A participating provider (PAR):

a. is not allowed to bill patients for the difference between the contracted rate and their normal fee

b. does not contract with the insurance plan

c. is responsible for paying health care fees

d. may bill patients for the difference between the contracted rate and their normal fee

Answers

Answer 1

Answer:

[A]  is not allowed to bill patients for the difference between the contracted rate and their normal fee

Explanation:

Answer 2

Answer:

is not allowed to bill patients for the difference between the contracted rate and their normal fee

Explanation:

When a participating payer is hired then his work is

Do a deal between the provider and payer.It happens through a contract.

The rules of contract should be obeyed

So option A is correct


Related Questions

An investor deposits $50,000 in a money market accounts that pays 4%. How much money he will have at the end of 5 years. (Use the formula. Present your answer rounded to zero decimal places)

Answers

Investment, PV = $50000

Interest = 4%

Money at the end of 5 years = 50000 * (1+4%)^5 = $60833, if money is deposited at the beginning of the first year.

Money at the end of 5 years = 50000 * (1+4%)^4 = $58493, if money is deposited at the end of the first year.

Owen offers to sell his motorcycle to Julian for $5,000. After he makes the offer, Owen has second thoughts. Owen can revoke the offer to sell his motorcycle to Julian:

Answers

Owen can revoke the offer to sell his motorcycle to Julian: As long as Julian has not yet accepted the offer.

Revoke of offer to sell

Based on the given scenario Owen can revoke the offer to sell the motorcycle to Julian  based on the fact that Julian has not accepted the offer to buy the motorcycle from Owen.

An individual who  makes an offer have the power to revoke so long as it hasn't yet been accepted by the other party.

Hence, having a second thought about the offer Owen can revoke the  original offer he made.

Inconclusion Owen can revoke the offer to sell his motorcycle to Julian: As long as Julian has not yet accepted the offer.

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Wolverine and Spartan root beer are the best root beers according to the Root Beer Review. There is
also the generic store brand root beer - People's Choice brand- that is also sold where Gertrude
shops. Suppose that there is a recession. Gertrude's employer cuts her hours and, as a result, her
weekly pay declines. What will this do to her demand for generic root beer? Draw a graph of the
generic root beer market and explain what happened and why.

Answers

Answer:

Following the concept of inferior and normal goods, Gertrude's demand for generic brand root beer would increase.

Explanation:

During a recession as she has less income available. This typically moves demand away from normal goods (wolverine and spartan) and towards inferior goods (generic brand).

HELP ASAP According to an article in the Wall Street Journal, between 1998 and 2018, the number of non stop coast-to-coast flights in the United States more than doubled at the same time that tho price of a ticket declined.
(Source: Scott McCartney, "The Rare Case Where Airlines and Passengers Both Win," Wall Stroof Journal, March 28, 2018,)

Briefly explain whether the scenario can account for this outcome.

The demand for coast-to-coast flights decreased during this period, while the supply of flights increased

This scenario

A. can account for the quantity of coast-to-coast flights increasing at tho same time that the price was decreasing if the increase in supply is small onough relative to the decrease in demand.

B. can't account for the outcome of the quantity of coast-to-coast fights increasing at the same time that the price was decreasing because the quantity will always be lower in this scenario.

C. accounts for the quantity of coast-to-coast flights increasing at the same time that the price was decreasing, irrespective of the relativo size of the shifts of supply and demand,

D. can account for the quantity of coast-to-coast flights increasing at the same time that the price was decreasing if the increase in supply is large enough relative to the decrease in demand.

The demand for coast-to-coast flights increased during this period, while the supply of flights decreased.

This scenario

A. can't account for the quantity of coast-to-coast flights increasing at the same time that the price was decreasing because an increase in demand and a decrease in supply will both push the price higher

B. accounts for the quantity of coast-to-coast flights increasing at the same time that the price was decreasing, irrespective of the relative size of the shifts of supply and demand.

C. can't account for the quantity of coast-to-coast flights increasing at the same time that the price was decreasing because an increase in demand and a decrease in supply will both push the quantity lower

D. can account for the quantity of coast-to-coast flights increasing at the same time that the price was decreasing if the increase in demand is large enough relative to the decrease in supply

Answers

Based on demand and supply rules, the first scenario C. accounts for the quantity of coast-to-coast flights increasing at the same time that the price was decreasing, irrespective of the relative size of the shifts of supply and demand.

The second scenario A. can't account for the quantity of coast-to-coast flights increasing at the same time that the price was decreasing because an increase in demand and a decrease in supply will both push the price higher.

Why can the first scenario account for the noticed phenomenon?

