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5 Written questions

5 Matching questions

  1. Capitation:
  2. What year for Group Health Insurance:
  3. 1984 Standardization of information submitted on Medicare claims:
  4. Workers' Compensation it was called:
  5. SOAP stands for:
  1. a S-Subjective
  2. b 1940's
  3. c HCFA (now called CMS) required providers to use the HCFA-1500 (now called the CMS-1500) to submit Medicare claims
  4. d provider accepts preestablished payments for providing healthcare services to enrollness over a period of time (usually one year)
  5. e 1908 - workmen compensation

5 Multiple choice questions

  1. network of physicians & hospitals that have joined together to contract w/insurance companies, employers.
  2. 1929
  3. person in whose name the insurance policy is issued
  4. 1973
  5. is responsible for the health of a group of enrollees & can be a health plan.

5 True/False questions

  1. Primary Care Providers (PCP):PPO


  2. Health Maintenance Organization (HMO):1973


  3. Major medical:coverage for catastrophic or prolonged illness & injuries


  4. Occupational Safety & Health Administration Act (OSHA):1970


  5. HIPPA is to:provide better access to health insurance, limit fraud & abuse, & reduce administrative costs.