Questions and Answers
Which keyboard shortcut allows you to insert the current date in Excel?
What is the function of Shift+F3 in Excel?
Which command is executed with the Ctrl+F4 keyboard shortcut?
What does the command Ctrl+F3 achieve in Excel?
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Which shortcut allows you to extend the selection of cells in Excel?
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Which keyboard shortcut is utilized for the 'What’s This?' help feature?
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What does the command Shift+F4 specifically do in Excel?
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Which shortcut key command is used to save the current workbook in Excel?
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What is the result of using Ctrl+Shift+F6 in Excel?
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Which command is associated with the shortcut F9 in Excel?
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Study Notes
Health Insurance Plans
- Health Maintenance Organization (HMO): A managed care plan that provides comprehensive medical care services on a prepaid basis, requiring members to choose a Primary Care Physician (PCP) and provider location from participating providers.
- Preferred Provider Organization (PPO): A type of health plan that contracts with medical providers to create a network of participating providers, allowing members to visit any in-network physician or healthcare provider without a referral from a primary care physician.
- Point-of-Service (POS) plan: A mix between an HMO and a PPO-style health insurance policy, allowing members to have more choices than with an HMO, with the option to select a primary care provider and potentially requiring a referral to see a specialist.
- Exclusive Provider Organization (EPO) plan: A plan that allows members to use doctors and hospitals within the EPO network, but not outside the network, with no out-of-network benefits.
Key Terms
- Medicare Supplement Insurance (Medigap) policy: Helps pay some of the health care costs that Original Medicare doesn't cover, such as copayments, coinsurance, and deductibles.
- Modifier: Two-digit codes that add information or change the description of a service or procedure rendered, categorized into two levels (Level I and Level II).
- Patient Responsibility (PR): The amount a patient is responsible for paying that is not covered by the insurance plan.
- Primary Care Physician (PCP): The physician who provides initial care and coordinates additional care if necessary.
- Explanation of Benefits (EOB): A statement that comes with the insurance company payment to the provider, explaining payment details, covered charges, write-offs, and patient responsibilities and deductibles.
- Electronic Remittance Advice (ERA): An electronic version of an insurance EOB that provides details of insurance claim payments, formatted according to the 835 standard.
Insurance Concepts
- Fee For Service: Insurance where the provider is paid for each service or procedure provided, typically allowing patients to choose their provider and hospital, but often with higher deductibles and co-pays.
- Fee Schedule: Cost associated with each CPT treatment billing code for a provider's treatment or services.
- Group Health Plan (GHP): A means for one or more employers to provide health benefits or medical care for their employees (or former employees).
- Capitation: A fixed payment paid per patient enrolled over a defined period of time, paid to a health plan or provider, covering the costs associated with the patient's health care services.
- Authorization: When a patient requires permission from the insurance company before receiving certain treatments or services.
Claim Processing
- Clearinghouse: A service that transmits claims to insurance carriers.
- Claim processing: Involves verifying the processing date, allowed amount, and patient responsibility, and determining whether the claim is partially or fully applied towards the deductible.
Time Zones and Daylight Saving Time
- Time difference between India and EST is 10 hours 30 minutes.
- There is a difference of 1 hour between each time zone in the USA.
- Daylight Saving Time (DST) is a system of adjusting the official local time forward by one hour, typically in the summer months, and backward by one hour in the autumn months.
Excel Shortcuts
- F4: Switches between absolute and relative references.
- F5: Goto.
- F7: Spell check.
- F9: Recalculate all workbooks.
- Ctrl+: Inserts the current time.
- Ctrl+;: Inserts the current date.
- Shift+F1: What's This?
- Shift+F3: Paste function into formula.
- Shift+F5: Find.
- Shift+F6: Previous pane.
- Shift+F9: Calculate active worksheet.
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Description
Test your knowledge of different health insurance plans, including HMO and PPO. Learn about the characteristics and benefits of each plan.