The trend is that the number (supply) of flights increased and prices decreased.

Prices decrease when demand for flights decrease. Prices also decrease when supply of flights increase. Both situations will therefore lead to a decrease in price regardless of the quantity they occur in.

Why can't the second scenario account for the notice phenomenon?

If the demand for flights increase, the price of flights will increase as well. A decrease in supply will also lead to prices rising.

Both scenarios will therefore lead to a rise in price and so cannot account for the fall in price.

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Drag each tile to the correct box.
What is the sequence of events that could lead to trade surplus?

Answers

What is trade surplus?

Trade surplus:- This term is used when the export of the country product is greater than the cost of imports.

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Events ⤵️

1. the selling nation’s currency value appreciates

2. import cost for the buying nation goes up

3. demand for foreign currency increases

4. import goes down in the buying nation

5. the buying nation’s currency value depreciates

Sequence ⤵️

import cost for the buying nation goes up demand for foreign currency increases import goes down in the buying nation the buying nation’s currency value depreciates the selling nation’s currency value appreciates

I.e. 2-3-4-5-1

What is a organization chart

Answers

Answer:

An organizational chart is a diagram that visually conveys a company's internal structure by detailing the roles, responsibilities, and relationships between individuals within an entity.

is a diagram that visually conveys a company's internal structure

Explanation:

A diagram that conveys a company's internal structure by detailing the roles, responsibilities and relationships between individuals within an entity.organuzation charts are alternatively refered to as "org charts"

Madison Hotels sold a foreign organization the right to use its brand name and operating know-how in return for a lump-sum payment and a share of the profits. This is an example of

Answers

This sale of brand name and operating know-how by Madison Hotels to a foreign organization in return for a lump-sum payment and profit share is an example of Franchising.

What is Franchising?

Franchising is the business relationship between the franchisor and the franchisee in which the franchisor (e.g. Madison Hotels) establishes the brand's trademark or trade name and a business system. The franchisee pays a royalty and often an initial fee for the right to do business using the franchisor's brand name and system.

Thus, this business relationship between Madison Hotels and the foreign organization is an example is of Franchising.

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Explain the difference between public goods and private goods. Consider why profit can be

made through the supply of one type of good, but not the other. (8)
Need a full answer, Please ​

Answers

Public goods are provided by the Gov. While private goods are made from private businesses and are then bought by the consumer.

This unaudited financial information for Bond Company is presented below. Bond Company Income Statement for the Years Ended December 31, 20X1 December 31, 20X2 Gross sales $78,400,000 $82,000,860 Less Returns and allowances 2,500,000 2,604,500 Net sales 75,900,000 79,396,360 Cost of goods sold 45,300,000 50,436,360 Gross profit 30,600,000 28,960,000 Selling and administrative 18,400,000 19,200,000 Income from operations 12,200,000 9,760,000 Interest expense 1,900,000 1,800,000 Net income before taxes 10,300,000 7,960,000 Income taxes 4,982,000 3,580,700 Net income 5,318,000 4,379,300 Accounts Receivable 26,000,275 50,672,000 Inventory 56,000,000 58,000,000 Perform a horizontal analysis of net sales and accounts receivable. Express your answer as a percentage to two decimal places.

Answers

The performance of the horizontal analysis of net sales and accounts receivable for Bond Company shows the following results:

Net sales increased in 20x2 to 104.61% while the Accounts Receivable increased to 194.89%.

What is horizontal analysis?

Horizontal analysis or trend analysis of a financial statement is a comparison of the financial statement items to show their year-on-year performances and growth patterns over time.

Data and Calculations:

Bond Company Income Statement for the Years Ended

                                            December 31, 20X1     December 31, 20X2

Gross sales                                   $78,400,000             $82,000,860

Less Returns and allowances         2,500,000                  2,604,500

Net sales                                        75,900,000                79,396,360

Cost of goods sold                        45,300,000               50,436,360

Gross profit                                    30,600,000               28,960,000

Selling and administrative             18,400,000                19,200,000

Income from operations                12,200,000                 9,760,000

Interest expense                              1,900,000                  1,800,000

Net income before taxes              10,300,000                  7,960,000

Income taxes                                  4,982,000                   3,580,700

Net income                                      5,318,000                   4,379,300

Accounts Receivable                  26,000,275                 50,672,000

Inventory                                     56,000,000                58,000,000

                         December 31, 20X1     December 31, 20X2  Horizontal

                                                                                                    Analysis

Net sales                     75,900,000                79,396,360       104.61% ($79,396,360/$75,900,000 x 100)

Accounts receivable  26,000,275                 50,672,000       194.89% ($50,672,000/$26,000,275 x 100)

Thus, the performance of the horizontal analysis of net sales and accounts receivable for Bond Company shows that Net sales increased in 20x2 to 104.61% while the Accounts Receivable increased to 194.89%.

