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5 Written questions

5 Matching questions

  1. International Classification of Diseases (ICD):
  2. First Blue Cross policy:
  3. Capitation:
  4. Exclusive Provider Organization (EPO):
  5. Clinical Laboratory Improvement Act (CLIA):
  1. a introduced a plan to guarantee school teachers 21 days of hospital care for 46 a year.
  2. b provides benefits to subscribers who are required to receive services from network providers
  3. c provider accepts preestablished payments for providing healthcare services to enrollness over a period of time (usually one year)
  4. d Established quality standards for all laboratory testing to ensure the accuracy, reliability, and timelines of patient test results regardless of where the test was performed.
  5. e a classification system used to collect data for statistical purposes

5 Multiple choice questions

  1. The Consolidated Omnibus Budget Reconciliation Act allows employees to continue healthcare coverage beyond the benefit termination date.
  2. contracted network of healthcare providers that provide care to subscribers for a discounted fee.
  3. review for medical necessity of tests/procedures ordered during inpatient hospitalization
  4. person in whose name the insurance policy is issued
  5. grants prior approval for reimbursement of a healthcare service

5 True/False questions

  1. Health Maintenance Organization (HMO):responsible for providing healthcare services to subscribers in a given geographical area for a fixed fee.

          

  2. Health Maintenance Organization (HMO):provides comprehensive healthcare services to voluntarily enrolled members on a prepaid basis

          

  3. Major medical:they paid monthly fees to medical service bureaus, which were composed of groups of physicians

          

  4. 1984 Standardization of information submitted on Medicare claims:1973

          

  5. Occupational Safety & Health Administration Act (OSHA):1940's

          

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