Refers to routine care in a short term basis
Acute Care
If insurance is the contract between 2 parties, then what is the national social insurance program, administered by the U.S. federal government since 1966.
Medicare
Age limit for Nebraska covid test
There is no age limit or exemptions for test in Nebraska
It is a plan that employers are required to have to cover employees who get sick or get injured on the job.
Worker’s Compensation
What are the provider Identifiers/ Qualfiers?
Federal Tax ID / Tax Identification Number (TIN)
Provider Identification Number (PIN)
National Provider Identifier (NPI)
What is the Federal and State Insurance Programs filing limit from the date of service?
12 months (or 1 full calendar year)
If caller asking for the covid19 test result is not the patient, what will the health specialist ask?
Ask if the patient is available to obtain verbal consent
It covers claims resulting from injuries or damage to people and properties. It prevent lawsuits and covers cost for the insured.
Liability Insurance
3 Examples of patient case for Hospice Care
Cancer, HIV, ESRD
It is a comprehensive health care program in which the Veterans Administration shares the cost of covered health care services and supplied with eligible beneficiaries.
Civilian Health And Medical Program of the Veterans Administration (CHAMPVA)
Operating hours of PCR testing in Fort Lauderdale Airport
7 days a week
7am - 9pm Eastern time
Commercial insurance that covers both in-network providers (like an HMO), or out–of- network providers (like a PPO). Cost is low in-network and high for out-of-network
Point of Service (POS)
Mrs. P is a 93 y/o female has an Alzheimer's disease with comorbidities, for 7 years she has been cared for by her husband and daughter at home. Over the the months, her family has found it increasingly difficult to care for her at home due to worsening agitation and insomnia. She is now admitted to a facility to manage her condition for long term basis. What type of facility she was admitted?
Skilled Nursing Facility
Hi I am John Cruz, 70 years old and was admitted due to hip bone fracture as a result of my bad fall. I am to be discharge in the hospital and I want to request for my assistive walking device that I will need during my physical rehabilitation sessions. Who will cover John Cruz? Will the insurance cover his assistive walking device and what part?
Medicare because he is 70 y/o
Yes, Medicare part B covers Durable Medical Equipment.
What will the health specialist primary request to locate for the patient's account?
Medical Record Number or Test kit ID number
Hi I am Trisha Franz and I have Blue cross Blue shield, I am currently residing in Utah but I need to move to New York due to work. I wanted to know if my insurance will cover if something happen to me during my relocation.
Yes. Because she has a Blue Card which enables her to obtain healthcare services while traveling or living in another BCBS Plan's service area.
Differentiate Non institutional and Institutional Providers
Non Institutional are Individuals such as physicians, nurses, therapist and other allied health specialties
Institutional are the Facilities such as Hospital, long term and short term care centers
Hi there, I am Jane Doe 18 y/o currently 6months pregnant and was advised for complete bedrest for my remaining months of pregnancy, I am just part time cashier in a convenience store and no other source of income. I don't have a husband and just living with my younger sister. I would like to ask for assistance regarding my hospital bill. Which payer will cover Jane Doe? Why?
Medicaid, she is pregnant and don't make much money.
Can’t afford medical expenses
$99 PCR test (+ state tax 7% = $105.93)
Projected results available in 24-48 hours
Credit card
During a motor vehicle collision, what type of Liability insurance when once case is settled the party at fault pays for both the parties.
Auto Liability Insurance: NON - NO FAULT INSURANCE