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If the tax rate on the first $30,000 of income is 15 percent; on the next $30,000 is 20 percent; and on all income above $60,000 is 30 percent, then the tax payment on income of $30,000 is $_____.

Answers

Based on the information given the tax payment on income of $30,000 is $10,500.

Tax payment on income

Using this formula

Tax payment=(First income×Tax rate)+(Next income×Tax rate)

Let plug in the formula

Tax payment=($30,000×15%)+($30,000×20%)

Tax payment=$4,500+$6,000

Tax payment=$10,500

Inconclusion the tax payment on income of $30,000 is $10,500.

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Answer:4500

Explanation: multiply the tax rate of 15% by 30,000

Fallon campaign managers suggested that Arby’s implement a(n) ______ as one way of measuring the campaign’s effectiveness. In this evaluation technique, two versions of the television advertising copy are created and the difference in effectiveness is recorded via checkout scanner data.

Answers

Answer:

Sales Test

Explanation:

Sales tests can include consumer purchase tests that measure retail sales that result from a given advertising campaign.

Fallon campaign managers indicated that Arby’s implement a Sales test as one way of estimating the campaign’s effectiveness.

What is sales test?

A sales assessment test exists as a resource employers utilize to gauge sales candidates' professional demeanor and overall sales acumen. It's a test that generally protects bases related to elements of sales roles like character, contact, goal-setting, presentation, adaptability, cooperation, and research.

Sales tests can contain consumer purchase tests that estimate retail sales that result from a provided advertising campaign.

Hence, Fallon campaign managers indicated that Arby’s implement a Sales test as one way of estimating the campaign’s effectiveness.

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Which would be considered part of an employee’s salary?
amount of taxes that will be deducted each pay check
amount an employee can expect to earn in gratuities from customers
amount of money the employee will earn each month
amount of matching funds the employer will pay to a retirement account

Answers

Answer:

Amount of money the employee will earn each month.

Pear Company plans to develop a shopping center. The following amounts were spent: Acquisition of land $16,000 Surveys and legal fees 600 Land clearing 400 Fencing 4000 Install lighting and signage 1660 What amount should be recorded as the cost of the land in the company's books

Answers

Answer: $22,660

Explanation: GAAP says that all cost incurred to bring the asset ready for its intended use can be capitalized. In this case, all cost are acceptable as they are needed to bring the land ready for use.

Why is the "insurance verification and eligibility" function of accounts receivable management important?

a. It facilitates patient and family counseling about insurance and payment issues, which includes advising patients and familles about insurance benefits.

b. It allows for account follow-up and payment resolution by reviewing remittance advice documents and contacting payers to resolve claims.

c. It confirms the patient's insurance plan and eligibility information with the third-party payer to determine the patient's financial responsibility for services rendere

d. It involves capturing charges and posting payments by entering charges for services and procedures in the medical practice management's billing system.

Answers

Answer:

[C] It confirms the patient's insurance plan and eligibility information with the third-party payer to determine the patient's financial responsibility for services rendere

Explanation:

The "insurance verification and eligibility" function of accounts receivable management is important  It confirms the patient's insurance plan and eligibility information with the third-party payer to determine the patient's financial responsibility for services rendered.

What is the insurance?

Insurance is a tool for risk management. You purchase protection against unforeseen financial losses when you purchase insurance. If something unpleasant happens to you, the insurance company pays you or someone else of your choosing. If an accident occurs and you don't have insurance, you can be liable for all associated expenses.

In order to evaluate the patient's financial responsibility for the services rendered, it verifies the patient's insurance plan and eligibility details with the third-party payer.

It entails recording fees for services and procedures in the billing system for medical practice administration in order to capture charges and submit payments.

Therefore, Thus, option (C) is correct:

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The demand curve has what kind of slope?

Answers

Answer:

Downward slope.

Explanation:

The demand curve has a downward slope, representing the negative relationship between a product's price and quantity demanded.

What event had an enormous effect on US workplace safety

Answers

Answer:

I believe your answer would be D, a deadly factory fire.

Hope this helped!

The deadly factory fire, it surrounded the whole workplace in a short period of time and trapped workers inside the building.

Owner's equity/capital is the obligation of the business to its owner
A. True
B. False​

Answers

the obligation of the business to its owner is true

A system of accounting for production operations that provides managers with information to control costs and set selling prices is called a(n):

Answers

The answer is Cost Accounting system because it is system of accounting for production operations that provides managers with information to control costs and set selling prices.

