal law and guidance and plan policies. Furthermore, state agent licensure laws are not preempted and he must abide by their requirements.

What is medicare?

A medicare can be defined as a health insurance coverage that help to cover medical expenses.

Based on the given scenario what  you might  advise him concerning the type of scrutiny he will be under is that company that is incharge of the medicare plan are the one incharge of the representatives behavior.

Therefore the correct option is D.

Learn more about medicare here:https://brainly.com/question/1960701

#SPJ1

The common law developed rigid rules. What were those rules and how were the rules rigid?

Answers

The rules regarding the opinions of the institution and interpretations of Judicial authorities. The rules are rigid as the cases are evaluation on the basis of the previous cases.

What is Common law?

Common laws are the rules established by the court which are based on the legal precedents. It is meant to draw the opinion and the interpretations of the judicial authorities.

It is based on the examination of the future cases and also depends upon the records of the same situations.

Learn more about Common laws here:

https://brainly.com/question/14346755

#SPJ1

Do you feel that genetics play a role in an individual’s decision to commit crime? How much of a role, if any?
How can policy makers and researchers acknowledge genetic differences or abnormalities (such as low i.q. or deficits of the amygdala) and incorporate them into laws, procedures, and treatment without discriminating against individuals with certain genetic characteristics?

Answers

Answer:

It's not the genetic that makes the person commit crime it's the person's background of his or her family. Some races or country are poor which makes new generation that is in a better and developed country gets greedy just by looking.

Explanation:

There are many cases that kids or teens rob because there family has a poor or bad background.

Mrs. Willard wants to know generally how the benefits under original medicare might compare to the benefits package of a medicare advantage plan before she starts looking at specific plans. What could you tell her?.

Answers

Medicare Health Plans are required to contain a maximum out-of-pocket cap on Part A and Part B services.

What is Medicare?

Medicare is the kind of the insurance taken by the people who are at the age of 65 or above it in order to have the medical assistance. Medicare covers some prescription medicines, hospital stays, and other healthcare expenses.

According to the above scenario, it can be concluded that Medicare Health Plans are required to contain a maximum out-of-pocket cap on Part A and Part B services.

Medicare Health Plans additional benefits that Original Medicare does not cover, such as vision, hearing, and dental care.

Learn more about healthcare here:

https://brainly.com/question/20380876

#SPJ1

What happens to earnings in a cooperative?
• They are used to pay middlemen for services.
• They are shared with member owners.
They are used to buy more stock for members.
• They are shared with customers through dividends.

Answers

Answer:

B. They are shared with member owners.

Explanation:

They are shared with member owners happens to earnings in a cooperative. Hence, option B is correct.

What is earnings in a cooperative?

Instead of stock ownership, cooperatives distribute their profits based on patronage. The cooperative keeps track of how much members "use" the cooperative as suppliers, producers, or laborers. This information is used to determine patronage and patronage allocations, which are two different concerns.

In a cooperative, profits may be divided among the members based on how they use the cooperative. These patronage allocations may be held as assigned equity in the member's name, returned to the member in the form of an equity allocation in their name, or a combination of the two.

A common feature of cooperatives is the fact that they frequently distribute profits to its members, which provides a strong incentive for the business to pursue profitability.

Thus, option B is correct.

For more information about earnings in a cooperative, click here:

https://brainly.com/question/11222929

#SPJ6

__________________________________: statues that protect rescuers from being sued for giving emergency care

Answers

Good Samaritan laws statues that protect rescuers from being sued for giving emergency care.

What is the Good Samaritan law?

Good Samaritan laws is known to be a  law that gives legal protection to individuals that are in need of assistance especially to those who are seen to be injured, ill, in peril, etc.

Therefore, Good Samaritan laws statues that protect rescuers from being sued for giving emergency care.

Learn more about Good Samaritan laws  from

https://brainly.com/question/22477589

#SPJ12

If no federal question is involved and diversity does not exist when a case is commenced, removal will

Answers

We can actually deduce here that if no federal question is involved and diversity does not exist when a case is commenced, removal will actually be permitted if the non-diverse parties are thereafter dismissed from the action.

What is a federal question?

