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5 Written questions

5 Matching questions

  1. Who developed ICD:
  2. Exclusive Provider Organization (EPO):
  3. Preauthorization:
  4. Health Maintenance Organization (HMO):
  5. Managed Care Organizations (MCO):
  1. a World Health Organization (WHO) in 1948
  2. b provides comprehensive healthcare services to voluntarily enrolled members on a prepaid basis
  3. c grants prior approval for reimbursement of a healthcare service
  4. d provides benefits to subscribers who are required to receive services from network providers
  5. e is responsible for the health of a group of enrollees & can be a health plan.

5 Multiple choice questions

  1. prospective payment system that reimburses hospitals for impatient stays
  2. the percentage the patient pays for covered services after the deductible has been met & the copayment has been paid
  3. patients are free to use the managed care panel of providers or self-refer to non-managed care providers
  4. PPO
  5. 1908 - workmen compensation

5 True/False questions

  1. Discharge planning:arranging appropriate healthcare services for discharged patients.

          

  2. Health Maintenance Organization (HMO):responsible for providing healthcare services to subscribers in a given geographical area for a fixed fee.

          

  3. Deductible:person in whose name the insurance policy is issued

          

  4. First Blue Cross policy:introduced a plan to guarantee school teachers 21 days of hospital care for 46 a year.

          

  5. Blue Shield:they paid monthly fees to medical service bureaus, which were composed of groups of physicians