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5 Written questions

5 Matching questions

  1. Group Health Insurance
  2. Integrated Delivery System (IDS):
  3. Clinical Laboratory Improvement Act (CLIA):
  4. SOAP stands for:
  5. Point-of-Service Plan (POS):
  1. a group health insurance was offered to full-time employees
  2. b S-Subjective
  3. c 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.
  4. d organization of affiliated providers' sites that offer joint healthcare services to subscribers
  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. 1940's
  2. is responsible for supervising & coordinating healthcare services for enrollees & approves referrals to specialists & inpatient hospital admissions (except in emergencies)
  3. network of physicians & hospitals that have joined together to contract w/insurance companies, employers.
  4. coverage for catastrophic or prolonged illness & injuries
  5. providing essential healthcare services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists.

5 True/False questions

  1. Workers' Compensation it was called:1908 - workmen compensation


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


  3. Managed Care Organizations (MCO):is responsible for the health of a group of enrollees & can be a health plan.


  4. Utilization review:method of controlled healthcare cost & quality of care by reviewing the appropriateness & necessity of care provided to patients prior administration of case


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


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