Certified Construction Industry Financial
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Facility Providers - ...ANSWER...✓✓ Hospitals
Skilled Nurses
Home health agencies
Ambulatory services
Professional Providers -...ANSWER...✓✓ Physicians
Pharmacists
APPs
Fee for Service - ...ANSWER...✓✓ a system under which
doctors and hospitals receive a payment for each service
they provide
3 largest third party payers buy annual expenditures -
...ANSWER...✓✓ 1. Private health insurance (1,183.9M)
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2. Medicare (705.9 M)
3. Medicaid (581.9 M)
Deductible - ...ANSWER...✓✓ pre-determined amount that
the patient pays before insurer begins to pay for services
coinsurance - ...ANSWER...✓✓ percentage of the
insurance payment amount that is paid by the patient,
along with the amount payed by the insurer
co payment - ...ANSWER...✓✓ flat amount that the patient
pays at each time of service
Medicare - ...ANSWER...✓✓ a federal insurance program
for persons over the age of 65 and qualified disabled or
blind persons regardless of income
Part A Medicare - ...ANSWER...✓✓ Provides coverage for
hospital care and limited nursing home care.
-covers up to 60 days at the hospital
-pay one deductible every time
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Part A Medicare financed by - ...ANSWER...✓✓ national
tax wages
Part B Medicare - ...ANSWER...✓✓ Government-
subsidized voluntary insurance for physician services and
outpatient services.
Part B Medicare financed by - ...ANSWER...✓✓ general
tax revenues and premiums paid by beneficiary
Part C of Medicare - ...ANSWER...✓✓ allows private
health insurance companies to provide Medicare benefits
-offers other benefits that Medicare A & B
Part D of Medicare - ...ANSWER...✓✓ provide prescription
drug benefit management through private retail
pharmacies across the US
Medicaid - ...ANSWER...✓✓ provide insurance to low
income families, disabilities, pregnant mothers, and
eligible children
-federal government puts half of it