Safian, Fundamentals of Health Care Administration, 1e,
|
|
|
- Morgan Booth
- 8 years ago
- Views:
Transcription
1 Chapter 2: Types of Facilities and Services 1. A proprietary health care facility is typically owned and operated by: a. A public entity. b. A corporation with shareholders. c. The federal government. d. The state government. Feedback: The term proprietary means privately owned. Page Ref:21 2. The date of service refers to care provided to a patient during: a. A 24-hour period. b. A day of the week. c. A calendar day. d. An encounter, regardless of how long it lasts. Feedback: The date of service is categorized by a calendar day. Page Ref: Which of the following is an example of a specialty care hospital? a. MD Anderson Cancer Centers b. Boston General Hospital c. Orlando Regional Medical Center d. Minute Clinic Feedback: MD Anderson Cancer Centers specialize in caring for patients diagnosed with a malignancy, while the other facilities care for patients with a variety of diagnoses. Page Ref: A skilled nursing facility provides which type of inpatient care? a. Short-term b. Long-term c. Both a and b d. None of the above Feedback: Skilled nursing facilities can provide short-term care, such as for a patient after a stroke or a patient healing from multiple fractures, as well as long-term care for those with serious concerns, such as a patient in a coma. Page Ref: A hospice provides care to those who are diagnosed as: a. Homebound (patients on strict bed rest). b. Terminally ill (expected to die within 6 months).
2 c. Pregnant and expected to deliver within days. d. Mentally ill. Feedback: A hospice is a health care facility that specializes in providing end-of-life care to those who are terminally ill. A home health agency would provide care to a patient who is homebound. A birthing center might provide care to a pregnant woman getting ready to deliver her baby, and a behavioral health or psychiatric facility would provide care to those with diagnosed psychological conditions. Page Ref: The organization that awards physician certification in specialty areas is the: a. American Medical Association. b. National Physician Specialists. c. National Board of Physician Specialties. d. American Board of Medical Specialties. Feedback: The American Board of Medical Specialties (ABMS) awards physicians the designation of boardcertification. Page Ref:28 7. Other members of the clinical staff who provide specialized services may include: a. A physical therapist. b. A professional coder. c. A director of housekeeping. d. A security guard. Feedback: The physical therapist is a clinical specialist. The others on this list are not part of the clinical staff. Page Ref: Healthcare facilities in an urban community will typically draw patients from a geographical area that is: a. Larger than in rural areas. b. The same as in rural areas. c. Smaller than in rural areas. d. Unknown. Feedback: Facilities located within an urban community will analyze a smaller geographical radius because individuals live closer together and will seek health care services in closer proximity to where they live and work. Page Ref: The geographic area from which the facility will attract of patients is known as the primary service area. a. 25% b. 45%
3 c. 60% d. 75% Feedback: The primary service area is considered that from which 75% of a health care facility s patients are realized. Page Ref: The statistical measures and categorization of individuals using gender, age, and race are collectively known as: a. Psychographics. b. Geographics. c. Demographics. d. Monographics. Feedback: Demographics are the statistical measures and categorization of individuals, sorted by age, gender, and race. Page Ref: Knowing the largest percentage of the area s population as determined by will provide insights as to what health care services may be needed the most. a. age b. gender c. educationlevel d. geographiclocation Feedback: Age provides the greatest insights because preventive services and health care concerns are identified by age group. Page Ref: Cancer of the larynx is known to affect: a. More women than men. b. More men than women. c. Men and women equally. d. Children age Feedback: Over 300% more men will be diagnosed with laryngeal cancer, as per the American Cancer Society. Page Ref: Knowing about certain cultural offenses to certain procedures in the facility s community can prompt an administrator to: a. Find alternate treatments. b. Refuse to care for certain groups. c. Get a court order to force treatment. d. Ignore this issue.
