Bcbs major medical - Study guides, Class notes & Summaries
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MHA 707 Exam D QUESTIONS AND ANSWERS.ALREADY PASSED AND GRADED A+
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MHA 707 Exam D QUESTIONS AND 
ANSWERS.ALREADY PASSED AND 
GRADED A+ 
 
 
 
 wyeth, pfizer, and squibb - answer provided the start for some of the largest names in the 
modern pharmaceutical industry: 
 
 founding of the u.s. nursing corps - answer ________in 1861 and the idea of professional 
nursing and its importance to medical care 
 
 development of the ambulance corps during the civil war - answer created ambulance-to 
emergency room system we know today 
 established hierarchy...
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BCBS Study guide Questions with Correct Answers
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BCBS Study guide Questions with Correct Answers 
 
What covers the medical expenses of individuals and groups - Answer-Commercial insurance 
 
What covers car related financial losses - Answer-Automobile insurance 
 
Who covers Reimbursement for income lost as a result of a temporary or permanent illness or injury - Answer-Disability insurance 
 
SSDI and SSI provides - Answer-Assistance to people with disabilities 
 
For disability what is a base period - Answer-Wages earned in a 12 month perio...
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AAMA CMA Admin Questions and Answers 2023
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AAMA CMA Admin Questions and Answers 2023 
Clustering 
Group procedures that are similar on the same day 
 
 
 
Double Booking 
Two or more patients scheduled at the same time 
 
 
 
Wave 
4 or more patients scheduled at the beginning of the same hour 
 
 
 
Modified Wave 
Hour long blocks broken down to smaller increments 
 
 
 
Time Specific 
Patient given an appointment based on length of time needed 
 
 
 
Full Block 
All lines begin at left margin 
 
 
 
Modified Block 
Subject, complimenta...
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Chapter 13 BlueCross BlueShield Vocabulary and Additional Terms
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Chapter 13 BlueCross BlueShield 
Vocabulary and Additional Terms 
Away From Home Care Program - answerprovides continous BCBS health care coverage for 
subscribers who will be out of their service area for more than 90 consecutive days 
BCBS Basic Coverage - answerBlueCross BlueShield (BCBS) coverage for the following 
services: hospitalization, diagnostic laboratory services, x-rays, surgical fees, assistant surgeon 
fees, obstetric care, intensive care, newborn care, and chemotherapy for cance...
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Healthcare Finance MHA 706 QUESTION & ANSWERS
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Individuals at greater risk of needing health care are more likely to purchase insurance - CORRECT ANSWERS-Adverse selection Healthcare Finance - CORRECT ANSWERS-the practice of finance, including both accounting AND financial management Accounting - CORRECT ANSWERS-the measurement, in financial (dollar) terms of events that reflect the resources, operations, and financing of an organization Financial Management - CORRECT ANSWERS-provides the theory, concepts, an tools necessary to help managers...
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BCBS chap 13 Exam Questions with All Correct Answers
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BCBS chap 13 Exam Questions with All Correct Answers 
 
BCBS basic coverage - Answer-Hospitalization Diagnostic service 
X rays Surgical fees 
Assistant surgeon fees Obstetric 
Intensive care Newborn care Chemo 
 
BCBS major medical - Answer-Office visits Outpatient non surgical 
Physical and occupational therapy Purchase of durable medical equipment Mental health visits 
Allergy testing and shots Prescription drugs Private duty nurse 
Dental care for accident injury 
 
Blue cross - Answer-First...
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Medical Insurance - Chapter 8 Practice Questions and Answers
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Medical Insurance - Chapter 8 Practice Questions and Answers 
document of eligible members of a capitated plan registered with a particular PCP for a monthly period 
monthly enrollment list 
 
 
 
payer preauthorication for elective hospital based services and outpatient surgeries 
precertification 
 
 
 
 
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document that modifies an insurance contract 
rider 
 
 
 
insuran...
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N5350 Roles Final Study Guide
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1. What are the 4 settings for prescriptive authority? Describe the requirements in each setting for physician supervision, # of NPs, chart review, and any other special requirements in that site. correct answer- 1. Medically Underserved 
2. Physician Primary Site 
3. Physician Alternate Site 
4. Facility Based Practice Site. 
* General requirements per TBON rule 222.5: regular visits, chart review as determined by APRN & physician, periodic face to face meeting of APRN & physician to discuss pt...
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CPB Certified Professional Biller Certification Questions & Answers
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Abuse - ANSWERSActions inconsistent with accepted, sound medical business or fiscal practice 
 
Accept Assignment - ANSWERSProvider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) 
 
Accounts Receivable - ANSWERSThe amount owed to a business for services or goods provided. 
 
Accounts Receivable Aging Report - ANSWERSShows the status (by date) of outstanding claims from each payer, as well as payments due from patients....
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AAPC CPC Chapter 1 correctly answered 2023
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AAPC CPC Chapter 1 correctly answered 2023MS-DRG 
Medicare Severity Diagnosis Related Group- Determines the amount the hospital will be reimbursed. 
 
 
 
EHR 
Electronic Health Record 
 
 
 
APC 
Ambulatory Payment Classification 
 
 
 
Outpatient coding 
* Provider Services, use CPT, HCPC level II and ICD10-CM Codes. 
 
* Work in provider offices, outpatient clinics, facility out patient department. 
 
*Also use APC's 
 
*More interaction with physician 
 
 
 
Inpatient hospital coding 
*Use ...
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