CLO 2

Question 1

What is the purpose of precertification?

Answer 1

verifying that is covered before proceeding

Question 2

What do managed care delivery systems emphasize to help control costs?

Answer 2

Utilization review

Question 3

Who pays the Workers’ Compensation premiums?

Answer 3

typically paid by employers

Question 4

what is a beneficiary?

Answer 4

commonly designated to ensure the orderly distribution of assets and benefits according to the wishes of the grantor or the terms of legal documents

Question 5

In order for a physician to be paid directly what form does the patient need to sign and have on file?

Answer 5

Assignment of Benefits form.

Question 6

Coordination of benefits means?

Answer 6

COB- coordination of benefits

Question 7

what is an insurance carrier?

Answer 7

carrier sells to the administer

Question 8

what insurance is offered for those 65 and older?

Answer 8

Medicare

Question 9

What are the special circumstances for Medicare under the age of 65?

Answer 9

kidney failure disease