The difference between a remittance advice (RA) and an explanation of benefits (EOB) is:   The RA goes to the provider only and includes payment information.    The EOB goes to the provider.   The RA is sent to the patient and includes payment information.   The EOB contains payment information.

Q: Explain how the ACA could impact an organization’s strategic decision making and financial…

A: The Affordable Care Act (ACA), also known as Obamacare, is a healthcare reform law that was enacted…

Q: There is a finite amount of money that is available to spend on healthcare (and drugs). It is…

A: Tolterodine is used to cure overactive bladder indications such as urgency, frequency, and urge…

Q: Describe the changes in Healthcare finance since 1950 and how these changes affected Healthcare…

A: Healthcare: Healthcare refers to the prevention, diagnosis, treatment, and management of illnesses,…

Q: The Centers for Medicare & Medicaid Services (CMS) is responsible for Accountable Care Organizations…

A: Accountable Care Organizations are teams of doctors, hospitals, and other healthcare professionals…

Q: Coordination of benefits (COB) includes:   Reimbursement when a patient is covered by more than 1…

A: In health care, a patient can take multiple healthcare insurance plans, according to their…

Q: Explain how the provider’s perspective revenue cycle differs from the patient's perspective revenue…

A: The objective of this question is to understand the differences between the provider's perspective…

Q: Identify and give an example of the three forms of patient-provider relationship.

A: Introduction: Fostering a good patient-provider connection is a dangerous endeavour. Patients are…

Q: Discuss potential ethical challenges in long-term care facilities. Discuss potential ethical…

A: Ethical Challenges in Long-Term Care FacilitiesResident AutonomyOne significant ethical challenge in…

Q: Discuss the types of data and reports that would be useful to the medical director for managing…

A: Depending on how many plans you have in your area, you can find plans for any or all of these types…

Q: How can I Identify two challenges in making risk management decisions? and How can healthcare…

A: Risk management in healthcare consists of clinical as well as administrative procedures and reports…

Q: What are some examples of measures in the Equitable Domain? Select all that apply. 1.Whether the…

A: Equitable domain, in relation to health care focuses on the quality measurement and on the fairness…

Q: Describe one of the types of ACOs available to providers. Why is it so important to accurately code…

A: ACOs create incentives for health care workers to work in unison to treat a patient across different…

Q: Discuss your position regarding access to coverage for healthcare. Are we obligated to provide…

A: Access to coverage for healthcare means that individuals are able to obtain health insurance…

Q: She is developing an evaluation tool for an objective assessment of each product. What is most…

A: Electronic health records are digital version of client's paper chart. It provides real-time…

Q: Why are long term care providers subject to so much external control by government agencies? Provide…

A: PROVIDER OF LONG-TERM CARENursing homes, assisted living institutions, adult day care centres,…

Q: Describe the various sources of funding beyond third-party reimbursement from which the various…

A: The health facility is a location where healthcare is given. These range from small clinics and…

Q: Discuss current funding sources (e.g., PACE, TRICARE, SCHIP, Medicare, Medicaid, private insurance)…

A: Healthcare providers include various organizations like hospitals, pharmacies, clinics, or nursing…

Q: Which health care entities below are required to be in compliance with the False Claims Act? Select…

A: Long Term Care facilities that bill federal programs and receive reimbursement, Hospitals that bill…

Q: 1.) . Identify stakeholders who represent all activities involved in the creation of the service of…

A: The individuals or organizations who possess an interest in the quality measures or those who are…

Q: What are the weaknesses that may occur from the inpatient service system when carrying out standard…

A: Protocols or Standard Procedures are very helpful for young doctors starting out their practice of…

Q: Is there a prescribed protocol for managing leased or borrowed medical equipment in relation to…

A: The Medical Equipment Management Plan (MEMP) is a comprehensive document that outlines the policies,…

Q: The Public Interest and Benefit Activities exception allows the covered entity to disclose…

A: Abuse,Neglect or Domestic violence. This option is correct because in case of abuse,neglect and…

Q: The Electronic Medical Record (EHR) has been declared to provide significant benefits to improving…

A: The electronic health/medical record (EHR) has enhanced the outcomes of healthcare plan, has…

Q: A nurse working in a physician’s office prepares insuranceforms in which the provider is given a…

A: Health insurance or medical insurance is the medical coverage that supports the insured to pay…

Q: What are the three common regulatory requirements for federal, state, and third-party health…

A: The objective of the question is to identify the three common regulatory requirements that federal,…

Q: Eligible individuals voluntarily enroll in Part A Medicare.TrueFalse

A: Medicare can be defined as the federal government plan of the US which established for payment in…

Q: patients are frustrated with the paperwork and concealed pricing structure, and providers have an…

A: In a Hospital first of all patients,physicians and staffs satisfaction must be ensured for improving…

Q: "value is defined as quantifiable improvement in a patient's health outcomes and the cost it takes…

A: Value based care focuses on the outcomes that matter to the patient as the true measures of quality.…

Q: If you would have the power, authority, responsibility and accountability to do one thing that you…

A: The Nursing shortage is a worldwide phenomenon across hospitals & needs to be addressed for…

Q: Differentiate the administrative functions of long-term care practices from those of other…

A: The entire healthcare system is very complex and managing this entire system is not easy work. An…

Q: According to the textbook, what are the most common risk areas in a health care organization that…

A: Healthcare is a critical factor in increasing people's overall physical, mental, and social…

Q: Individuals without a Group Plan can receive coverage under the BCBS Plan. A Indemnity B)…

A: BCBS is  blue cross and blue shield is an insurance company, which provides health insurance to more…

Q: As part of the policy development and administration process, many federal health agencies provide…

A: The non-government organisations usually do not receive profit from government but in most cases…

Q: 1) What is the importance of patient forum? 2) What are the benefits and advantages of patient…

A: Ans 1) The practice Patient Representative Group's goal is to create effective communication in the…

Q: describe three policies a healthcare manager could put into place in a hospital to ensure that…

A: Healthcare policies refer to guidelines, regulations, and measures implemented by healthcare…

Q: The manager of a clinic can have many varied responsibilities based on the needs of the specific…

A: CLINIC MANAGER- Clinic managers are in charge of monitoring the day-to-day operations of medical…

Q: To process claims accurately and effectively, billing professionals must understand how a clean…

A: Medical billing is the most significant part of the health care revenue cycle management. But, it is…

Q: Discuss the extent to which patientcharacteristics such as social class,race, and symptomology…

A: In healthcare, quality is the result of patient-provider collaboration in a positive atmosphere. The…

Q: What is the cost of this plan starting at the beginning of Fall with a level of 800 regular nurses,…

A: Optimizing healthcare staffing to meet the fluctuating demands of patient care is a crucial aspect…

Q: Which of the following is a set amount that the patient must pay out of pocket per plan year prior…

A: The employer hires the third party for administrative services such as claim, billing and he will…

Q: What is the purpose of A Patient’s Bill of Rights and Patient Care Partnership and who is the…

A: NURSING: Nursing is a profession that is primarily concerned with the promotion of health,…