Bcbs study - Study guides, Class notes & Summaries
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![Electronic Health Records (EHR)Study Guide Test.](/docpics/5409238/664ebd6d113e9_5409238_121_171.jpeg)
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Electronic Health Records (EHR)Study Guide Test.
- Exam (elaborations) • 7 pages • 2024
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Electronic Health Records (EHR)Study Guide Test.Is PrimeSUITE a practice management tool or an electronic health record? - correct answer Both. 
 PrimeSUITE functions as practice management software as well as an EHR. 
 
List the types of insurance companies that need to be provided with a billing claim form. - correct answer Commercial insurance (BCBS, etc.); Medicare; Medicaid; Workers' Compensation; TRICARE. 
 Commercial insurance carriers, as well as government-sponsored plans, need to be p...
![The Basics of EMR and EHR Study Guide Test.](/docpics/5409216/664ebc00b8920_5409216_121_171.jpeg)
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The Basics of EMR and EHR Study Guide Test.
- Exam (elaborations) • 4 pages • 2024
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The Basics of EMR and EHR Study Guide Test. 
 
What is the definition of an Electronic Health Record (EHR)? - correct answer An EHR contains patient information from all providers involved in a patient's care. EHR data can be created, managed, and shared by authorized providers and staff from across more than one health care organization. 
 
What is the definition of an Electronic Medical Record (EMR)? - correct answer An EMR is a digital version of a paper chart that contains all of a patient...
![AAPC CPB Chapter 12 Practical Application Study Guide Test 2024.](/docpics/5009643/661d69544b64b_5009643_121_171.jpeg)
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AAPC CPB Chapter 12 Practical Application Study Guide Test 2024.
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AAPC CPB Chapter 12 Practical Application Study Guide Test 2024. 
Use CPB Chapter 12_Case to answer questions 1 and 2. 
 
After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? 
 
I. Type of Insurance 
II. Primary insurance policy number 
III. Primary group number 
IV. Federal Tax ID number 
V. Billing provider and NPI 
 
A. I and II 
B. II and IV 
C. III and V 
D. There are no errors on this claim. - correct answer A. I and II 
 
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![MHA 706 FINANCIAL MANAGEMENT FINAL EXAM AND STUDY GUIDE NEWEST VERSION 2024 /2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS (100%) |ALREADY GRADED A+ Moral Hazard - -the risk of overuse of health services because the insured does not bear the f](/docpics/5014007/661e2ee18dccb_5014007_121_171.jpeg)
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MHA 706 FINANCIAL MANAGEMENT FINAL EXAM AND STUDY GUIDE NEWEST VERSION 2024 /2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS (100%) |ALREADY GRADED A+ Moral Hazard - -the risk of overuse of health services because the insured does not bear the f
- Exam (elaborations) • 23 pages • 2024
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MHA 706 FINANCIAL MANAGEMENT FINAL EXAM 
AND STUDY GUIDE NEWEST VERSION 2024 /2025 
ACTUAL EXAM 100 QUESTIONS AND CORRECT 
ANSWERS (100%) |ALREADY GRADED A+ 
Moral Hazard - -the risk of overuse of health services because the insured does not bear the full cost of the consequences 
 
copayments - -the fixed amount for a covered service that the insurer mandates that the patient pay to the provider before the patient receives services from the provider 
 
Medicare Part A - -covers...
![2024 BCBS Individual Self Assessment Study Guide with Complete Solutions](/docpics/6191078/66e4a39f7d431_6191078_121_171.jpeg)
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2024 BCBS Individual Self Assessment Study Guide with Complete Solutions
- Exam (elaborations) • 4 pages • 2024
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2024 BCBS Individual Self Assessment 
Study Guide with Complete Solutions 
Medicare Plus Blue PPO and BCN Advantage HMO/HMO-POS plans offer 
SilverSneakers at no additional cost to members - Answer️️ -True 
When traveling outside of Michigan, HMO-POS plan members have coverage for both 
routine and follow-up care with any doctor who participate in the Nationwide Network of 
Blue Plan Providers. - Answer️️ -True 
All BCBSM Medicare Supplement Plans offer the Well Being program providing 
...
![MEDICAL CODING & BILLING, BLUE CROSS/BLUE SHIELD, CHAPTER 13 EXAM STUDY GUIDE WITH COMPLETE](/docpics/6191097/66e4a457b8c5a_6191097_121_171.jpeg)
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MEDICAL CODING & BILLING, BLUE CROSS/BLUE SHIELD, CHAPTER 13 EXAM STUDY GUIDE WITH COMPLETE
- Exam (elaborations) • 6 pages • 2024
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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...
![GBA 1 - Study Guide Questions and Answers Rated A+](/docpics/4106651/658f29198d5ca_4106651_121_171.jpeg)
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GBA 1 - Study Guide Questions and Answers Rated A+
- Exam (elaborations) • 11 pages • 2023
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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...
![MHA 707 Final Exam with correct Question and Answers 2024-2025](/docpics/5640154/666c8e904ba3c_5640154_121_171.jpeg)
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MHA 707 Final Exam with correct Question and Answers 2024-2025
- Exam (elaborations) • 19 pages • 2024
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MHA 707 Final Exam with correct Question 
and Answers 
Nursing corps 
-created ambulance-to-emergency room system we know today 
-established hierarchy of treatment stations to type of hospital facilities 
1899 
Founding of association of hospital superintendents 
Association of hospital superintendents became 
American hospital association (AHA) 
1900 
Adoption of the Bertillon or International List of Causes of Death 
Bertillon or International List of Causes of death 
-predecessor of the i...
![Medical Insurance Chapter 13th BlueCross BlueShield Exam Study Guide with Complete Solutions](/docpics/6191095/66e4a454e1035_6191095_121_171.jpeg)
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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...
![BlueCross BlueShield Exam Study Guide with Complete Solutions](/docpics/6191060/66e4a2ebf3377_6191060_121_171.jpeg)
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BlueCross BlueShield Exam Study Guide with Complete Solutions
- Exam (elaborations) • 3 pages • 2024
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BlueCross BlueShield Exam Study 
Guide with Complete Solutions 
Prior to the joint venture between BlueCross and BlueShield, the BlueShield plans 
covered only - Answer️️ -physician services 
BlueCross facilities that had signed contracts to provide services to subscribers for 
special rates were known as _____ hospitals. - Answer️️ -member 
In what year was the BlueCross BlueShield Association (BCBSA) created? - 
Answer️️ -1986 
Which is function of the BlueCross BlueShield Associat...
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