A federal question actually refers to a genuine issue (a law or controversy) which can actually be adjudicated within the jurisdiction of a United States federal court because it actually concerns a US Constitutional law, a treaty or an international law.

We see that in the case of no federal question and non-existence of diversity, there will permission of removal if there is a dismissal of non-diverse parties.

Learn more about federal question on https://brainly.com/question/26449558

#SPJ12


In 1969, the federal government estimated that consumer products caused 30,000 deaths, 110,000 disabling
causing the majority of harm was
O automobiles.
O children's toys.
O power tools.
O food products.

Answers

The item that the federal government said caused the majority of harm in 1969 was A. automobiles.

How much harm did automobiles cause ?

During the late 1960s and early 1970s, there was growing concern in the United States about the safety of consumer products, including automobiles. In response, the federal government established the National Highway Traffic Safety Administration (NHTSA) in 1970 to regulate the safety of motor vehicles and reduce the number of deaths and injuries caused by automobile accidents.

In 1969, the same year the federal government estimated the number of deaths and injuries caused by consumer products, there were approximately 50,000 fatalities and 1.6 million injuries related to motor vehicle accidents in the United States.

Find out more on consumer products at https://brainly.com/question/1178288

#SPJ1

To meet the standard for the duty of care, a person must:
A) act in good faith and with the judgment of an ordinarily prudent person.
B) act in good faith and with the judgment of a highly skilled person.
C) be faithful to the corporation.
D) act in good faith and without a mistake.

Answers

Answer:

c be faithfull to the corporation

Explanation:

To meet the standard for the duty of care, a person must be faithful to the corporation. Thus, option (B) is correct.

What is the meaning of standard?

Standards assure the safety, quality, and dependability of products and services; they enable commerce and safeguard our and the environment's health. Standards in business enhance systems and processes by reducing waste, lowering costs, and ensuring uniformity.

Standard refers to something set as a model or example by authority, custom, or public consent: criteria By today's standards, it was rather sluggish. It includes something established by authorities as a standard for measuring quantity, weight, extent, worth, or quality.

An individual must be true to the company in order to fulfill the requirement for the duty of care. As a result, option (B) is correct.

Learn more about standard here:

https://brainly.com/question/15287326

#SPJ2

You are not liable for damage to property next to a street or highway if in a collision. FALSE TRUE Submit answer

Answers

Answer:

False you were hit by a another car which made you go to a property and damage it. It's no one's fault who hit the property. The owner should ask his or her insurance to fix it up or do it by him self.

Among all primates humans have the
a. most developed vision.
b. most elaborare connections between different regions of the brain.
c. largest olfactory bulb.
d. greatest sense of hearing.

Answers

Answer:

the most elaborate connection between different regions of the brain.

B option
most elaborate connection between...

Phoenix was found guilty as charged; however, the judge deferred imprisonment and stipulated court supervision and demonstration of appropriate behavior for 1 year. Phoenix was most likely _____.

Answers

Phoenix was found guilty as charged; however, the judge deferred imprisonment and stipulated court supervision and demonstration of appropriate behavior for 1 year. Phoenix was most likely given probation.

What is meant by probation?

This is the period where by a person is released from their detention by the court. During this period they are subject to good behavior so they are to be supervised.

This period a person would have to take charge of the way she behaves and it would be reported if she acts in inappropriate ways.

Read more on probation here:

https://brainly.com/question/9567331

#SPJ1

What does it mean to become a partner in a law firm.

Answers

Answer:  A partner in a law firm is a joint owner or business director of the legal operation. These partners overlook all the legal matters that the firm handles. Similarly, they monitor associates who are employees of the firm.

Explanation: Cited from G.oogle

Answer:

A law firm partner is a lawyer who maintains partial ownership of the firm where they work. Partners in a law firm can have the same duties as many other types of lawyers, such as meeting with clients and arguing cases in court.

Please give me brainliest -  you get 25% as well! I swear!

Identify the constitutional provision that is common in both Malloy v. Hogan (1964) and either Roe v. Wade (1973) or McDonald v. Chicago (2010).

Answers

The constitutional provision common in  Malloy v. Hogan (1964), Roe v. Wade (1973) , and McDonald v. Chicago (2010) is the provision of civil liberties, offered by the 14th Amendment.

