Bcbs major medical - Study guides, Class notes & Summaries

GBA 1 - Study Guide Questions and Answers Rated A+ What was the purpose of the Health Maintenance Organization Act of 1973? The health maintenance organization action of 1973 provided federal initiatives - consisted of federal grants and loans to organizations wishing to investigate the feasibility of "federally qualified HMO" How did the passage of the Health Maintenance Organization Act of 1973 affect the growth of HMOs? The government began to withdraw its funding during the Reagan adminis...

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 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...

MEDICAL CODING & BILLING, BLUE CROSS/BLUE SHIELD, CHAPTER 13 EXAM STUDY GUIDE WITH COMPLETE THE FORERUNNER OF WHAT IS KNOWN TODAY AS THE BLUE CROSS PLAN BEGAN IN 1929 WHEN BAYLOR UNVERSITY HOSPITAL IN DALLAS, TEXAS APPROACHED TEACHERS IN THE DALLAS SCHOOL DISTRICT WITH A PLAN THAT WOULD GUARANTEE UP TO 21 DAYS OF HOSPITALIZATIONS PER YEAR FOR SUBSCRIERS AND EACH O THEIR DEPENDENTS, IN EXCHANGE FOR A $6 ANNUAL PREMIUMS. THIS WAS CONSIDERED A _____PLAN. - Answer️️ - PREPAID BY 1932 S...

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...

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...

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...

Chapter 13- Bluecross Blueshield insurance Practice Questions and Answers 1929 - Answer️️ -Bluecross began in what year? Baylor University Hospital in Dallas, Texas - Answer️️ -Where did Bluecross begin? 21 days of hospitalization per year for subscribers and their dependents - Answer️️ - How much hospitalization did bluecross originally cover? $6 annual premium - Answer️️ -How much did Bluecross originally cost? Bluecross plan - Answer️️ -The forerunner is known as w...

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...

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...