All categories

3 years ago

What is the difference between excluded services and services that are not reasonable and necessary?

1 answer:

8 0

Excluded services are those services which health insurance companies do not pay for. Those services may be needed or necessary but they are not covered by the health insurance plan and the person concerned will have to pay for the service himself. Services that are not reasonable or necessary refer to those services which are not deem necessary in the treatment of a patient.

You might be interested in

Which sociological perspective would view sports as a form of big business in which profits are more important than the health a

Umnica [9.8K]

Answer: B. CONFLICT PERSPECTIVE

Explanation:

CONFLICT PERSPECTIVE

This theory which was opined by Karl Marx suggests that society keeps competing for limited resources and as such is in continuous conflict.

According to this theory, individuals and groups within society work to maximize their benefits and hold onto wealth by any means necessary including the disregard of the health and safety of athletes in this scenario.

4 0

3 years ago

Total payroll of Walnut Co. was $1,900,000, of which $330,000 represented amounts paid in excess of $118,500 to certain employee

babymother [125]

Answer:

Dr Salaries and Wages Expense $1,900,000,

Cr Withholding Taxes Payable $461,000,

Cr FICA Taxes Payable 124,890

Cr Cash 1,314,110

Dr Payroll Tax Expense 158,535

Cr FICA Taxes Payable 150,135

Cr FUTA Taxes Payable 3,360

Cr SUTA Taxes Payable 5,040

Explanation:

Walnut Co

Dr Salaries and Wages Expense $1,900,000,

Cr Withholding Taxes Payable $461,000,

Cr FICA Taxes Payable 124,890

Cr Cash 1,314,110

(1,900,000 – $330,000) × 7.65%+ ($330,000 × 1.45%)

=1,570,000×0.0765+4,785

=120,105+4,785

Dr Payroll Tax Expense 158,535

Cr FICA Taxes Payable 150,135

($1900,000 × 7.65%) + ($330,000 × 1.45%)

(145,350+4,785)

Cr FUTA Taxes Payable 3,360

($1,900,000 – $1,480,000) × .8%

420,000×.8%

Cr SUTA Taxes Payable 5,040

($420,000 × 1.2%)

7 0

3 years ago

For the underwriting of a municipal bond issue, competitive bids are submitted by underwriters as A) a best efforts underwriting

makkiz [27]

B a standby underwriting commitment.

3 0

2 years ago

Joss is a marketing consultant. Iris and Daphne are potential customers interested in commissioning Joss to undertake a market s

posledela

Answer: d. both Iris and Daphne will want to purchase Joss's services but Joss will not be willing to undertake the job.

Explanation:

Iris will want Joss's services but they will be unable to afford them as Iris is only willing to pay $500 whereas Joss wants $1,200 for the job.

The same goes for Daphne who is only willing to pay $800.

Both of them will therefore want to hire Joss but will be unable to.

Joss could however charge both of them their willingness to pay and then sum the cash up and give them both the research whilst still making a profit.

6 0

3 years ago

Rent control policies tend to cause

Savatey [412]

Answer:

The correct answer is d. relatively smaller shortages in the short run than in the long run because supply and demand tend to be more inelastic in the short run than in the long run.

Explanation:

Rent control laws set limits on how much landlords can charge rent. The rent control laws specify:

What types of properties qualify for rent control.
How often rent limits can be adjusted.
How rent limits can be adjusted. Most rent control laws link increases in rental limits to an annual percentage of inflation in a local consumer price index.
The conditions when a property is "out of control."
Restrictions on the eviction of the tenant with rent control.

There are no federal rent control laws since the US Supreme Court. UU. He ruled that rent regulation is a state issue. Most states do not have rent control laws regulated. Only some cities and communities in some states continue to apply them.

In the United States, rent control laws were adopted during World War II when the country was experiencing a housing shortage. President Richard Nixon then passed the wage and price laws that influenced the modern rent control laws that are still being applied today. This is why most rent control laws usually apply to older properties built before 1980.

5 0

3 years ago