Bcbs major medical - Study guides, Class notes & Summaries
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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 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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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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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...
And that's how you make extra money
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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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HMGT 3311 Exam Review Ch 1,13,3,&2. All Questions with accurate answers. Rated A+
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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 ...
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AAPC CPB Final Questions and answers with rated solution
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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....
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AAPC CPB Test Bank Questions With Complete Solutions 2022
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[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 ...
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Chapter 8 Private Payers/ACA Plans questions and answers 100% correct
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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...
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