4 Feedback: With this knowledge, an administrator can possibly find alternatives that can provide the health benefit without violating the patient s belief system. Page Ref: Therace/sex group with the highest proclivity for elevated blood pressure in 2001 is: a. African American men. b. Mexican American men. c. White (Caucasian) men. d. African American women. Feedback: From 1999 through 2002, African American women have had the highest rates of elevated blood pressure. Page Ref: Every individual in your facility should be trained to: a. Acknowledge cultural differences. b. Put aside their personal biases. c. Be willing to connect to all patients with respect. d. All of the above Feedback: For the good of the patient and the community, an administrator must make certain all staff, from the receptionist to the head of surgery, are trained to acknowledge cultural differences, put aside their personal biases, and be willing to connect to all patients with respect. Page Ref: Employment statistics can be used to: a. Support offering a free clinic. b. Determine the percentage of the population with health insurance coverage. c. Both a and b d. Neither a or b Feedback: Health insurance coverage is most often provided by employers, and those unemployed might benefit from a free health care clinic. Page Ref: Administrators can gather data about their facility s community by accessing statistical information from: a. Other health care facilities in the area. b. Federal and state governments. c. Staff members who live in the area. d. Facebook. Feedback: Federal and state agencies are always gathering demographic information. Page Ref:39
5 18. The inclusion of the domain.gov in a website addressis limited to those created by: a. The United States federal government. b. Non-profit organizations. c. Post-secondary colleges and universities. d. Private, commercial organizations. Feedback: The use of the domain.gov is limited to United States federal government agencies and departments. Page Ref: When dealing with health care data, only that information gathered and analyzed within the last year(s) is considered current. a. 1 b. 3 c. 5 d. 10 Feedback: Health care data is considered current when gathered and analyzed within the last 5 years. Page Ref: Important data about health care services needed and used can be pulled from your own facility by using: a. Gift shop receipts. b. Electronic health records. c. trails. d. Facebook logons. Feedback: Electronic health records provide the ability to pull reports using many parameters of data. Page Ref: Statistical reports can provide insights about expansion of services. For example, a large number of patients with hypertension could spur the development of other services, including: a. Same-day surgery. b. Fracture care clinic. c. Hair salon. d. Massage therapy. Feedback: Massage therapy is known to reduce stress and support lowering blood pressure rates. It also addresses circulation issues known as manifestations of hypertension. Page Ref: 40
6 22. Diagnostic reports revealing a large number of patients with fractures could statistically support: a. Opening a cardiology clinic. b. Purchasing an x-ray machine. c. Provision of back-to-school vaccinations. d. An education session about good nutrition. Feedback: The facility would be able to do x-raysin-house with an x-ray machine providing convenience for patients and a revenue opportunity for the facility. Page Ref: Knowing the age ranges of your current patients can support: a. Alate-night hotline for parents of young children. b. Purchase of an x-ray machine. c. An increase in sports medicine services. d. An allergy clinic. Feedback: X-rays, sports medicine, and allergies are not age-related opportunities, whereas young children can frequently cause parents to worry during evening and latenight hours. Page Ref: Analyzing referral reports can provide insights into opportunities to: a. Shorten office hours. b. Reduce staff. c. Provide transportation. d. Expand the list of services provided. Feedback: Expanding the list of the services your facility providescan make a referral unnecessary, and then thepatient can be cared for in your facility. Page Ref: Reviewing statistics on population age can give you the answer to which of the following questions? a. How many patients are covered by Medicare? b. In what areas do my patients work? c. What percentage of patients are African American? d. How many patients are covered by Aetna? Feedback: Virtually every patient age 65 and older will be covered by Medicare. Page Ref: 43
Presented by. Terri Gonzalez Director of Practice Improvement North Carolina Medical Society
Presented by Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Meaningful Use is using certified EHR technology to: Improve quality, safety, efficiency, and reduce errors Engage
$25 copay. One routine GYN visit and pap smear per 365 days. Direct access to participating providers.
HMO-1 Primary Care Physician Visits Office Hours After-Hours/Home Specialty Care Office Visits Diagnostic OP Lab/X Ray Testing (at facility) with PCP referral. Diagnostic OP Lab/X Ray Testing (at specialist)
Guide to Purchasing Health Insurance
Guide to Purchasing Health Insurance What are your health insurance choices? Which type is right for you? Sample questions Looking for insurance in specific situations Tips for shopping for health coverage
PPO Hospital Care I DRAFT 18973
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.ibx.com or by calling 1-800-ASK-BLUE. Important Questions
$6,350 Individual $12,700 Individual
PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible $5,000 Individual $10,000 Individual $10,000 Family $20,000 Family All covered expenses accumulate separately toward the preferred or non-preferred Deductible.
