There are five steps in the claims adjudication process. Initial processing is the first step. Initial processing finds any problems such as; name‚ identification number‚ or the plan of service code is wrong. This has to be fixed before anything further can happen. Automated review is a system that checks for ten things that maybe reflected on their payment policy. The review checks for the following; patient’s time limits for filing claims‚ referral forms‚ preauthorization‚ and the patient’s eligibility
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Review Questions 1. An IPv6 address is made up of how many bits? An IPv6 address is made up of 128 bits. 2. The subnet mask of an IP address does which of the following? The subnet mask defines network and host portions of an IP address. 3. If a protocol is routable‚ which TCP/IP layer does it operate at? A routable protocol operates at the Internetwork layer of TCP/IP. 4. Which of the following is a private IP address and can’t be routed across the Internet? The IP address 172.19
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Summarize‚ in 200 to 300 words‚ the four external environmental factors and six internal environmental factors that help organizations achieve optimal function. Include in your response the factors that you feel are most important to the success of a human service organization. The four external environmental factors are: economic factors‚ sociological factors‚ technological factors‚ and political and professional factors. The six internal factors are: organizational purpose‚ mission‚ and
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The Bathtub Period (Chapter 15‚ pp. 708 - 709) Case Study Questions: 1. Should Jerry go to the General Manager? Why or why not? Think back to what is expected of a project manager and the project charter. Answer – Given that the project was strategic in nature for the company‚ the loss of key personnel to other projects is a very big risk that could impact delivery and quality of the project. Also‚ Jerry and his team had really worked very hard to ensure that they make up the management reserve that
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Characteristics of Orientalism‚ Prejudice‚ and Discrimination In this assignment the material that is to be covered is the differences between Arabs and Muslims as well as how they are currently being treated differently as opposed to treatment in the past. Orientalism will also be defined along with ways to lessen hate and promote tolerance. The difference Between Muslim and Arabs Some of the key differences between Muslims and Arabs are that they have different religious beliefs‚ they hail
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1. Given that an activity’s normal time and cost are ten days and $400‚ and its crash time and cost are five days and $800‚ what is the activity’s slope? The activity slope is $80 per day. 2. Identify and briefly describe the three types of constraints that can affect how you schedule resources. a.) Technical constraints – these address the sequence in which work activities must be performed. b.) Physical constraints – these occur when there are confined spaces in which the work must be
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The financial statement can show the records of the financial activities of a business. It was designed for common people to be able to read and understand this information. Three strengths of the financial statement is it that the owners and managers are able to understand the financial position of the company‚ this also allows individuals the ability to evaluate the historical and prospective financial performance‚ and this statement gives a vivid picture of the company’s financial health which
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There are three steps in the scientific process‚ unsystematic observation‚ building theories‚ and evaluating propositions. I have evaluated my personality many times in hopes to better myself. When I was younger I went through relationships like they were candy. I always blamed the other individual because of course I could do nothing wrong. A close friend of mine one day pointed out that I am not the same person I am with friends as I am with my boyfriends. At first I decided to not listen
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* GAAP: is a standard of methods that accountants and others use to prepare their financials. http://www.suite101.com/content/what-is-gaap-a28142 * Basic accounting formula: The formula or equation takes what a owner might owe to creditors and others adds it to what the owner might already own and factors in what the business owns. The equation can be done in different ways‚ but no matter there is always a balanced outcome. http://www.moneyinstructor.com/lesson/accountingtransaction
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The three tools of the financial statement analysis are the company’s audited financials‚ exel templated specially designed for financial analysis or specialized software‚ and full information about the company’s profile. The tricky part about this would be putting all your skills together and analyzing all the different financials. PepsiCo‚ Inc 2005 Current Ratio= 10‚454 (Current Assets) = 1.11% 9‚406 (Current Liabilities) 2004 Current Ratio= 8‚639 (Current
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