12.   Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?

A. Yes, because the patient has end-stage renal disease    B. No, because the patient resides in New Mexico    C. No, because the patient is under age 65    D. Yes, because the patient has hypertension   https://nursingmill.blog/wp-admin/post-new.php   13.   The first prepaid health insurance plans in the United States were    A. TRICARE and workers’ compensation.    B. CHAMPUS and CHAMPVA.    C. Blue Cross and Blue Shield.    D. Medicare and Medicaid.   14.   Which of the following is the largest privately underwritten health insurance contract in the world?    A. Harless program    B. SCHIP    C. Federal Employee Program (FEP)    D. CHAMPVA program       15.   A provider is classified as a/an    A. biller who submits claims to insurance carriers.    B. coder who provides medical record data.    C. individual or group of individuals that provide a health care service.    D. beneficiary that provides information for insurance coverage.     16.   Tom is billing an emergency room visit for a Medicaid patient who’s being seen for a wellness visit. Which one of the following statements is true as a result of the Balanced Budget Act?    A. There are new surgical treatments available.    B. No new applications are required for TAFT recipients.    C. Patients have expanded preventive-care benefits.    D. There are new standards for TRICARE. Having Trouble Meeting Your Deadline? Get your assignment on Health Insurance Pt 22  completed on time. avoid delay and – ORDER NOW Do My Paper   17.   Dr. Singer is working within a reimbursement system in which the insurance is billed after all the treatment has been given to the patients. What is the main reason that the doctor orders more tests, exams, and procedures under this system?    A. Fear of being sued    B. To increase resource utilization    C. To make a profit    D. Because no one has to pay for it Struggling to Meet Your Deadline? Get your assignment on Health Insurance Pt 22 done on time by medical experts. Don’t wait – ORDER NOW! Meet my deadline   18.   With a PPO, the beneficiary has the ability to    A. choose a hospital within a 50-mile radius only.    B. choose a physician or hospital from the designated provider list.    C. select a dentist within a 10-mile radius.    D. select an add-on policy for supplemental unemployment benefits 19.   Physician-hospital organizations (PHOs) are also called _______ organizations.    A. medical staff-hospital    B. health management    C. individual provider    D. preferred provider   20.   Mrs. Fang is a 72-year-old retired school teacher who has been hospitalized for pneumonia. What type of insurance is most likely being used to pay for her hospital stay?    A. Medicare Part D    B. Medicare Part B    C. Medicare Part A    D. Medicare Part C

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.