Why is coordination of benefits important to an MCO?
Coordination of benefits requires identification of the primary insurance payer. In some cases, patients may have two insurers, such as one through an employer and a purchased HMO policy to supplement the basic policy. The MCO has to coordinate the benefits to ensure that the primary insurance payer is billed first. The MCO may be the secondary payer—which means that the MCO would pay a percentage of the unpaid balance once the primary insurance has paid.
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The National Incident Management System (NIMS) is beneficial in an emergency response to a disaster or a terrorism attack because it provides for:
a. specific codes and terms to enhance communications among EMS, fire, and law enforcement personnel. b. increased funding and reimbursement for any EMS agency involved in the response. c. a consistent approach to managing a disaster when the response involves many different responders and agencies. d. federal control of any disaster scene regardless of location.
Although several variables can affect the length of deferral after a smallpox vaccination, donors are deferred for a minimum of how many days?
a. 10 b. 14 c. 21 d. 30
What do wood, masonry, concrete, steel, aluminum, glass, gypsum board, and plastics have in common?
A) They all will burn. B) They are relatively inexpensive. C) They will not fail under fire exposure. D) They are the most common building materials.
Fifty percent dextrose (D50) is indicated in all of the following situations, EXCEPT:
A. a semiconscious patient with a blood glucose of 50 mg/dL. B. an unresponsive patient with no obtainable medical history. C. an asymptomatic patient with a blood glucose of 60 mg/dL.