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5 Written questions

5 Matching questions

  1. COBRA in 1985:
  2. What year Blue Shield started:
  3. Deductible:
  4. Preferred provider Organization (PPO):
  5. Point-of-Service Plan (POS):
  1. a The Consolidated Omnibus Budget Reconciliation Act allows employees to continue healthcare coverage beyond the benefit termination date.
  2. b network of physicians & hospitals that have joined together to contract w/insurance companies, employers.
  3. c 1939
  4. d amount for which the patient is financially responsible before insurance policy provides coverage
  5. e patients are free to use the managed care panel of providers or self-refer to non-managed care providers

5 Multiple choice questions

  1. provider accepts preestablished payments for providing healthcare services to enrollness over a period of time (usually one year)
  2. coverage for catastrophic or prolonged illness & injuries
  3. 1970
  4. World Health Organization (WHO) in 1948
  5. arranging appropriate healthcare services for discharged patients.

5 True/False questions

  1. Copayment:provision in an insurance policy that requires the policy holder or patient to pay a specified dollar amount to a healthcare provider for each visit or medical service received

          

  2. 1984 Standardization of information submitted on Medicare claims:1973

          

  3. Preauthorization:provider accepts preestablished payments for providing healthcare services to enrollness over a period of time (usually one year)

          

  4. Preauthorization:prior approval

          

  5. Health Insurance Portability & Accountability Act of 1996 (HIPPA):mandates regulations that govern privacy, security, & electronic transactions standards for healthcare information.