MEDICAL CODING & BILLING, BLUE CROSS/BLUE SHIELD, CHAPTER 13 QUESTIONS & ANSWERS VERIFIED 100% CORRECT!!
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Course
MEDICAL CODING & BILLING, BLUE CROSS/BLUE SHIELD,
Institution
MEDICAL CODING & BILLING, BLUE CROSS/BLUE SHIELD,
BCBS HAS A MANDATORY SECOND SURGICAL OPINION(SSO) REQUIREMENT NECESSARY WHEN A
PATIENT IS CONSIDERING ELECTIVE, NON EMERGENCY SURGICAL CARE. THEINITIAL SURGICAL
RECOMMENDATION MUST BE MADE BY A PHYSICIAN QUALIFIED TO PERFORMTHE ANTICIPATED
SURGERY. IF A SECOND SURGICAL OPINION IS NOT OBTAINED PR...
MEDICAL CODING & BILLING, BLUE
CROSS/BLUE SHIELD, CHAPTER 13
BCBS HAS A MANDATORY SECOND SURGICAL OPINION(SSO) REQUIREMENT NECESSARY WHEN A
PATIENT IS CONSIDERING ELECTIVE, NON EMERGENCY SURGICAL CARE. THEINITIAL SURGICAL
RECOMMENDATION MUST BE MADE BY A PHYSICIAN QUALIFIED TO PERFORMTHE ANTICIPATED
SURGERY. IF A SECOND SURGICAL OPINION IS NOT OBTAINED PRIOR TO SURGERY, THE PATIENT'S OUT OF
POCKET EXPENSES MAY BE ________. - INCREASED
BLUE CROSS BLUE SHEILD PLANS ORIGINALLY COVERED ONLY HOSPITAL BILLS AND BLUE SHEILD PLANS
COVERED FEES FOR PHYSICIAN SERVICES, AND THERE WAS CLOSE CORPORATION BETWEEN THE PLANS
THAT RESULTED IN JOINT VENTURES WHERE THE TWO CORPORATIONS WERE HOUSED IN ONE
BUILDING. IN THESE JOINT VENTURES BLUE CROSS BLUE SHEILD, BCBS. - SHARED ON BUILDING
AND COMPUTER SERVICESBUT MAINTAINED SEPARATE CORPORATE IDENTITIES.
BY 1932 SOME PLANS MODIFIED THE PREPAID PLAND CONCEPT AND ORGAINZATION COMMUNITY WIDE
PROGRAMS THAT ALLOWED THE SUBSCRIBER TO BE HOSPITALIZED IN ONE OF SEVERAL MEMBER
HOSPITALS IN ACCORDANCE WITH SIGNED CONTRACTS TO PROVIDE SERVICES______ - FOR
NEGOTIATED SPECIAL RATES
BLUE CROSS BLUE SHEILD PLANS WERE CREATED AS THE RESULT OF A RESOULUTION PASSED BY THE
HOUSE OF DELEGATES AT AN AMERICAN MEDICAL ASSOCIATION MEETING IN 1938. THIS RESOLUTION
SUPPORTED THE CONCEPT OF ______HEALTH INSURANCE THAT WOULD ENCOURAGE PHYSICIANS TO
COOPERATE WITH PREPAID HEALTH CARE PLANS. - VOLUNTARY
NON PROFIT CORPORATIONS ARE CHARITABLE, EDUCATIONAL, CIVIC, OR HUMANITARIAN
ORGANIZATIONS WHOSE PROFITS ARE__________ - RETURNED TO THE NONPROFIT
CORPORATIONS
FOR PROFIT CORPORATIONS PAY TAXES ON PROFITS GENERATED BYT HE CORPORATIONS ENTERPRISES
AND PAY DIVIDENS TO ________ON AFTER - TAX PROFITS. - SHAREHOLDERS
PARTICIPATING PROVIDERS CONTRACT TO
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