MEDICAL CODING & BILLING, BLUE CROSS/BLUE SHIELD, CHAPTER 13 Exam Questions With Correct Answers.
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Blue Cross Blue Shield
Institution
Blue Cross Blue Shield
MEDICAL CODING & BILLING, BLUE
CROSS/BLUE SHIELD, CHAPTER 13
Exam Questions With Correct Answers.
The forerunner of what is known today as the blue cross plan began in 1929 when baylor unversity
hospital in dallas, texas approached teachers in the dallas school district with a plan that would
...
MEDICAL CODING & BILLING, BLUE
CROSS/BLUE SHIELD, CHAPTER 13
Exam Questions With Correct Answers.
The forerunner of what is known today as the blue cross plan began in 1929 when baylor unversity
hospital in dallas, texas approached teachers in the dallas school district with a plan that would
guarantee up to 21 days of hospitalizations per year for subscriers and each o their dependents, in
exchange for a $6 annual premiums. this was considered a _____plan. - answer✔✔prepaid
by 1932 some plans modified the prepaid pland concept and orgainzation community wide programs
that allowed the subscriber to be hospitalized in one of several member hospitals in accordance with
signed contracts to provide services______ - answer✔✔for negotiated special rates
blue cross blue sheild plans were created as the result of a resoulution passed by the house of delegates
at an american medical association meeting in 1938. this resolution supported the concept of
______health insurance that would encourage physicians to cooperate with prepaid health care plans. -
answer✔✔voluntary
blue cross blue sheild plans originally covered only hospital bills and blue sheild plans covered fees for
physician services, and there was close corporation between the plans that resulted in joint ventures
where the two corporations were housed in one building. in these joint ventures blue cross blue sheild,
bcbs. - answer✔✔shared on building and computer servicesbut maintained separate corporate
identities.
non profit corporations are charitable, educational, civic, or humanitarian organizations whose profits
are__________ - answer✔✔returned to the nonprofit corporations
for profit corporations pay taxes on profits generated byt he corporations enterprises and pay dividens
to ________on after - tax profits. - answer✔✔shareholders
participating providers contract to
participate in a bcbs plans preferred provider network(ppn) , which is a program that requires providers
to adhere to __________care provisions - answer✔✔managed
bcbs fee for service ____ coverage includes miminmum benefits such aas impatient hospitalizations and
diagnostic laboratory services. - answer✔✔basic
bcbs fee for service ________coverage includes additonal benefits , such as office visits, physical and
occupational theraphy, and mental health encounters. - answer✔✔major medical
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