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5 Written questions

5 Matching questions

  1. A nonprofit organization that contracts w/& acquires the clinical and business assets of phyician practices is called a:
  2. Healthcare coverage offered by ___ is called group health insurance.
  3. The problem-oriented record (POR) includes the following four components:
  4. The Blue Shield concept grew out of the lumber & mining camps of the ___ region at the turn of the century?
  5. A __ is responsible for supervising & coordinating healthcare services for enrollees:
  1. a database, problem list, initial plan, progress notes
  2. b Pacific Northwest
  3. c employers
  4. d primary care provider
  5. e medical foundation

5 Multiple choice questions

  1. Diagnosis-related groups
  2. create better access to health insurance, limit fraud & abuse, and reduce administrative costs.
  3. replace fee-for-service plans with affordable, quality care to healthcare consumers
  4. -improve the portability & continuity of health insurance coverage in the group & individual markets
    -combat waste, fraud & abuse in health insurance & healthcare delivery
    -improve access to long-term care services & coverage
  5. involves actions that are inconsistent w/accepted, sound medical, costs to the program through improper payments

5 True/False questions

  1. HIPPA defines "fraud" as:involves actions that are inconsistent w/accepted, sound medical, costs to the program through improper payments

          

  2. Which replaced the 1908 workers' compensation
    legislation & provided civilian employees of the federal government w/medical car, survivors' benefits, & compensation for lost wages?
    Federal Employees' Compensation Act

          

  3. Which is a primary purpose of the patient record?create better access to health insurance, limit fraud & abuse, and reduce administrative costs.

          

  4. The government health plan that provides healthcare services to Americans over the age of 65 is called ___?Medicare

          

  5. Major medical insurance provides coverage for ___ illnesses & injuries, incorporating large deductibles & lifetime maximum amounts.catastrophic or prolonged