Civil liberties refer to the fundamental rights of the citzens of United States of America that stand protected and safeguarded by the constitution. It directly relates to the privacy and fundamental freedoms of people.

In the context of Malloy v. Hogan (1964) case, the defendant invoked the fifth amendment which offers him the right against self-incrimination, ensured by the 14th Amendment. The verdict was that the 14th Amendment protects the right of a citizen from self-incrimination. With regards to the Roe v. Wade (1973) case, the right of a woman-seeking abortion were confirmed and extended. It also addressed the 14th amendment, linking the decision to the right of privacy. In relation to McDonald v. Chicago, the second amendment which refers to the right to bear arms in self-defense was operational. Alike Malloy v. Hogan (1964) and Roe v. Wade (1973), the case upheld the 14th Amendment.

Therefore, the constitutional provision common in  Malloy v. Hogan (1964), Roe v. Wade (1973) , and McDonald v. Chicago (2010) is the provision of civil liberties, offered by the 14th Amendment.

Learn more about the 14th Amendment here: https://brainly.com/question/891756

#SPJ10

The law that requires every driver to exercise care to avoid colliding with an authorized emergency or hazard vehicle is called:

Answers

The law that requires every driver to exercise care to avoid colliding with an authorized emergency or hazard vehicle is called Move Over Law. Thus the correct answer is C.

What is a law?

Law refers to a code of conduct applied in the country to maintain proper governing and smooth operations in the country. These laws are strictly enforced on individuals living in the country.

The complete question is attached -

Under Move over Law, the driver shifts to other lanes or slows down their speed to provide space to cars or other vehicles which get stopped on road by giving a warning through falsing light. This will be done to create a safety zone to avoid any accidents.

Therefore, option C  Move Over Law is the appropriate answer.

Learn more about law, here:

https://brainly.com/question/6534668

#SPJ1

All of the following are ways to avoid having a collision EXCEPT:

Answers

Answer:

Where is the MCQs? where is it? also give brainliest

All of the following are ways to avoid having a collision except riding too close to a boat in order to jump its wake. Option (b) is correct.

What do you mean by Collision?

In physics, collision, often known as impact, is the sudden, powerful coming together of two bodies in direct contact.

There are several things to do to avoid a collision, including:

Determine the likely events that might occur in order to be ready in advance to handle them.

Understanding one's car and its features enables timely emergency actions, such as using the brakes, to be taken.

Realizing that in order to keep the PWC balanced and on the path, one must have control over its navigation.

Therefore, Option (b) is correct. Riding too close to a boat in order to jump its wake.

Learn more about Collision, here;

https://brainly.com/question/13138178

#SPJ2

Your question is incomplete, your question will be ;

The following are ways to avoid having a collision

EXCEPT:

a. anticipate possible situations before they occur

b. riding too close to a boat in order to jump its wake

C. realizing that personal watercraft take time to stop

d. knowing that you need throttle to steer a PWC

If you are to comply with Medicare’s guidance regarding educational events, which of the following would be acceptable activities?

Answers

The acceptable activity based on Medicare’s guidance regarding educational events is b. You may distribute business cards to individuals who request information on how to contact you for further details on the plan(s) you represent.

What is Compliance?

This refers to the ability of a person to take instructions seriously and follow the rules and guidelines about them.

Hence, we can see that when a Medicare representative is going on an educational event, he is allowed to share his business card so that people would get more information from him.

Read more about Medicare here:

https://brainly.com/question/24908169

#SPJ1

What law requires you to slow down and change lanes when approaching a roadside incident where emergency personnel might be working?.

Answers

I think it’s called a move over law

Answer:

Move over law

Explanation:

Did your school misrepresent or fail to tell you important information about their admissions practices or admissions selectivity?

Answers

ensure you answer the question “changed into the alleged misrepresentation of the idea of or pivotal to your choice to attend the school.”

This question is asking whether or no longer you made a decision to wait for the college-primarily based mostly on what the college instructed you, promised you, or did as a way to join or live enrolled within the college.

What does admissions selectivity suggest?

Selectivity is measured by means of using the proportion of college students who're admitted. The decrease the proportion, the extra selective the faculty is. basically, maximum faculties are selective to three stages. A small business enterprise of specifically selective faculties admits less than a third of candidates.

