Bcbs major medical - Study guides, Class notes & Summaries

HMGT 3311 Exam Review Ch 1,13,3,&2. All Questions with accurate answers. Rated A+ What did the Patient Protection and the Affordable Care Act (ACA) do for industry developments? - --Established the "Triple aim" - Political hot-topic, under constant challenge What do the Centers for Medicare and Medicaid Services (CMS) aiming to? - --Get the right care for the right patient, every time - Control costs by moving from a "quantity of care" (" prospective") reimbursement system to a ...

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: - ANSWER-covered entity Which of the following is not a covered entity in the Privacy Rule - ANSWER-healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? - ANSWER-release req...

AAPC CPB Final Questions and answers with rated solution Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: covered entity Which of the following is not a covered entity in the Privacy Rule healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided....

Chapter 8 Private Payers/ACA Plans questions and answers 100% correct monthly enrollment list documentation of eligible members of a capitated plan registered with a particular PCP for a monthly period precertification payer preauthorization for elective hospital-based services and outpatient services rider document that modifies an insurance contract carve out part of a standard health plan that's changed under a negotiated employer-sponsored plan utilization r...

Blue Cross Blue Shield began as two separate __________ health plans - THE CORRECT ANSWER IS prepaid In ______ the membership of the separate BCBS national associations voted to combine personnel under the leadership of a single president - THE CORRECT ANSWER IS 1977 In ______ BCBS merged into a single coproration - THE CORRECT ANSWER IS 1986 __________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to the program of the corporat...

[COMPANY NAME] [Company address] AAPC CPB TEST BANK QUESTIONS WITH COMPLETE SOLUTIONS 2022| GRADED A AAPC CPB Test Bank Questions With Complete Solutions 2022| GRADED A Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her ...

[COMPANY NAME] [Company address] AAPC CPB TEST BANK QUESTIONS WITH COMPLETE SOLUTIONS 2022| GRADED A AAPC CPB Test Bank Questions With Complete Solutions 2022| GRADED A Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of b...

AAPC CPB TEST BANK QUESTIONS WITH COMPLETE SOLUTIONS 2022| GRADED A [COMPANY NAME] [Company address] AAPC CPB TEST BANK QUESTIONS WITH COMPLETE SOLUTIONS 2022| GRADED A AAPC CPB Test Bank Questions With Complete Solutions 2022| GRADED A Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A....

covered entity - Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: healthcare consulting firm - Which of the following is not a covered entity in the Privacy Rule release reqt to ins co - A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? 12 - H...

[COMPANY NAME] [Company address] AAPC CPB TEST BANK QUESTIONS WITH COMPLETE SOLUTIONS 2022| GRADED A AAPC CPB Test Bank Questions With Complete Solutions 2022| GRADED A Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her ...