Bcbs exam questions - Study guides, Class notes & Summaries

NCCT: Interactive Review: Medical Insurance Exam Questions and Answers Eligibility for Medicaid may change as quickly as - Answer-monthly. Which of the following processes requires checking and confirming that the patient is a member of the insurance plan and that the member identification number is correct? - Answer-verification The patient is a 3-year-old. Both parents have private insurance coverage on the patient, and the mother has a Healthcare Savings Account. The primary insurance ...

MHA 707 Exam D Questions And Revised Correct Answers opening of 20th century - ANSWER- -doctors were solo practitioners -hospitals were single, independent entities, mostly non-profit -long term care for the elderly was largely home-based -pharmaceutical and medical device manufacturing was a small business 1847 - ANSWER- founding of American Medical Association (AMA) AMA - ANSWER- -established standards for preliminary medical education for the degree of MD -Code of medical ethics -...

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...

GBA 1 - Study Guide Exam Questions & Answers 2023/2024 What was the purpose of the Health Maintenance Organization Act of 1973? - ANSWER-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? - ANSWER-The government began to withdraw its fund...

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...

215 Insurance License Exam Questions And Answers risk pooling - ANS spreading risk over a large group of people law of large numbers - ANS larger the group, the more certain the predictions speculative risk - ANS not insurable - involves both chance of loss or gain pure risk - ANS insurable - involves chance of loss, never gain or profit peril - ANS event causing loss Ex: fire, death, accident, windstorm, disease hazard - ANS any factor that gives rise to p...

Bcbs and commercial Exam Questions with Correct Answers commercial health insurance - Answer-covers the medical expenses for individuals (e.g. private health insurance) and groups (e.g. employer group health insurance commercial claim - Answer-the patient is covered by a large employer group health plan (EGHP) and a patient is also a Medicare beneficiary. EGHP is primary commercial secondary coverage - Answer-if the payers for the primary and secondary or supplemental policies are diffe...

BCBS LMS Training 2018 Exam Questions with Correct Answers What action can an individual request if BlueCross or its Business Associates refuse a request to amend or correct the individual's PHI? - Answer-The individual can request a statement of disagreement. Any potential breach of PHI must be reported to BlueCross within _______? - AnswerThree Business Days Who should a Business Associate contact with questions concerning HIPAA compliance? - Answer-BlueCross privacy official Wh...

Revenue Cycle Management Ch.13 BlueCross BlueShield Practice Questions and Answers One of the requirements that a participating provider must comply with is to a. purchase billing manuals and newsletters published by the payer and pay registration fees to attend payer training sessions. b. make fee adjustments for the difference between amounts charged to patients for services provided and payer-approved fees. c. maintain a provider representative department to assist with billing and pa...