Learn more about admissions selectivity here: https://brainly.com/question/8123172

#SPJ10

Question 12 (5 points)
Which of the following are reasons medical records are used?
Question 12 options:

a)

Settle legal disputes

b)

Monitor performance and quality in medical institutions

c)

Diagnose and treat medical problems

d)

Support employment decisions

Answers

Answer:

Data obtained from medical records support research efforts in several ways, e.g., to complete clinical research, create new products and drug therapies, and evaluate the value of technology in healthcare. The medical record is reviewed to determine whether or not outcomes of patient care achieved are appropriate.

Other Questions
In "Because I Could Not Stop for Death," what is the significance of the phrase [Death] knew no haste?The phrase is meant to suggest the universality of Deaths power.The phrase is evidence of the poets respect for Deaths grace and poise.The phrase displays the poets frustration with Deaths lack of speed.The phrase characterizes Death as being removed from human concerns. Triangle ABC is shown on the graph. What are the coordinates of the image of point B after the triangle is rotated 270 about the origin?(4, 2)(2, 4)(4, 2)(2, 4) i hope someone can help me here please don't answer nonsense! Zippy company manufactured 10,000 units in december with a total product cost of $22,900 they had zero finished goods inventory at the start of december. in december zippy sold 7,796 units at a unit price of $5.54. period expenses were $4,723. what is the amount of zippy's gross profit (otherwise know as gross margin).? round any intermediate calculations to four decimal places what is the common issue between monopolistic and oligopoly market structure (-3 +6 i )(-3 - 6 i ) . Write an illustration paragraph about the grounds of your school or the view outside the window where you study (include at least three supporting sentences). Select all the correct answers.Which expressions are equivalent to this exponential expression? Please help Match each pair of equivalent values.1 . 1square root of 162 . 12square of 83 . 44 24 . 641 25 . 166 . 2 When planning road development, the road commission estimates the future population using the function represented in the table, where x is the time in years and f(x) is the total population.What is the significance of 160,000 in the function?the maximum population of the citythe expected population in 5 yearsthe initial population at the time of the estimationthe amount of increase in the popu Confused, what are the blanks?The greeks were always focused on the ______ of man and reality, as we can see in their geometric art, their sculptures, their temple architecture and their philosophy. The Romans, instead were focused on facts, and _____. A results force of 25newtons acts on a mass of 0.50kilogram starting from rest .find acceleretion in m/s2 , the final velocity after 20seconds, the distance moved in m 2/2+3-5 rationalise the denominator The _____ rate of interest on a bond is the interest rate printed on the bond; the ______ rate of interest is the current rate of interest being paid on investments with similar characteristics. (Enter one word per blank) who was the first president of the united states? If you float a piece of wood in a container half-full of water that rests on a weighing scale, the weight reading on the scale will Which of the following cities was NOT extensive y damaged during the war?Paris, FranceB. Tokyo JapanC. Warsaw, PolandD Berlin, Germany ntsS + 6 HNO3 HSO4 + 6 NO + 2 HOIn the above equation, how many grams of water can be made when 19.7 moles of HNO3 areconsumed?Round your answer to the nearest tenth. If you answer is a whole number like 4, reportthe answer as 4.0Use the following molar masses. If you do not use these masses, the computer will markyour answer incorrect.:MolarMassElementHydrogen 1Nitrogen 14Sulfur 32Oxygen 16 Which line from Sect. 39reveals how Hawthornefeels about BenjaminFranklin?A. So Sam called a constable, andinquiries were set on foot todiscover the perpetrators of thetheft.B.... it might have gone hard withour friend Benjamin and his fellow-laborers.C. He therefore let the culprits offpretty easily. Chan has a high personal need and spends too much time at work interacting with his coworkers. Alisha also has high personal need and does extra work at home, sometimes work besides her own. Which of the following categories do Chan and Alisha fall into?A.Chan is a risk dodger, and Alisha is a perfectionist.B.Chan is a perfectionist, and Alisha is a risk dodger.C.Chan is a socializer, and Alisha is an approval seeker. D.Chan is an approval seeker, and Alisha is a socializer.