Bcbs exam questions - Study guides, Class notes & Summaries

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 ...

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...

BCBS Exam Practice Questions and Answers |100% Pass Blue Cross Blue Shield began as two separate __________ health plans - Answer️️ - prepaid In ______ the membership of the separate BCBS national associations voted to combine personnel under the leadership of a single president - Answer️️ -1977 In ______ BCBS merged into a single coproration - Answer️️ -1986 __________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to...

©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...

NCCT: Interactive Review: Medical Insurance Exam Questions and Answers Eligibility for Medicaid may change as quickly as - Answer-monthly. 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? - Answer-verification The patient is a 3-year-old. Both parents have private insurance coverage on the patient, and the mother has a Healthcare Savings Account. The primary insurance ...

Chapter 13 BlueCross BlueShield Vocabulary and Additional Terms Questions and Answers | 100% Pass Away From Home Care Program - Answer️️ -provides continous BCBS health care coverage for subscribers who will be out of their service area for more than 90 consecutive days BCBS Basic Coverage - Answer️️ -BlueCross BlueShield (BCBS) coverage for the following services: hospitalization, diagnostic laboratory services, x-rays, surgical fees, assistant surgeon fees, obstetric care, inte...

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...

MHA 707 Exam D Questions And Revised Correct Answers opening of 20th century - ANSWER- -doctors were solo practitioners -hospitals were single, independent entities, mostly non-profit -long term care for the elderly was largely home-based -pharmaceutical and medical device manufacturing was a small business 1847 - ANSWER- founding of American Medical Association (AMA) AMA - ANSWER- -established standards for preliminary medical education for the degree of MD -Code of medical ethics -...

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...

BCBS New Exam Questions and Answers Blue Cross Blue Shield began as two separate health plans - prepaid