Bcbs exam - Study guides, Class notes & Summaries
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NCCT: Interactive Review: Medical Insurance Exam Questions And Answers With 100% Correct Answers
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NCCT: Interactive Review: Medical 
Insurance Exam Questions And Answers 
With 100% Correct Answers 
Eligibility for Medicaid may change as quickly as - answermonthly. 
Which of the following processes requires checking and confirming that the patient is a member 
of the insurance plan and that the member identification number is correct? - 
answerverification 
The patient is a 3-year-old. Both parents have private insurance coverage on the patient, and the 
mother has a Healthcare Savings Accoun...
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NCCT: Interactive Review: Medical Insurance Exam Questions And Answers With 100% Correct Answers
- Exam (elaborations) • 16 pages • 2024
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NCCT: Interactive Review: Medical 
Insurance Exam Questions And Answers 
With 100% Correct Answers 
Eligibility for Medicaid may change as quickly as - answermonthly. 
Which of the following processes requires checking and confirming that the patient is a member 
of the insurance plan and that the member identification number is correct? - 
answerverification 
The patient is a 3-year-old. Both parents have private insurance coverage on the patient, and the 
mother has a Healthcare Savings Accoun...
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BCBS New Exam Questions and Answers
- Exam (elaborations) • 4 pages • 2023
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BCBS New Exam Questions and Answers
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BCBS Exam Questions With Correct Answers.
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©THEBRIGHT EXAM STUDY SOLUTIONS 8/27/2024 12:01 PM 
BCBS Exam Questions With Correct 
Answers. 
Blue Cross Blue Shield began as two separate __________ health plans - answerprepaid 
In ______ the membership of the separate BCBS national associations voted to combine 
personnel under the leadership of a single president - answer1977 
In ______ BCBS merged into a single coproration - answer1986 
__________ corporations are charitable, educational, civic or humanitarian organizations whose 
profit...
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CRC Exam Questions and Answers 100% Pass
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CRC Exam Questions and Answers 100% Pass 
How is predictive modeling used in risk adjustment? - Correct Answer ️️ -to determine 
suspected diagnosis based on data elements. 
Which of the following data elements are used in predictive modeling? 
I. DME claims 
II. Prescription drug events 
III. Physician claims data 
IV. Facility claims data 
a. III and IV 
b. I, II, and IV 
c. I, II, and III 
d. I, II, III, and IV - Correct Answer ️️ -d. I, II, III, and IV 
What might happen as a result ...
Too much month left at the end of the money?
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Revenue Cycle Management Ch.13 BlueCross BlueShield Practice Questions and Answers
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Revenue Cycle Management Ch.13 
BlueCross BlueShield Practice 
Questions and Answers 
One of the requirements that a participating provider must comply with is to 
a. purchase billing manuals and newsletters published by the payer and pay registration 
fees to attend payer training sessions. 
b. make fee adjustments for the difference between amounts charged to patients for 
services provided and payer-approved fees. 
c. maintain a provider representative department to assist with billing and pa...
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Mock CPB Exam Questions And Answers 100% Pass.
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©BRIGHTSTARS EXAM SOLUTIONS 
10/21/2024 9:24 PM 
Mock CPB Exam Questions And Answers 
100% Pass. 
Court decisions that establish a standard use legal decisions to serve as authoritative rules or 
patterns in future similar cases. The legal term for standard is ______. 
a. decision 
b. example 
c. precedent 
d. statute - answerprecedent 
Which is established in advance and based on reported health care charges from which a 
predetermined per diem rate is determined? 
a. prospective cost-based ra...
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BCBS new exam
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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 - Answe...
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Medical Insurance Chapter 13th BlueCross BlueShield Exam Study Guide with Complete Solutions
- Exam (elaborations) • 8 pages • 2024
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Medical Insurance Chapter 13th 
BlueCross BlueShield Exam Study 
Guide with Complete Solutions 
One of the requirements that a participating provider must comply with is to - 
Answer️️ -make fee adjustments for the difference between amounts charged to 
patients for services provided and payer-approved fees. 
Which is a program that requires providers to adhere to managed care provisions? - 
Answer️️ -preferred provider network (PPN) 
One of the expectations that a nonparticipating provi...
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