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.

12 ASAP...

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

The Merritt Committee Investigation looked into solutions for dealing with:   unethical and undesirable behavior by insurance companies   effectiveness of state taxation as opposed to insurance regulation   states that do not have a state insurance commissioner system in place   insurers that violate risk-based capital requirements

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.

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?

What is certificate of need regulation?     The process of granting "permission" for healthcare professionals to practice     None of these     State programs that require providers to submit annual budgets     The approval required by many states before a new healthcare facility can be constructed

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.

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

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?