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5 Written questions

5 Matching questions

  1. HIPPA defines "fraud" as:
  2. A nonprofit organization that contracts w/& acquires the clinical and business assets of phyician practices is called a:
  3. The Tax Equity & Fiscal Responsibility Act of 1982 enacted the ___ prospective payment system (PPS).
  4. A __ is responsible for supervising & coordinating healthcare services for enrollees:
  5. The Blue Shield concept grew out of the lumber & mining camps of the ___ region at the turn of the century?
  1. a an intentional deception misrepresentation that someone makes, knowing it is false, that could result inan unauthorized payment
  2. b Diagnosis-related groups
  3. c medical foundation
  4. d primary care provider
  5. e Pacific Northwest

5 Multiple choice questions

  1. involves actions that are inconsistent w/accepted, sound medical, costs to the program through improper payments
  2. ensure continuity of care
  3. Medicare
  4. the individual's intent
  5. Baylor University in Dallas, Texas

5 True/False questions

  1. Which was the first commercial insurance company in the US to provide private healthcare coverage for injuries not resulting in death?ensure continuity of care

          

  2. Third-party administrators (TPAs) administer healthcare plans & process claims, serving as a ___?System of checks & balance for labor & management

          

  3. HIPPA includes:involves actions that are inconsistent w/accepted, sound medical, costs to the program through improper payments

          

  4. The percentage of costs a patient shares w/the health plan is called__?Coinsurance

          

  5. Established quality standards for all laboratory testing to ensure the accuracy, reliability, & timelines of patient test results.replace fee-for-service plans with affordable, quality care to healthcare consumers

          

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