Your client receives a payment from the EGHP that may exceed the Medicare prevailing charge and or MAAC (maximum allowable actual charge), regardless of the provider's participating status, the provider may keep the full amount of the payment in this case.

Answers

Answer 1
Mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmaaaaaacccc

Related Questions

CAN SOMEONE HELP ME ASAP PLEASE !!!!!

Answers

Answer:

C, perhaps?

Explanation:

I want a pharmacist technician to help me with a question please

Answers

Ok what’s up I can help you with the question

What are three ways you can improve your goal-setting skills?

Answers

Answer: goals, not someone else's. You can the best flexible ,if you don't accomplish your goal the first time  then try again. Finally, just be the best you can be,if your goals are beyond what you can do now, you can sometimes achieve goals you might not think possible.

Explanation:

Your is how long you can do a physical activity without getting exhausted

A. agility

B. exercising

C. endurance

Answers

Endurance is how long you can do a physical activity without getting exhausted.

Does anyone know the awnser?

Answers

I believe the Answer is: A. all of the above

Is a speculative theory that seeks to reconceive what is human

Answers

Answer:

another human that's all I have for you sorry

Films on real men

What are good films on real men who can fight

Answers

Answer:

u mean physical or mentally

Fee-for service or managed care:which has higher copays and deductibles?

Answers

Explanation:

I’ll describe this in simplest terms. Things can be considerably more complex that this, and many reimbursement model variants exist in between these two “extremes”

Fee for Service : the provider (e.g. doctor or hospital) bills the insurer. The insurer adjudicates the claim, and reimburses the provider at rates that have been agreed upon by the two, less any portions for which the patient is held responsible per the terms if their policy.

(Large provider organizations may negotiate their own reimbursement schedules with insurers. Smaller ones mostly just make “take it or leave it” decisions on whether or not they want to accept the insurer’s members as patients, based on whether the insurer’s reimbursement rates appear acceptable to them in light of how badly they need access to the insurer’s supply of patients.)

In this model, all risk is carried by the insurer and its members. The insurer’s risk is that its members will require care for which it must pay out as just described. The members’ risk consists of how much they might have to pay in the form of deductibles, co-payments, and coinsurance if they require care. The providers mostly avoid risk because even if they end up treating a particularly expensive mix of patients, their revenue will go up accordingly.

Capitation : the provider is compensated primarily by a flat amount - the ‘capitation amount’ - that the insurer pays to them, per member/per month. Typically there will also be co-pays that are the responsibility of the member/patient. Then it is up to the provider to do its best to manage how it treats its cap patient population so that its costs of caring for them do not exceed the corresponding cap income.

In this model, considerable risk has been shifted to the provider. (Not all of it. There typically are provisions in the insurer-provider agreement that shift risk back to the insurer in circumstances of high patient utilization beyond the provider’s control. As previously noted, there can be many variants. And of course the member/patients still bear some risk with the copays etc.). This model creates incentive for the provider to think and act like they are “part provider, part insurer”. It is an “in between” model that stops short of the providers and insurer becoming one-and-the-same business (like Kaiser is, for example).

Sorry for the Subheadings letters#Mark me as Brainliest Answer

which of the following is covered by health codes

Answers

The aspect that is not related to the sanitary code is the personal hygiene of the consumers.

What are the health codes?

Sanitary codes are a set of regulations that establish the minimum sanitary guidelines for the correct operation of a public food establishment. It establishes all the protocols and activities that must be carried out to prevent the propagation of bacteria.

According to the foregoing, it can be inferred that the aspect that is not related to the sanitary code is the buyer's hygiene because he/she is not part of the staff that works in the public food establishment.

Additionally, he/she does not directly affect the operation of the establishment and is not under the guidelines of it.

Note: This question is incomplete because the is some information missing. Here is the complete question:

Which of the following is not covered by the health code?

Labeling requirements.Sanitizing the food establishment.Training food service employees.Personal hygiene of customers.

Learn more about health code in: https://brainly.com/question/13515935

Which of the following are used to administer liquid medications orally? O a) Syringes b) Vials c) Suppositories d) Droppers e) Teaspoons

Answers

Answer:

a) syringes

Hope this helps!

What did the apple say to the tree

Answers

The apple said “why did you drop me?”

Which is a characteristic of a gang??​

Answers

Answer: May I see the available answer choices?

Any type of change that causes physical, emotional, or psychological strain is known as?

Answers

Any type of change that causes physical, emotional, or psychological strain is known as Stress.

What is stress?stress describes a person's physical or emotional reaction to the demands or pressures of daily existence. common causes of strain consist of paintings, money, relationships, and contaminationAcute stress.Episodic acute pressure.persistent stress.pressure is a feeling of emotional or physical tension. it is able to come from any event or concept that makes you sense frustrated, angry, or anxious. pressure is our frame's reaction to a task or demand.

Learn more about  Stress here:-https://brainly.com/question/11819849

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Explain when you should seek treatment for depression

Answers

When depression begins to affect daily life and makes problems in participating in daily activities then medical help and treatment should be sought. This condition is referred to as a major depression. This depression is characterized by a persistent feeling of sadness and a lack of interest in the environment and other people.

Answer:

When depression begins to affect the daily life and makes problems in participating in daily activities than medical help and treatment should be seeked. This condition is referred to as major depression. This depression is characterized by a persistent feeling of sadness and a  lack of interest fro the environment and other people.

Explanation:

Which of the following would NOT be considered unfair discrimination?

Answers

Answer:

Which of the following would NOT be considered unfair discrimination?

Explanation:

Ummm... You didn't specify of what or give a list so I am unsure of what to do please get back to me.

Discriminating in benefits and coverage based on the insured’s habits and lifestyle is not an example of unfair discrimination.