An Overview of Medicaid in North Carolina *
An Overview of Medicaid in North Carolina * Lisa J. Berlin Center for Child and Family Policy Duke University Abstract: In North Carolina, as in other states, Medicaid cost containment is an increasingly
Lifetime Maximum Applies to all expenses; Part A and Part B expenses cross accumulate to the lifetime maximum
This is a summary of benefits for your Joint Trusteed Health and Welfare Medicare Supplement (Part A & B) plan. Medicare Part D prescription drug plan deductibles, out-of-pocket maximums, copays and annual
Benefits Matrix for Adults Covered and Non-Covered Services
Covered and Non-Covered Services UniCare Health Plan of West Virginia, Inc. Medicaid Managed Care The matrix below lists the available benefits for adults enrolled in West Virginia Medicaid. These benefits
United States Fire Insurance Company: International Technological University Coverage Period: beginning on or after 9/7/2014
or after 9/7/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual Plan Type: PPO This is only a summary. If you want more detail about your coverage and
HOW TO PREVENT AND MANAGE MEDICAL CLAIM DENIALS TO INCREASE REVENUE
Billing & Reimbursement Revenue Cycle Management HOW TO PREVENT AND MANAGE MEDICAL CLAIM DENIALS TO INCREASE REVENUE Billing and Reimbursement for Physician Offices, Ambulatory Surgery Centers and Hospitals
Meaningful Use - The Basics
Meaningful Use - The Basics Presented by PaperFree Florida 1 Topics Meaningful Use Stage 1 Meaningful Use Barriers: Observations from the field Help and Questions 2 What is Meaningful Use Meaningful Use
PATIENT INFORMATION - Please complete and/or verify all information and make changes as necessary.
PATIENT INFORMATION - Please complete and/or verify all information and make changes as necessary. Today s : Are you here for an injury that is work-related? YES NO N/A Patient Name (First-Middle-Last)
The TeleHealth Model
The Model CareCycle Solutions The Solution Calendar Year 2011 Company Overview CareCycle Solutions (CCS) specializes in managing the needs of chronically ill patients through the use of Interventional
Anderson County Hospital Community Benefit Implementation Plan 2014
Anderson County Hospital Community Benefit Implementation Plan 2014 Anderson County Hospital 421 S. Maple St. Garnett, KS 66032 785-448-3131 Anderson County Hospital Community Benefit Implementation Plan
A CONSUMER'S GUIDE TO CANCER INSURANCE. from YOUR North Carolina Department of Insurance CONSUMER'SGUIDE
A CONSUMER'S GUIDE TO from YOUR North Carolina Department of Insurance CONSUMER'SGUIDE IMPORTANT INFORMATION WHAT IS? Cancer insurance provides benefits only if you are diagnosed with cancer, as defined
PLAN DESIGN & BENEFITS - CONCENTRIC MODEL
PLAN FEATURES Deductible (per calendar year) Rice University None Family Member Coinsurance Applies to all expenses unless otherwise stated. Payment Limit (per calendar year) $1,500 Individual $3,000 Family
California Small Group MC Aetna Life Insurance Company
PLAN FEATURES Deductible (per calendar year) $3,000 Individual $6,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered expenses accumulate separately
Hospitals and Health Systems:
Hospitals and Health Systems: An Inside Look at Employee Health Plan Strategies To Control Costs and Provide Access to Healthcare August 2010 Highlights Because of their dual role as benefit plan sponsor
For Retirees of City of Memphis. Features that Add Value. Freedom of Choice. Quality Service Is Part of Quality Care
For Retirees of City of Memphis Features that Add Value The Cigna Medicare Surround indemnity medical plan helps pay some of the health care costs that your Medicare Part A or Part B do not cover such
Coverage level: Employee/Retiree Only Plan Type: EPO
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan documents at www.dbm.maryland.gov/benefits or by calling 410-767-4775
Cost Sharing Definitions
SU Pro ( and ) Annual Deductible 1 Coinsurance Cost Sharing Definitions $200 per individual with a maximum of $400 for a family 5% of allowable amount for inpatient hospitalization - or - 50% of allowable
Danbury Public Schools 63 Beaver Brook Rd. Danbury, CT 06810. 2. Family Member s Name (if different from employee):
1. Employee s Name: 2. Family Member s Name (if different from employee): 3. The attached sheet describes what is meant by a serious health condition under the Family and Medical Leave Act. Does the patient
You can see the specialist you choose without permission from this plan.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pekininsurance.com or by calling 1-800-322-0160. Important
Aetna Medicare Advantage HMO SHBP Summary of Benefits and Coverage: What this Plan Covers & What it Costs