What is Cost Accounting?

Cost Accounting system refers to some set of methods a company's management employ to record and report measurements of the cost use to produce goods and some services carried out in detail. It involves procedures use to recognize, classify, allocate, sort and record costs incured and comparing them with standard costs.

Therefore, The answer is Cost Accounting system because it is system of accounting for production operations that provides managers with information to control costs and set selling prices

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Myra agrees to sell Connie her house for $250,000.00. The next day, a tornado destroys the house. Will either party be bound by the terms of the contract

Answers

In relation to whether either Myra or Connie will be bound to the transaction involving the house, the answer is no because the subject matter has been destroyed.

Why are neither party bound to the contract?

The subject matter of the contract which is the house, has been destroyed and this happened before the contract was finalized.

There is therefore, no longer a subject for the contract to be finalized and as it is neither party's fault, neither of them will be bound by the contract's terms.

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definition of medium term plans​

Answers

Medium term plans is a sequence of work for a subject that shows what a teacher or educator is planning to teach over a period of weeks, such as a half term or term.

Amberger Products competes in consumer electronics where there is a high level of market and technological uncertainty. To address these challenges, Amberger Products does not commit itself to a particular product design or features early on; instead, it is geared to quickly and inexpensively assess if it has succeeded or failed with a design or feature, learn from its past, regroup and try again quickly. The option that Amberger Products uses is called a ________ option.

Answers

The positioning option is used by Amberger Product because its enables them to quickly and inexpensively assess if it has succeeded or failed with a design or feature.

What is positioning in business?

In business, the term "positioning" refers to a concept that helps to outlines what a business should do to market its product or service to its customers.

In conclusion, the positioning option is used by Amberger Product because its enables them to quickly and inexpensively assess if it has succeeded or failed with a design or feature.

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It costs about USD $640 to extract 1 troy ounce of Nevada gold from the mine. So how much does it cost to mine and extract the gold from 1 short ton of the Nevada ore

Answers

It would costs about USD $18,666,880 to extract 1 short ton of Nevada gold

Equation

An equation is used to show the relationship between two or more numbers and variables.

29167 troy ounce = 1 short ton

Since It costs about USD $640 to extract 1 troy ounce of Nevada gold, hence for one short ton:

Cost of extracting one short ton = $460 * 29167 = $18,666,880

It would costs about USD $18,666,880 to extract 1 short ton of Nevada gold

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Suppose you pay $14 to see George Clooney in his next movie and that Mr. Clooney receives $40 million for appearing in it. This means that:

A.)You would be better off if you were more self-reliant in the movie market.
B.)George Clooney receives a producer surplus of $40 million.
C.)You receive a consumer surplus of $14.
D.)You and George Clooney benefit from this transaction.

Answers

It can be depicted that you and George Clooney benefit from this transaction since utility is derived.

What is utility?

Utility refers to the usefulness or enjoyment that a consumer can get from a good or service.

In this case, if one pays $14 to see George Clooney in his next movie and that Mr. Clooney receives $40 million for appearing in it, the p[erson and George Clooney benefit from this transaction.

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examples of agricultural businesses​

Answers

Answer:

Examples of agricultural businesses are farm machinery manufacturing, and farming and ranching too.

Explanation:

I hope this helps! Have a great day!!

Lilac~

The government is considering levying a tax of $30 per unit on suppliers of either jeans or allergy medication. The supply curve for each of these two
goods is identical, as you can see on each of the following graphs. The demand for jeans is shown by D, (on the first graph), and the demand for
allergy medication is shown by D. (on the second graph).
Suppose the government taxes jeans. The following graph shows the annual supply and demand for this good. It also shows the supply curve (
S + Tax) shifted up by the amount of the proposed tax ($30 per pair).
On the following graph, use the green rectangle (triangle symbols) to shade the area that represents tax revenue for jeans. Then use the black
triangle (plus symbols) to shade the area that represents the deadweight loss associated with the tax.

Answers

The effect of tax on supply is that it increases the cost of production and ultimately the price of the Jeans. This will have the effect of reducing the demand as seen in the graph attached.

What are the effects of Tax of Supply?

All things being equal, Tax has a way of reducing supply in the long run, especially in a perfect market.

When taxes are levied on the production of a product that is elastic to price changes (that is changes easily with fluctuations in price according to the laws of demand), demand slows down.

When demand slows down, profit also slows down. This in turn bites back on the amount of taxes that the government is able to make because suppliers are are driven by profit.

