Bcbs basic coverage Study guides, Class notes & Summaries
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![BCBS chap 13 Exam Questions with All Correct Answers](/docpics/5224220/663a98715b365_5224220_121_171.jpeg)
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BCBS chap 13 Exam Questions with All Correct Answers
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BCBS chap 13 Exam Questions with All 
Correct Answers 
 
BCBS basic coverage - Answer-Hospitalization 
Diagnostic service 
X rays 
Surgical fees 
Assistant surgeon fees 
Obstetric 
Intensive care 
Newborn care 
Chemo 
BCBS major medical - Answer-Office visits 
Outpatient non surgical 
Physical and occupational therapy 
Purchase of durable medical equipment 
Mental health visits 
Allergy testing and shots 
Prescription drugs 
Private duty nurse 
Dental care for accident injury 
Blue cross - Answe...
![BCBS chap 13 Exam Questions with All Correct Answers](/docpics/4857863/66053f2e01d30_4857863_121_171.jpeg)
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BCBS chap 13 Exam Questions with All Correct Answers
- Exam (elaborations) • 3 pages • 2024
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BCBS chap 13 Exam Questions with All 
Correct Answers 
 
BCBS basic coverage - Answer-Hospitalization 
Diagnostic service 
X rays 
Surgical fees 
Assistant surgeon fees 
Obstetric 
Intensive care 
Newborn care 
Chemo 
BCBS major medical - Answer-Office visits 
Outpatient non surgical 
Physical and occupational therapy 
Purchase of durable medical equipment 
Mental health visits 
Allergy testing and shots 
Prescription drugs 
Private duty nurse 
Dental care for accident injury 
Blue cross - Answe...
![GBA 1 Exam Study Guide | 2024 Questions & Answers | 100% Correct | Verified](/docpics/5431498/66518b8f91983_5431498_121_171.jpeg)
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GBA 1 Exam Study Guide | 2024 Questions & Answers | 100% Correct | Verified
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GBA 1 Exam Study Guide | 2024 Questions 
& Answers | 100% Correct | Verified 
What was the purpose of the Health Maintenance Organization Act of 1973? - The health 
maintenance organization action of 1973 provided federal initiatives - consisted of federal grants and 
loans to organizations wishing to investigate the feasibility of "federally qualified HMO" 
 
How did the passage of the Health Maintenance Organization Act of 1973 affect the growth of HMOs? - 
The government began to withdraw i...
![BCBS Exam Questions with Correct Answers](/docpics/4857960/66054189339d0_4857960_121_171.jpeg)
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BCBS Exam Questions with Correct Answers
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BCBS Exam Questions with Correct 
Answers 
 
Blue Cross Blue Shield began as two separate __________ health plans - Answerprepaid 
In ______ the membership of the separate BCBS national associations voted to 
combine personnel under the leadership of a single president - Answer-1977 
In ______ BCBS merged into a single coproration - Answer-1986 
__________ corporations are charitable, educational, civic or humanitarian 
organizations whose profits are returned to the program of the corporation r...
![BCBS Exam Questions and Answers](/docpics/6328468e0f78f_1970468.jpg)
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BCBS Exam Questions and Answers
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Blue Cross Blue Shield began as two separate __________ health plans - THE CORRECT ANSWER IS prepaid 
 
In ______ the membership of the separate BCBS national associations voted to combine personnel under the leadership of a single president - THE CORRECT ANSWER IS 1977 
 
In ______ BCBS merged into a single coproration - THE CORRECT ANSWER IS 1986 
 
__________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to the program of the corporat...
![BCBS Test Questions with All Correct Answers](/docpics/4857753/66053c60c7df5_4857753_121_171.jpeg)
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BCBS Test Questions with All Correct Answers
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BCBS Test Questions with All Correct 
Answers 
 
blue cross began when and where 
for what - Answer-1929 at baylour un. in dallas texas for hospital bills 
blue shield began when and where for what - Answer-1938 at house of delegates for 
physician services 
when did blue cross and blue shield merge together - Answer-1986 and became blue 
cross blue shield association BCBSA 
non profit corp are for - Answer-chariable, educational,civic,or humanitarian 
organizations whose profits return to corp ...
![AAPC CPC Chapter 1 correctly answered 2023](/docpics/63db922581624_2328023.jpg)
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AAPC CPC Chapter 1 correctly answered 2023
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AAPC CPC Chapter 1 correctly answered 2023MS-DRG 
Medicare Severity Diagnosis Related Group- Determines the amount the hospital will be reimbursed. 
 
 
 
EHR 
Electronic Health Record 
 
 
 
APC 
Ambulatory Payment Classification 
 
 
 
Outpatient coding 
* Provider Services, use CPT, HCPC level II and ICD10-CM Codes. 
 
* Work in provider offices, outpatient clinics, facility out patient department. 
 
*Also use APC's 
 
*More interaction with physician 
 
 
 
Inpatient hospital coding 
*Use ...
![Chapter 8 Private Payers/ACA Plans questions and answers 100% correct](/docpics/64477b6624f3c_2652330.jpg)
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Chapter 8 Private Payers/ACA Plans questions and answers 100% correct
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Chapter 8 Private Payers/ACA Plans questions and answers 100% correct 
monthly enrollment list 
documentation of eligible members of a capitated plan registered with a particular PCP for a monthly period 
 
 
 
precertification 
payer preauthorization for elective hospital-based services and outpatient services 
 
 
 
rider 
document that modifies an insurance contract 
 
 
 
carve out 
part of a standard health plan that's changed under a negotiated employer-sponsored plan 
 
 
 
utilization r...
![HMGT 3311 Exam Review Ch 1,13,3,&2. All Questions with accurate answers. Rated A+](/docpics/63f47429d4846_2393940.jpg)
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HMGT 3311 Exam Review Ch 1,13,3,&2. All Questions with accurate answers. Rated A+
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HMGT 3311 Exam Review Ch 1,13,3,&2. All Questions with accurate answers. Rated A+ 
 
 
What did the Patient Protection and the Affordable Care Act (ACA) do for industry developments? - --Established the "Triple aim" 
- Political hot-topic, under constant challenge 
 
What do the Centers for Medicare and Medicaid Services (CMS) aiming to? - --Get the right care for the right patient, every time 
- Control costs by moving from a "quantity of care" (" prospective") reimbursement system to a ...
![BCBS Exam Questions with Correct Answers](/docpics/5224274/663a99d951765_5224274_121_171.jpeg)
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BCBS Exam Questions with Correct Answers
- Exam (elaborations) • 4 pages • 2024
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- $8.99
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BCBS Exam Questions with Correct 
Answers 
 
Blue Cross Blue Shield began as two separate __________ health plans - Answerprepaid 
In ______ the membership of the separate BCBS national associations voted to 
combine personnel under the leadership of a single president - Answer-1977 
In ______ BCBS merged into a single coproration - Answer-1986 
__________ corporations are charitable, educational, civic or humanitarian 
organizations whose profits are returned to the program of the corporation r...
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