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.state.nj.us/treasury/pensions/health-benefits.shtml or
Understanding Health Insurance
Understanding Health Insurance Health insurance can play an important role when it comes to medical bills and prescription medications it can help protect you from high expenses. There are many types of
Coventry Health and Life Insurance Company PPO Schedule of Benefits
State(s) of Issue: Oklahoma PPO Plan: OI08C30050 30 Coventry Health and Life Insurance Company PPO Schedule of Benefits Covered Services Contract Year Deductible For All Eligible Expenses (unless otherwise
Zoom Health Plan, Inc. (ZOOM+): ZOOM+ Oregon Standard Gold Coverage Period: January 1, 2016 December 31, 2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.zoomcare.com or by calling 1-844-ZOOM-777. Important
You can see the specialist you choose without permission from this plan.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pekininsurance.com or by calling 1-800-371-9622. Important
100% after Part A deductible and copayments Generally 80% after Part B deductible
This is a summary of benefits for your CIGNA Medicare Surround (Part A & B) plan. CIGNA HealthCare Benefit Summary Medigap Plan F CIGNA Medicare Surround (Part A & B) Plan The Roman Catholic Church of
State Health Plan: Savings Plan Coverage Period: 01/01/2015-12/31/2015
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.eip.sc.gov or by calling 1-888-260-9430. Important Questions
Stage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene
Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary
Stonebridge Adult Medicine, P.A. Registration Form (Please Print)
Stonebridge Adult Medicine, P.A. Registration Form (Please Print) PATIENT INFORMATION Last Name: First Name: Is this your legal name? Yes No If not what is your legal name: Date of Birth: Sex: male female
Circle of Life: Cancer Education and Wellness for American Indian and Alaska Native Communities. Group Discussion True False Not Sure
Hospice Care Group Discussion True False Not Sure 1. There is no difference between palliative care and hospice care. Palliative care is different from hospice care. Both palliative and hospice care share
Important Questions Answers Why this Matters: What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://knowyourbenefits.dfa.ms.gov or by calling 1-866-586-2781.
Maryland Medicaid Program. Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 15, 2012
Maryland Medicaid Program Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 15, 2012 1 Maryland Medicaid In Maryland, Medicaid is also called Medical Assistance or MA. MA is a joint
Life & Health Insurance Advisor
Life & Health Insurance Advisor MRCT Benefits Plus is a comprehensive employee benefits, wellness and Human Resources consulting firm offering a variety of financial services to businesses and individuals
E Z BIS ELECTRONIC HEALTH RECORDS
E Z BIS ELECTRONIC HEALTH RECORDS CERTIFICATION AND THE HITECH INCENTIVE PROGRAM The Incentives On July 13, 2010, the U.S. Department of Health and Human Services finalized the Electronic Health Record
Schedule of Benefits (Who Pays What) HMO Colorado Name of Carrier BlueAdvantage HMO Plan $1,500 Deductible 30/$200D Name of Plan $200D-15/40/60/30%
Schedule of Benefits (Who Pays What) HMO Colorado Name of Carrier BlueAdvantage HMO Plan $1,500 Deductible 30/$200D Name of Plan $200D-15/40/60/30% PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Health maintenance
New Patient Registration Information
New Patient Registration Information ADAMS COUNTY LOCATIONS YORK COUNTY LOCATIONS Adams Health Center........ (717) 339-2620 Apple Hill................ (717) 741-8240 Aspers Health Center........ (717)
METROWEST MEDICAL CENTER
(508) 650-7000 Framingham Union METROWEST MEDICAL CENTER 115 Lincoln Street (508) 383-1000 24-hour Emergency Department Care Community Healthcare Provider This healthcare network encompasses the entirety
UC Santa Cruz Student Health Center. Beth Hyde, NP Family Nurse Practitioner Patient Care Coordinator
UC Santa Cruz Student Health Center Beth Hyde, NP Family Nurse Practitioner Patient Care Coordinator Nutritionist Physicians Nurse Practitioners and Physician Assistants Psychiatry Student Health Center
Compass Rose Health Plan: High Option Coverage Period: 01/01/2015 12/31/2015
This is only a summary. Please read the FEHB Plan RI 72-007 that contains the complete terms of this plan. All benefits are subject to the definitions, limitations, and exclusions set forth in the FEHB
What is the overall deductible? Are there other deductibles for specific services? Is there an out-of-pocket limit on my expenses? No.
