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5 Written questions

5 Matching questions

  1. Clinical Laboratory Improvement Act (CLIA):
  2. What year Blue Shield started:
  3. Capitation:
  4. First Health Insurance Policy in
  5. Deductible:
  1. a 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.
  2. b 1860 by The Franklin Health Assurance Company of Massachusetts was the first commercial insurance company in the US to provide private healthcare coverage for injuries not resulting in death.
  3. c amount for which the patient is financially responsible before insurance policy provides coverage
  4. d 1939
  5. e provider accepts preestablished payments for providing healthcare services to enrollness over a period of time (usually one year)

5 Multiple choice questions

  1. group health insurance was offered to full-time employees
  2. review for medical necessity of inpatient care prior to admission
  3. grants prior approval for reimbursement of a healthcare service
  4. by American Medical Association in 1966
  5. provides comprehensive healthcare services to voluntarily enrolled members on a prepaid basis

5 True/False questions

  1. HIPPA is to: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. Gatekeeper:person in whose name the insurance policy is issued

          

  3. International Classification of Diseases (ICD):organization of affiliated providers' sites that offer joint healthcare services to subscribers

          

  4. Exclusive Provider Organization (EPO):provides benefits to subscribers who are required to receive services from network providers

          

  5. Preferred provider Organization (PPO):provides benefits to subscribers who are required to receive services from network providers