# Ch 16 Case Studies 10

###### Question:

As with a Medicare RA, when a commercial RA is received, before posting payments and preparing secondary claims that may be required you must carefully review it. When analyzing an RA from a commercial carrier, you must be familiar with the guidelines of that carrier’s particular plan. The type of services covered and the percentage of the coverage will vary, depending on whether the plan is a fee-for-service plan, a managed care plan, a consumer-driven health plan, or some other type. The allowed amounts for each procedure will also vary with different plans, depending on the fee schedule decided upon in the contract between the payer and the provider. The contract will also specify whether there is a discount on the fees.

##### Include in your discussion: 300 words document please Differences between off campus emergency departments (OCEDs) and...
Include in your discussion: 300 words document please Differences between off campus emergency departments (OCEDs) and independent free standing emergency centers (IFECs). What would be the advantage to the healthcare organization of an OCED? How would services provided be reimbursed either by priv...
##### Only typed answers acceptable otherwise 100% downvote. Downvote is my passion. Answers should be 100% correct...
only typed answers acceptable otherwise 100% downvote. Downvote is my passion. Answers should be 100% correct i will downvote you its complete & Design a fran 6.65m. It of 150mm . The the ou Steel beam section having effective It is supported at and with and faceaed bearing dead live and load ...
##### What is the equation of a line that has a slope of 1/2 and passes through (-8, -5)?
What is the equation of a line that has a slope of 1/2 and passes through (-8, -5)#?...
##### 10.Using curved arrows, show the flow of electrons for the below reaction lone pairs of electrons...
10.Using curved arrows, show the flow of electrons for the below reaction lone pairs of electrons as needed. H + ** Homo H H-N + H-o-Nho omo + H-N-H + O-N- 11. Draw the skeletal (line-bond) form of CH3CHCICH2CH(CH3)2 and draw a constitutional isomer of this molecule that contains exactly one 4° ...
##### A golfer hits a golf ball at an angle of 35° above horizontal. If the initial...
A golfer hits a golf ball at an angle of 35° above horizontal. If the initial velocity is 55 m/s, about how far from the tee does the ball land?...
##### Weston Corporation just paid a dividend of $3 a share (i.e., D0 =$3). The dividend is expected to grow 10% a year for t...
Weston Corporation just paid a dividend of $3 a share (i.e., D0 =$3). The dividend is expected to grow 10% a year for the next 3 years and then at 3% a year thereafter. What is the expected dividend per share for each of the next 5 years? Do not round intermediate calculations. Round your answers t...
##### What is the mass of 85 ml of acetone which has a density of 0.79 g/ml?include...
What is the mass of 85 ml of acetone which has a density of 0.79 g/ml?include the formula used and units in your answer...
##### Q3-(25 pts) A pulley of mass Mand radius R can rotate around its center of mass...
Q3-(25 pts) A pulley of mass Mand radius R can rotate around its center of mass freely. Take the moment of inertia of the pulley as 1o. A string with negligible mass is wrapped around the pulley. One end of the string holds a block with mass m and the other end is attached to a spring with a force c...
##### Kenosha Winter Services is a small, family-owned snow-removal business. For its services, the company has always...
Kenosha Winter Services is a small, family-owned snow-removal business. For its services, the company has always charged a flat fee per hundred square metres of snow removal. The current fee is \$12.30 per hundred square metres. However, there is some question about whether the company is actually ma...
##### FOR PRINTER VERSION BACK Problem 14-02A (Part Level The post-doing t halace of Shandan Carbon December...
FOR PRINTER VERSION BACK Problem 14-02A (Part Level The post-doing t halace of Shandan Carbon December 31, 2020, Preferred Stock (16,000 shares lecund 1800,000 Commen Stock (259,000 ha d ) 2,590,000 Pidin Capital in Press of Preferred Stock Pald-in Capital incess of Par-Common Stock 410,000 Common S...
##### Uppose you pour 0.350 kg of 20.0°C water into a 0.900 kg aluminum pan off the...
uppose you pour 0.350 kg of 20.0°C water into a 0.900 kg aluminum pan off the stove with a temperature of 165°C. Assume that the pan is placed on an insulated pad. What would be the final temperature (in °C) of the pan and water if 0.0300 kg of the water evaporated immediately, leaving t...
##### You are working on skin preparation for a patient and before you know it, you've run...
You are working on skin preparation for a patient and before you know it, you've run out of prep sponges. You see some surgical sponges nearby. Can you use those to finish prep? Why or why not?...