Copayment Study guides, Class notes & Summaries

Coinsurance - ANSWER Patients pay specified percentage of their Rx expenses Deductible - ANSWER Patient pays for all of their Rx expenses until a specified dollar amount has been paid for out-of-pocket Copayment - ANSWER Patients pay a specified dollar amount for every Rx received DAW code 0 - ANSWER No product selection indicated DAW code 1 - ANSWER Substitution not allowed by prescriber DAW code 2 - ANSWER Substitution allowed - patient requested product DAW code 3 - ANSWER S...

NC Medicare/LTC Exam Questions and Answers Latest Update 2024/2025 | 100% Correct | GRADED A+. Home health care covers occasional visits from who? Registered nurses, licensed practical nurses, community-based professionals (like hospice). **Does NOT cover visits from attending physicians. Programs that are provided to people who are too poor to qualify for Medicaid. State-only Medicaid programs LTC provision that provides a guarantee that certain policy benefits will remain available even i...

NHA,CBCS | Questions and Verified Answers| 100% Correct| Grade A (2024/ 2025 Update) Q: A beneficiary of a Medicare/Medicaid crossover claim submitted by a participating provider is responsible for which of the following percentages? Answer: 0% Q: Which of the following coding manuals is used primarily to identify products, supplies, and services? Answer: HCPCS level II manual Q: A billing and coding specialist needs to know how much Medicare paid on a claim before b...

Certified Medical Administrative Assistant (CMAA) Practice Test (2024) || All Questions & Solutions (Rated A+) Certified Medical Administrative Assistant (CMAA) Practice Test (2024) || All Questions & Solutions (Rated A+) A patient who was given instructions to stop taking aspirin 1 week prior to surgery informs the medical administrative assistant that she forgot to follow instructions. Which of the following actions is appropriate for the assistant to take? Advise the patient to drink plen...

Certified Medical Administrative Assistant (CMAA) Practice Test (2024) || All Questions & Solutions (Rated A+) Certified Medical Administrative Assistant (CMAA) Practice Test (2024) || All Questions & Solutions (Rated A+) Certified Medical Administrative Assistant (CMAA) Practice Test (2024) || All Questions & Solutions (Rated A+) Certified Medical Administrative Assistant (CMAA) Practice Test (2024) || All Questions & Solutions (Rated A+) A patient who was given instructions to stop taking as...

People get health insurance because correct answer: -health occurences are unpredictable -high costs -illness is associated with a fixed income Pooling the risk correct answer: Everyone puts in a little money, so that it will cover an adverse event that is likely to happen to one of them. Fringe benefits came from correct answer: Lack of raises during WWII, and raises after WWII became taxable, but fringe benefits were not. Hospitalization insurance correct answer: -room and board...

HLTH 330 Ch. 11 ReviewThe US spends approximately how much on healthcare per year? - correct answer $3 trillion Out-of-pocket expenses - correct answer Payments for health services not covered by insurance that are the responsibility of the individual receiving the services Cap - correct answer A limit on the total amount that the insurance will pay for a service per year, per benefit period, or per lifetime Copayment - correct answer An amount that the insured is responsible for paying...

AAPC CPB - Practice Exam C A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. - A. Mother's insurance plan Which managed care plan has the patien...

What is the term for the total amount of covered medical expenses a policyholder must pay each year out-of-pocket before the health insurance company begins to pay any benefits? A. Copayment B. Deductible C. Secondary Payment D. Coinsurance Answer B. Deductible Which type of insurance covers physicians and other healthcare professionals for liability as to claims arising from patient treatment? A. Business liability B. Bonding C. Medical malpractice D. Workers' compensati...

Which of the following is considered the final determination of the issues involving settlement of an insurance claim? -Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? -Encounter form