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5 Written Questions

5 Matching Questions

  1. Established quality standards for all laboratory testing to ensure the accuracy, reliability, & timelines of patient test results.
  2. The Blue Shield concept grew out of the lumber & mining camps of the ___ region at the turn of the century?
  3. Which is a primary purpose of the patient record?
  4. HIPPA defines "fraud" as:
  5. A __ is responsible for supervising & coordinating healthcare services for enrollees:
  1. a ensure continuity of care
  2. b Regardless of where the test was performed
  3. c Pacific Northwest
  4. d an intentional deception misrepresentation that someone makes, knowing it is false, that could result inan unauthorized payment
  5. e primary care provider

5 Multiple Choice Questions

  1. involves actions that are inconsistent w/accepted, sound medical, costs to the program through improper payments
  2. replace fee-for-service plans with affordable, quality care to healthcare consumers
  3. -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
  4. standards
  5. enrollees

5 True/False Questions

  1. The first Blue Cross policy was introduced by?Baylor University in Dallas, Texas


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


  3. Examples of "abuse" include:-excessive charges for services, equipment, or supplies
    -submitting claims for items or services that are not medically necessary to treat the patient's stated condition
    -improper billing practices that result in a payment by a government program when that claim is the legal responsibility of another third-party payer
    -voilations of participating provider agreements w/insurance companies


  4. The percentage of costs a patient shares w/the health plan is called__?Coinsurance


  5. The Hill-Burton Act provided federal grants for modernizing hospitals that had become obsolete because of a lack of capital investment during the Great Depression & WWII (1929 to 1945). IN return for federal funds.replace fee-for-service plans with affordable, quality care to healthcare consumers


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