Bcbs study - Study guides, Class notes & Summaries

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. 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. 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 ...

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 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 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+ 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 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 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 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...