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5 Written questions

5 Matching questions

  1. Examples of "abuse" include:
  2. The problem-oriented record (POR) includes the following four components:
  3. The primary intent of HIPPA legislation is to__
  4. The first Blue Cross policy was introduced by?
  5. The intent of managed health care was to:
  1. a -excessive charges for services, equipment, or supplies
    -submitting claims for items or services that are not medically necessary to treat the patient's stated condition
    -improper billing practices that result in a payment by a government program when that claim is the legal responsibility of another third-party payer
    -voilations of participating provider agreements w/insurance companies
  2. b create better access to health insurance, limit fraud & abuse, and reduce administrative costs.
  3. c Baylor University in Dallas, Texas
  4. d replace fee-for-service plans with affordable, quality care to healthcare consumers
  5. e database, problem list, initial plan, progress notes

5 Multiple choice questions

  1. the individual's intent
  2. standards
  3. medical foundation
  4. Medicare
  5. Coinsurance

5 True/False questions

  1. The Blue Shield concept grew out of the lumber & mining camps of the ___ region at the turn of the century?Pacific Northwest

          

  2. Which replaced the 1908 workers' compensation
    legislation & provided civilian employees of the federal government w/medical car, survivors' benefits, & compensation for lost wages?
    create better access to health insurance, limit fraud & abuse, and reduce administrative costs.

          

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

          

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

          

  5. A __ is responsible for supervising & coordinating healthcare services for enrollees:replace fee-for-service plans with affordable, quality care to healthcare consumers