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5 Written questions

5 Matching questions

  1. First Blue Cross policy:
  2. Deductible:
  3. Health Insurance Portability & Accountability Act of 1996 (HIPPA):
  4. SOAP stands for:
  5. Preauthorization:
  1. a amount for which the patient is financially responsible before insurance policy provides coverage
  2. b introduced a plan to guarantee school teachers 21 days of hospital care for 46 a year.
  3. c S-Subjective
    O-Objective
    A-Assessment
    P-Plan
  4. d mandates regulations that govern privacy, security, & electronic transactions standards for healthcare information.
  5. e prior approval

5 Multiple choice questions

  1. they paid monthly fees to medical service bureaus, which were composed of groups of physicians
  2. the percentage the patient pays for covered services after the deductible has been met & the copayment has been paid
  3. 1940's
  4. method of controlled healthcare cost & quality of care by reviewing the appropriateness & necessity of care provided to patients prior administration of case
  5. patients are free to use the managed care panel of providers or self-refer to non-managed care providers

5 True/False questions

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

          

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

          

  3. Discharge planning:review for medical necessity of tests/procedures ordered during inpatient hospitalization

          

  4. What year First Blue Cross policy started:1929

          

  5. Clinical Laboratory Improvement Act (CLIA):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.