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: 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: 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: 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: 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: 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: 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: 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,…
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.
Trending now
This is a popular solution!
Step by step
Solved in 3 steps
- Select the Health Insurance Portability and Accountability Act (HIPAA) requirements that specify how health care information is stored and accessed in the electronic health record (EHR) A Paper back up of all EHR information as safeguards B Technical safeguards C Risk management safeguards D Physical safeguards E Designates a set number of employees with access to EHR F Administrative safeguardsExplain the concept “meaningful use” and its purpose with regards to EHR/EMR in your own words. Also, state the differences between an electronic medical record (EMR) and an electronic health record (EHR) practice management system. If a pharmacist calls your medical office and speaks with the physician, who verifies an electronic prescription on a patient’s new prescription, and what administrative task should the medical assistant then perform in the verification process? List details.There is a finite amount of money that is available to spend on healthcare (and drugs). It is important to make rational choices considering the consequences of actions and the limited resource that is available. Try these questions:1. You are working as a practice pharmacist and have been asked to help the practice reduce expenditure on medicines. As a result, you are reviewing the use of tolterodine 4 mg m/r tablets, as these costs more than tolterodine 2 mg tablets at an equivalent dose. Current costs are shown below: Tolterodine 4 mg m/r tablets £25.78 per 28 tablets Tolterodine 2 mg tablets £2.88 per 56 tablets You have reviewed nine patients who are prescribed tolterodine 4 mg m/r tablets daily on repeat prescription and have identified that seven of them could potentially switch to using the tolterodine 2 mg tablets at a dose of one tablet twice a day. The practice has a repeat prescribing policy of 56 days treatment on a prescription.What is the total saving for the practice…
- Do contracts give a plan the right to conduct audits of medical records and billing data related to care provided to plan members? Select one: True False.An effective early offer program can help prevent litigation against providers over medical malpractice. true or false.How does severity of illness impact healthcare payment systems.
- describe the difference between primary, secondary, and supplementary insurance. Do you feel having secondary and/or supplementary insurance is a benefit for the patient or more trouble than it is worth? Explain your answer.What are two ways a healthcare provider could violate the HIPAA law, and what are alternative actions the healthcare provider could use to protect client confidentiality?Explain how the patient perspective revenue cysle differs from the provider perspective revenue cycle in ensuring revenue integrity
- How can I define “community factor” in healthcare? Naming one single community factor that the Facility Planning Committee should take into consideration when planning a new facility. Being specific and giving an example.Describe the work experience with increasing patient volume and services while controlling expensesDefine and discuss what a continuum of care is and where do long-term care services fit in that continuum. Identify four factors that have led to the development of the long-term care system as it currently exists. Identify four strengths and four weaknesses of the long-term care system