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give at least 2 diffrences of entrepreneurs and intrapreneurs."​

Answers

Answer:

The main difference between an entrepreneur and intrapreneur is that an intrapreneur is already an employee of an existing organization or buissness, while the entrepreneur creates and oversees a new organization or buissness. Another difference is when an entrepreneur introduces an idea, they are usually introducing a new idea that doesnt already exist or belong to a company. an intrapreneur on the other hand promotes an idea innovation within the already existing company. Also, an intrapreneur is usually an "inside entrepreneur" within an inside co. while an entrepreneur is typically in a larger firm.

Explanation:

I hope this helps have a great day:)

After luke tries to understand wang-li's family situation, wang-li shares his concerns about his ability to complete his work responsibilities. Then luke asks questions and listens carefully to further understand wang-li's worries about the work. Luke learns that wang-li is especially worried because his family has invested so much into his career success. Which element of eq is most displayed in this case?

Answers

The element of eq that is most displayed in this case is: Empathy.

What is Empathy?

Empathy is the quality of putting ourselves in the shoes of others. An empathetic person seeks to understand the situation of others.

Luke displayed empathy when he tried to understand Wang-li's family situation. An empathetic person listens and understands.

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Miranda Fashions competes in the fast-changing world of fickle teenage apparel tastes. To manage this uncertainty, Miranda Fashions typically puts out several new apparel offerings in small quantities to get customer reaction and once customer preferences are clear, it invests heavily to go all out. The option that Miranda Fashions uses is called a ________ option.

a. stepping-stone
b. scouting
c. staged
d. positioning

Answers

When launching several new clothing offerings in small quantities to get the customer's reaction, Miranda Fashion uses a strategy called a stepping-stone option.

What is the Stepping-stone strategy?

It is based on a strategy of managing organizational growth in the short and medium term in an aligned and modest way, but which is profitable and generates a more tangible and achievable understanding for decision making in the long term.

Therefore, through the stepping-stone, the company can manage the uncertainties of rapid change in market trends and position itself in front of its target audience in a more focused and directed way to their desires and needs.

The correct answer is:

a. Stepping-stone

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Which tool in Access will give you a detailed report showing the most accurate and complete picture of employee attendance grouped by days of the week over the past year

Answers

The tool in that will give me a detailed report showing the most accurate employee attendance at a time is Report Wizard.

What is Report Wizard?

Report Wizard can be regarded as a tool which guides an individuals when going through  the process of creating complex reports.

Report Wizard can help to know employee presence in days of the week over the past year.

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Martin has a controlling interest in Rowen's outstanding stock. At the current year-end, the following information has been accumulated for these two companies:

Separate Operating Income Dividends Paid
Martin $565,000 $105,000
(includes a $162,000 net gross profit in intra-entity ending inventory)
Rowen 300,000 75,000

Martin uses the initial value method to account for the investment in Rowen. The separate operating income figures just presented include neither dividend nor other investment income. The effective tax rate for both companies is 21 percent.

Required:
a. Assume that Martin owns 100 percent of Rowen's voting stock and is filing a consolidated tax return. What income tax amount does this affiliated group pay for the current period?
b. Assume that Martin owns 92 percent of Rowen's voting stock and is filing a consolidated tax return. What amount of income taxes does this affiliated group pay for the current period?
c. Assume that Martin owns 65 percent of Rowen's voting stock, but the companies elect to file separate tax returns. What is the total amount of income taxes that these two companies pay for the current period?

Answers

a. The income tax amount that the affiliated group (Martin owning 100% of Rowen) would pay for the current period is $147,630.

Income tax = $147,630 ($565,000 - $162,000 + $300,000) x 21%

b.  The income tax amount that the affiliated group (Martin owning 92% of Rowen) would pay for the current period is $150,352.

Income tax = $150,352 ($565,000 + $300,000 - $149,040) x 21%

c.  The income tax amount that the affiliated group (Martin owning 65% of Rowen) would pay for the current period is $159,537.

Income tax = $159,537 ($565,000 + $300,000 - $105,300) x 21%

What is intra-entity profit?

An intra-entity profit arises when profits have not been unrealized because the assets are not consumed by or sold to any outside party. Such profits must be eliminated from the consolidated tax returns and financial statements.

Data and Calculations:

                              Separate            Dividends

                       Operating Income         Paid

Martin                    $565,000           $105,000

(includes a $162,000 net gross profit in intra-entity ending inventory)

Rowen                    300,000               75,000

Income tax rate = 21%

Intra-entity gross profit to be eliminated:

a. 100% ownership = $162,000

b. 92% ownership = $149,040 ($162,000 x 92%)

c. 65% ownership = $105,300 ($162,000 x 65%)

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