High Deductible Health Plan - 80 Plan Coverage for: Individual + Family Plan Type: POS This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the
meet the deductible. Yes. For a list of in-network providers, see www.welcometouhc.com/ PrincetonUniversity.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://www.princeton.edu/hr/benefits/spd or by calling 609-258-3302.
Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions.
Informational Series Glossary of Health Insurance & Medical Terminology How to use this glossary This glossary has many commonly used terms, but isn t a full list. These glossary terms and definitions
Summary of Services and Cost Shares
Summary of Services and Cost Shares This summary does not describe benefits. For the description of a benefit, including any limitations or exclusions, please refer to the identical heading in the Benefits
Coverage for: Individual, Family Plan Type: PPO. Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bbsionline.com or by calling 1-866-927-2200. Important
Medicare Supplement Coverage Options
Medicare Supplement Coverage Options Thank you for your interest in our Medicare Supplemental coverage options, also known as Traditional Blue (Medigap) policies. The Medicare Supplement Plans, when combined
Meaningful Use Stage 1:
Whitepaper Meaningful Use Stage 1: EHR Incentive Program Information -------------------------------------------------------------- Daw Systems, Inc. UPDATED: November 2012 This document is designed to
Incentives to Accelerate EHR Adoption
Incentives to Accelerate EHR Adoption The passage of the American Recovery and Reinvestment Act (ARRA) of 2009 provides incentives for eligible professionals (EPs) to adopt and use electronic health records
California Small Group MC Aetna Life Insurance Company
PLAN FEATURES Deductible (per calendar year) $1,000 per member $1,000 per member Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered expenses accumulate
Summary of Benefits and Coverage What this Plan Covers & What it Costs
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the plan document at www.mpiphp.org or by calling 1-855-275-4674. Important Questions Answers
HOSPICE CARE. A Consumer s Guide to Selecting a Hospice Program
HOSPICE CARE A Consumer s Guide to Selecting a Hospice Program Hospice It s About How You LIVE One of our greatest fears is dying alone in a sterile, impersonal surrounding. We don t want to be hooked
GEHA: Standard Option Coverage Period: 01/01/2014 12/31/2014 Summary of Benefits and Coverage
This is only a summary. Please read the FEHB Plan brochure (RI 71-006) that contains the complete terms of this plan. All benefits are subject to the definitions, limitations, and exclusions set forth
AAP Meaningful Use: Certified EHR Technology Criteria
AAP Meaningful Use: Certified EHR Technology Criteria On July 13, 2010, the US Centers for Medicare and Medicaid Services (CMS) released a Final Rule establishing the criteria with which eligible pediatricians,
You can see the specialist you choose without permission from this plan.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcbsil.com or by calling 1-866-826-0913. Important Questions
$100 Individual. Deductible
PLAN FEATURES Deductible $100 Individual (per calendar year) $200 Family Unless otherwise indicated, the deductible must be met prior to benefits being payable. Member cost sharing for certain services,
How To Get A Medicare Supplement Plan From Aetna Insurance Company
Aetna Individual Medicare Supplement PlanSM Aetna Life Insurance Company Outline of Medicare Supplement Coverage Benefit Plans A, B and F OOC-MD 18.02.312.1 MD (8/04) Outline of Medicare Supplement Coverage
Board of Huron County Commissioners : BASIC
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at MedMutual.com/SBC or by calling 800.540.2583. Important Questions
You re one step closer to simple health care.
welcometouhc.com You re one step closer to simple health care. SIMPLE - A GUIDE TO YOUR 2016 UNITEDHEALTHCARE BENEFITS Health care can be hard. We re here to help you through it. You can count on us to
DEPARTMENT OF FAIR EMPLOYMENT AND HOUSING
STATE OF CALIFORNIA DEPARTMENT OF FAIR EMPLOYMENT AND HOUSING FAIR EMPLOYMENT & HOUSING COUNCIL CERTIFICATION OF HEALTH CARE PROVIDER (California Family Rights Act (CFRA)) IMPORTANT NOTE: The California
RIT Blue Point2 POS B No Drug Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs
This is only a summary. If you want more detail about your medical coverage and costs, you can get the complete terms in the policy or plan document at www.excellusbcbs.com or by calling 1-800-499-1275/V.
Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis
Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis Methodology: 8 respondents The measures are incorporated into one of four sections: Highly
EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE
EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE What is hospice? Hospice care focuses on improving the quality of life for persons
PLAN DESIGN AND BENEFITS AETNA LIFE INSURANCE COMPANY - Insured
PLAN FEATURES Deductible (per calendar year) Individual $750 Individual $1,500 Family $2,250 Family $4,500 All covered expenses accumulate simultaneously toward both the preferred and non-preferred Deductible.
Land of Lincoln Health : Family Health Network LLH 3-Tier Bronze PPO Coverage Period: 01/01/2016 12/31/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.landoflincolnhealth.org or by calling 1-844-FHN-4YOU.
Michigan Electrical Employees Health Plan Benefits & Eligibility-at-a Glance Supplement to Medicare - Medicare Enrollees
Medicare Coverage BCBSM Supp Coverage Preventive Services 12 months, if age 50 and older Colonoscopy - one per calendar year 1 0 years (if at high risk every 24 months) approved amount**, once per flu
Call-A-Nurse Location
Call-A-Nurse A 24-hour medical call center, specializing in registered nurse telephone triage, answering service, physician and service referral, and class registration. Call-A-Nurse Location Call-A-Nurse
Rice University Effective Date: 07-01-2014 Aetna Choice POS ll - ASC PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY PLAN FEATURES
PLAN DESIGN & BENEFITS PLAN FEATURES NON- Deductible (per calendar year) None Individual $1,000 Individual None Family $3,000 Family All covered expenses, excluding prescription drugs, accumulate toward
Bowling Green State University : Plan B Summary of Benefits and Coverage: What This Plan Covers & What it Costs
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at MedMutual.com/SBC or by calling 800.540.2583. Important Questions
2013 OUTLINE OF MEDICARE SUPPLEMENT COVERAGE
Hospitalization Medical Expenses Blood Hospice 2013 OUTLINE OF MEDICARE SUPPLEMENT COVERAGE Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010 These charts show
$20 office visit copay; deductible 20%; after deductible. $30 office visit copay; deductible Not Covered. $30 office visit copay; deductible waived
PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $300 Individual $600 Individual $600 Family $1,200 Family All covered expenses, accumulate separately toward the preferred or non-preferred
Compassionate Care Right at Home.
Words cannot express how thankful we are for all that your nurses did for our dad during those last few weeks more than anything they treated him with respect and love and gave him the peace and comfort
THE MITRE CORPORATION PPO High Deductible Plan with a Health Saving Account (HSA)
THE MITRE CORPORATION PPO High Deductible Plan with a Health Saving Account (HSA) Effective Date: 01-01-2016 PLAN FEATURES Annual Deductible $1,500 Employee $3,000 Employee $3,000 Employee + 1 Dependent
PLAN DESIGN AND BENEFITS POS Open Access Plan 1944
PLAN FEATURES PARTICIPATING Deductible (per calendar year) $3,000 Individual $9,000 Family $4,000 Individual $12,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being
The JOURNEY OF ELDERCARE
The JOURNEY OF ELDERCARE ELDERSPEAK Glossary Terms commonly used by Professionals in Aging Acute v. Chronic Acute - care delivered in a hospital that is usually shortterm and recuperative. Chronic - condition
HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program
HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program One of our greatest fears is dying alone in a sterile, impersonal surrounding. We don t want to be hooked up to tubes, and cut off from
PREFERRED CARE. All covered expenses, including prescription drugs, accumulate toward both the preferred and non-preferred Payment Limit.
PLAN FEATURES Deductible (per plan year) $300 Individual $300 Individual None Family None Family All covered expenses, excluding prescription drugs, accumulate toward both the preferred and non-preferred
INCIDENT TO A PHYSICIAN'S PROFESSIONAL SERVICE
INCIDENT TO A PHYSICIAN'S PROFESSIONAL SERVICE To qualify as incident to, services must be part of your patient s normal course of treatment, during which a physician personally performed an initial service
Coverage Period: 01/01/2014-12/31/2014. Coverage for: Individual + Family Plan Type: POS ARCHDIOCESE OF GALVESTON-HOUSTON
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthreformplansbc.com or by calling 1-888-982-3862.
