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5 Written questions

5 Matching questions

  1. Which replaced the 1908 workers' compensation
    legislation & provided civilian employees of the federal government w/medical car, survivors' benefits, & compensation for lost wages?
  2. Which was the first commercial insurance company in the US to provide private healthcare coverage for injuries not resulting in death?
  3. Major medical insurance provides coverage for ___ illnesses & injuries, incorporating large deductibles & lifetime maximum amounts.
  4. A __ is responsible for supervising & coordinating healthcare services for enrollees:
  5. The difference between "fraud" & "abuse" is:
  1. a Franklin Health Assurance Company
  2. b the individual's intent
  3. c primary care provider
  4. d catastrophic or prolonged
  5. e Federal Employees' Compensation Act

5 Multiple choice questions

  1. facilities were required to provide services free or at reduced rates to patients unable to pay for care
  2. -billing for services not furnished
    -misrepresenting the diagnosis to justify payment
    -soliciting, offering, or receiving a kickback
    -unbunding codes
    -falsifying certificates of medical necessity, plans of treatment, & medical records to justify payment
  3. Coinsurance
  4. employers
  5. -improve the portability & continuity of health insurance coverage in the group & individual markets
    -combat waste, fraud & abuse in health insurance & healthcare delivery
    -improve access to long-term care services & coverage

5 True/False questions

  1. The intent of managed health care was to:replace fee-for-service plans with affordable, quality care to healthcare consumers

          

  2. The problem-oriented record (POR) includes the following four components:database, problem list, initial plan, progress notes

          

  3. The Tax Equity & Fiscal Responsibility Act of 1982 enacted the ___ prospective payment system (PPS).Coinsurance

          

  4. The primary intent of HIPPA legislation is to__create better access to health insurance, limit fraud & abuse, and reduce administrative costs.

          

  5. Established quality standards for all laboratory testing to ensure the accuracy, reliability, & timelines of patient test results.Regardless of where the test was performed

          

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