Describe the difference between a "participating provider" and a "non-participating provider."
What will be an ideal response?
A participating provider is usually a non-physician health care professional who provides services to individuals covered by a particular health plan and accepts the insurance company's approved fee for each service as payment in full for that service (that is, accepts assignment). A non-participating provider is usually a non-physician health care professional who does not contract with insurance companies and does not accept the insurance company's approved for services (that is, does NOT accept assignment).
You might also like to view...
Which of the following refers to the strength of active pharmaceutical ingredient in a medication?
A) Diluent B) % weight/weight C) Concentration D) % weight/volume
Which of the following is the weight of pure vapor or gas compared to the weight of an equal volume of dry air at the same temperature and pressure?
A. Reactivity B. Flammability C. Vapor density D. Specific gravity
You are assigned to care for Mrs. Mills, a 67-year-old resident who has been admitted after hospitalization for pneumonia. Mrs. Mills is very weak. She receives respiratory treatments four times a day. She has an intravenous line in place. What observations will you make about the intravenous line when you are caring for Mrs. Mills?
What will be an ideal response?
Which of the following is required to treat neonatal patients with a diaphragmatic hernia?
A) chest tube B) nasal cannula C) nasogastric (NG) tube D) intravenous (IV) catheter