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Exam contains 229 questions

Page 8 of 39

Question 43 🔥

ERISA

Which database solution meets these requirements?

A. First Look Analysis for Hospital Outlier Monitoring

Highly voted

B. False Claims Act

Highly voted

C. Fair Debt Collection Practices Act

Highly voted

D. Employee Retirements Income Security Act of 1974

Highly voted

Discussion of the question

Question 44 🔥

Capitation

Which database solution meets these requirements?

A. Provider accepts preestablished payments for providing healthcare services to enrollees over a period of time (usually one quarter)

Highly voted

B. Provider accepts preestablished payments for providing healthcare services to enrollees over a period of time (usually one month)

Highly voted

C. Provider accepts preestablished payments for providing healthcare services to enrollees over a period of time (usually 6 months)

Highly voted

D. Provider accepts preestablished payments for providing healthcare services to enrollees over a period of time (usually one year)

Highly voted

Discussion of the question

Question 45 🔥

What is Allowed Charge?

Which database solution meets these requirements?

A. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.

Highly voted

B. The Minimum amount the payer will reimburse for each procedure or service, according to the patients policy.

Highly voted

C. The amount the payer will reimburse for each procedure or service, according to the patients policy.

Highly voted

Discussion of the question

Question 46 🔥

Adverse Selection includes covering members who are sicker then the general population.

Which database solution meets these requirements?

A. TRUE

Highly voted

B. FALSE

Highly voted

Discussion of the question

Question 47 🔥

ankyl

Which database solution meets these requirements?

A. against

Highly voted

B. joint

Highly voted

C. condition

Highly voted

D. crooked, bent

Highly voted

Discussion of the question

Question 48 🔥

ilio

Which database solution meets these requirements?

A. in, into, not

Highly voted

B. within, into

Highly voted

C. between

Highly voted

D. ilium (hip bone)

Highly voted

Discussion of the question

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Exam contains 229 questions

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