PLAN DESIGN AND BENEFITS HMO Open Access Plan 912
PLAN FEATURES Deductible (per calendar year) $1,000 Individual $2,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member cost sharing for certain services
Policy Holder Name Relationship to Patient SSN DOB
Orthopedic Today s Date Patient s SSN# Legal First Name Last Name M.I. DOB Gender Parent/Guardian Name (for pediatrics) DOB Address City State Zip Home Phone Cell Phone Work Phone Email Have any members
Patient Bill of Rights and Responsibilities
Patient Bill of Rights and Responsibilities The patient or the patient s legal representative has the right to be informed of the patient s rights and responsibilities as a patient through effective means
Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2015
Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2015 About this chart: This chart is to be used as a guide only and does not contain all details or exclusions.
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.alaskacare.gov or by calling 1-800-821-2251. Important
What is the overall deductible?
Regence BlueCross BlueShield of Oregon: Innova Coverage Period: 10/01/2013-09/30/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Eligible Family
Organization of Primary Care Clinics
Component 1: Introduction to Health Care and Public Health in the U.S. 1.3: Unit 3: Delivering Healthcare (Part 2) 1.3e: Organization Of Primary Care Clinics Organization of Primary Care Clinics Organization
Medical History Questionnaire
Medical History Questionnaire Name: Date: Allergies (including latex): List all medications that you are currently taking, either prescription or non- prescription. Please specify dosage and length of
PALLIATIVE CARE SERVICES AND RESOURCES. A guide for patients and their loved ones. Living well with serious illness
PALLIATIVE CARE SERVICES AND RESOURCES A guide for patients and their loved ones Living well with serious illness A patient and family centered approach to living with serious illness Palliative care addresses
What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket
Regence BlueCross BlueShield of Oregon: Preferred Coverage Period: 08/15/2015-08/14/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Eligible Family
Gundersen Health Plan: MN NJ Silver $2000-0% Coverage Period: 01/01/2015-12/31/2015
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.gundersenhealthplan.org or by calling 1-800-897-1923.
Stay Healthy. In the Know. Screenings you and your family need. Protect yourself against health care fraud. www.aultcare.com
good health FALL 2015 YOUR FAST TRACK TO LIVING WELL Stay Healthy Screenings you and your family need In the Know Protect yourself against health care fraud www.aultcare.com TELL US HOW WE ARE DOING Whether
What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket
Regence BlueShield: Regence Direct Gold with Dental, Vision, Individual Assistance Program Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits and Coverage: What this Plan Covers & What
A Call to Duty. Transforming Veteran s End-of-Life Care. Julie Benson, MD. Medical Director Hospice and Palliative Care. Jessica Martensen, RN
A Call to Duty Transforming Veteran s End-of-Life Care Julie Benson, MD Medical Director Hospice and Palliative Care Jessica Martensen, RN Director, Home Care and Hospice Lakewood Health System Staples,
Frequently Asked Questions Regarding At Home and Inpatient Hospice Care
Frequently Asked Questions Regarding At Home and Inpatient Hospice Care Contents Page: Topic Overview Assistance in Consideration Process Locations in Which VNA Provides Hospice Care Determination of Type
Overview. Key Flu Vaccine Coverage Findings. Summary
2013-14 Season Flu Vaccine Coverage and Hospital Quality Data Centers for Disease Control and Prevention Highlights and Data Summary September 18, 2014 Overview Flu is unpredictable. Even healthy children
RIDGE PHYSICAL THERAPY & WELLNESS CENTER. Intake Form
Intake Form : Personal Information please print clearly Name: last first middle initial Home Address: Home Telephone: ( ) Cell Phone: E-Mail Address: Social Security #: of Birth: Age: Sex: M F Marital
MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BENEFIT PLANS A, C AND F
MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BENEFIT PLANS A, C AND F Medicare supplement insurance can be sold in only 10 standard plans plus two high deductible
Basic Benefits Skilled Nursing Facility Coinsurance Part A Deductible
MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 STANDARDIZED BENEFIT PLAN A AND SELECT BENEFIT PLANS B, C, D, E, F AND G These charts show the benefits included
Provider Manual Section 4.0 Office Standards
Provider Manual Section 4.0 Office Standards Table of Contents 4.1 Appointment Scheduling Standards 4.2 After-Hours Telephone Coverage 4.3 Member to Practitioner Ratio Maximum 4.4 Provider Office Standards