Exam (elaborations)
GBA 1 Practice Exam Questions and Answers 2024
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Exam of 4 pages for the course CEBS - Certified Employee Benefits Specialist at CEBS - Certified Employee Benefits Specialist (GBA 1 Practice Exam)
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GBA 1 Practice ExamIntegrated Health Systems - answer Comprised of physicians, multi-specialty physicians, entire hospitals and ancillary service providers.
HIPAA - answer Important role in protecting sensitive patient information.
Delta Dental Plans - answer Cover the largest share of the dental benefits population
Restorative Treatment - answer Repair of a natural tooth
Local Community - answer Largest Impact on Healthcare delivery
Life-style drug benefits? - answer Routinely exluded from all plans
Preadmission testing - answer Impacts hospitol operations by allowing for more effective use of beds and personnel.
Plan Sponsor Self-Funded HMO - answer EPO-Exclusive Provider Organization
Subrogation clause - answer Clause that allows an employer(insurer) to recieve reimbursement when a covered employee receives money in a civil action.
Managed Care - answer Mostly used when referring to Health Maintenance Organizations HMOs
Pharmacy Spread - answer Difference between the amount the PBM-Pharmacy Benefit Manager collects and the amount the IBM pays out to the pharmacy.
MBHO-Managed Behavioral Health Care Organization - answer A behavior health care carve-out program operates with a separate contract from a company.
Which risk techniques are being used if a co. decides not to produce something dangerous and instead gets insurance and installs a sprinkler system? - answer Avoidance, retention, insurance and control.
Total Compensation - answer All forms of direct and indirect compensation from the employer.
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