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What are the three common regulatory requirements for federal, state, and third-party health insurance payers
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- Help me pleaseWhat are the advantages and disadvantages of long-term care insurance.In the past decade there has been increasing discussion of the government's role as a health care insurer. Should the government play more of a significant role as an insurer? Currently the largest insurance type in the U.S. is employer based. Is there a real difference between members of society being at the mercy of their employer for coverage instead of at the mercy of the government?
- How can I Identify two challenges in making risk management decisions? and How can healthcare leaders overcome risks? What steps could I take to overcome the two challenges identified? Explain your answers.What are the advantages and disadvantages of having health care coverage? Does it protect from financial risk? From the billing aspect, are there laws that assist in the insurance collections process? If so, what are they? Considering the different government plans and private health plans, what do you think is the best type of health insurance to have? What is the difference between copay, coinsurance, and deductibles?Which step of medical billing process is the most important? Why?
- The federal Medicare program will only reimburse (pay) for services performed by health professionals who are licensed to practice and certified to participate in the Medicare program. Let's say someone files a lawsuit arguing that this federal law allowing only licensed and certified health professionals to be paid through the Medicare program discriminates against people who don't have medical training, and therefore violates the Equal Protection Clause of the 5th Amendment? Which of the following best explains how a court would rule in such a case?What is the role of regulatory agencies in the health care industry?There are three broad categories of healthcare coverage: (1) government programs, (2) individual health insurance, and (3) group (or employer) health insurance, For your main Discussion post, compare and contrast government programs, individual health insurance, and group (or employer) health insurance. What are the advantages and disadvantages of each basic sources of benefits coverage? If you could create the perfect source of benefits coverage, what pieces from each healthcare coverage category would you include? Why?
- According to the textbook, what are the most common risk areas in a health care organization that require compliance attention? What steps does the compliance department need to take to address specific risk areas? What risk areas have you had personal experiences with in your career in health care?What are the three common regulatory requirements for federal, state, and third-party payersThe Patient Protection and Affordable Care Act limits the extent to which insurers may consider age in establishing rates. The result is higher premiums for younger insureds and lower premiums for older insureds. Is this a good result?