A discrimination is said to be unfair when it is;

UnwarrantedUnjustifiedBased on bias

Hence, if these are the characteristics of unfair discrimination, then it follows that discriminating in benefits and coverage based on the insured’s habits and lifestyle is not an example of unfair discrimination.

Missing parts;

Which of the following will NOT be considered unfair discrimination by insurers?

a)Assigning different risk classifications to applicants based on gender identity

b)Discriminating in benefits and coverages based on the insured’s habits and lifestyle

c)Charging applicants with similar health histories different premiums based on theirethnicity

d)Cancelling individual coverage based on the insured’s marital status

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Jackson and Ramone are identical twin boys. Jackson really enjoys and excels at playing basketball, and Ramone is more inclined toward academics.

According to advocates of the nurture theory, which statement is most likely true in this scenario?


A. Jackson and Ramone have been largely influenced by hereditary factors.


B. Jackson and Ramone have been largely influenced by their social environment.


C. Jackson and Ramone have been largely influenced by their genetic makeup.


D. Jackson and Ramone have been largely influenced by their nature.

Answers

Answer:

B. Social environment

Explanation:

It's like when you hang out with people who likes to draw so you end up having drawing as a hobby (example).

Basically, depending on who you're surrounded with, you will end up influenced with or without you noticing it.

The statement most likely true is that B.Jackson and Ramone have been largely influenced by their social environment.

What are hereditary factors?

Mendel did not recognize approximately genes or discover genes, however, he did speculate that there were 2 elements for each primary trait and that 1 issue became inherited from every parent. We now know that Mendel's inheritance factors are genes, or extra in particular alleles of the same gene.

Inherit bodily traits which include the color of your hair and eyes, the shape of your nostril and ears, in addition to your body type and length. we also inherit simple highbrow abilities as well as tendencies closer to unique diseases.

Learn more about hereditary factors here: https://brainly.com/question/3783677

#SP2

List rewards appropriate for accomplishing your short-term goals: for eating a proper diet and losing weight
List the reward for accomplishing your long-term goal:

Answers

What equipment is generally used to make lyophilized medications suitable for administering to the patient? a) Test tubes or sterile ampules O b) Petri dishes and sterile droppers c) Sterile syringes or graduated cylinders d) Measuring cups and clean, warm water

how can we control our emotion and mind set in positive way?​

Answers

Answer:

Journaling your emotions each day can help you sort through positive and negative reactions. Relaxation and breathing techniques are a common management technique that can help with all emotions. Living a healthy lifestyle can also contribute to the ability to control emotions.

What constitutes hiking?

O A designated hiking route
O Going with a group of people
O Walking on different terrains
O Spending the night in a sleeping bag

Answers

Answer:

3 the third one "walking on different terrains

what is environmental pollution​

Answers

Answer:

Environmental pollution is the result of human activity and development that occurs when physical, biological and chemical agents are released to the environment in such quantities that the pollution adversely affects human health and damages the environment.

Answer:

environmental pollution may be defined as any undesirable change in physical, chemical,and biological properties of air, water and soil..

How do you use a toilet? Explain with details if possible.

Answers

Explanation:

Enter the bathroom.

Close the bathroom door.

Pull down clothing.

Sit on the toilet.

Use the toilet.

Get toilet tissue/or water

Wipe with tissue./ or water

Throw tissue in the toilet.

and your done

Answer:

do a dance then sit on toilet and sing

We can't deliver without water
True
False

Help?? I just don’t understand what the question means exactly

Answers

True u can’t deliver without water .

True because without water were not alive now

#CarryOnLearning

Use the drop-down menus to select the correct answers.


Gametes are specialized



.

Gametes create the new genetic material for
.

Female gametes are called



.

Male gametes are called



.

Answers

The male gametes are called sperm and the female gametes are called eggs. Human gametes are haploid , which means that each egg or sperm contains 23 chromosomes . When an egg and a sperm cell fuse, they create a zygote that is diploid and has 46 chromosomes.

PLEASE HELP
___________________ are the best way to find real change, especially when it comes to making your hamstring (and all your other muscles) more flexible.

A.
Humor and friendship

B.
Constant practice and lots of patience

C.
Rigor and discipline

D.
Flexibility and style

Answers

Answer:  i feel like the answer should be B

Explanation: the rest of the answers don't make sense why should you that to use them for real change.? Meanwhile, B  if you constantly practice stretching you will be more flexible if you want to be more flexible you have to do the thing in the picture.

Name key issues facing older adults

Answers

Ageism and a lost sense of purpose. ...
Financial insecurity. ...
Difficulty with everyday tasks and mobility. ...
Finding the right care provision. ...
Access to healthcare services. ...
End of life preparations.

Are most domestic abusers

Narcissists or sociopaths

Answers

Answer:Narcissists they only think about themselves

Explanation:

Symtam of diabetic insipidus

Answers

Answer:

Heavy, wet diapers.

Bed-wetting.

Trouble sleeping.

Fever.

Vomiting.

Constipation.

Delayed growth.

Weight loss.

What equipment is generally used to make lyophilized medications suitable for administering to the patient? a) Test tubes or sterile ampules O b) Petri dishes and sterile droppers c) Sterile syringes or graduated cylinders d) Measuring cups and clean, warm water

Answers

Answer: b) Petri dishes and sterile droppers is generally used to make lyophilized medications suitable for administering to the patient.

Explanation:

10. Which term refers to symptoms in a tobacco user who goes without
nicotine?
a. addiction
b. dependence
C. tolerance
d. withdrawal

Answers

Answer:

I'd say Withdrawal.

Explanation:

If the hamstrings are tight and the abs over active, what muscle groups will be lengthened
or weak?

Answers

Seonghwas abs!!!!!!!
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