Bcbs major medical Study guides, Class notes & Summaries

AAMA CMA Admin Questions and Answers 2023 Clustering Group procedures that are similar on the same day Double Booking Two or more patients scheduled at the same time Wave 4 or more patients scheduled at the beginning of the same hour Modified Wave Hour long blocks broken down to smaller increments Time Specific Patient given an appointment based on length of time needed Full Block All lines begin at left margin Modified Block Subject, complimenta...

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 ...

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...

AAPC CPB Final Questions and answers with rated solution Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: covered entity Which of the following is not a covered entity in the Privacy Rule healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided....

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...

[COMPANY NAME] [Company address] AAPC CPB TEST BANK QUESTIONS WITH COMPLETE SOLUTIONS 2022| GRADED A AAPC CPB Test Bank Questions With Complete Solutions 2022| GRADED A Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of b...

Individuals at greater risk of needing health care are more likely to purchase insurance - CORRECT ANSWERS-Adverse selection Healthcare Finance - CORRECT ANSWERS-the practice of finance, including both accounting AND financial management Accounting - CORRECT ANSWERS-the measurement, in financial (dollar) terms of events that reflect the resources, operations, and financing of an organization Financial Management - CORRECT ANSWERS-provides the theory, concepts, an tools necessary to help managers...

BCBS Study guide Questions with Correct Answers What covers the medical expenses of individuals and groups - Answer-Commercial insurance What covers car related financial losses - Answer-Automobile insurance Who covers Reimbursement for income lost as a result of a temporary or permanent illness or injury - Answer-Disability insurance SSDI and SSI provides - Answer-Assistance to people with disabilities For disability what is a base period - Answer-Wages earned in a 12 month perio...

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 - Answer-First...

1. What are the 4 settings for prescriptive authority? Describe the requirements in each setting for physician supervision, # of NPs, chart review, and any other special requirements in that site. correct answer- 1. Medically Underserved 2. Physician Primary Site 3. Physician Alternate Site 4. Facility Based Practice Site. * General requirements per TBON rule 222.5: regular visits, chart review as determined by APRN & physician, periodic face to face meeting of APRN & physician to...