Bluecross blueshield - Study guides, Class notes & Summaries

Physician submit _____ service/procedure codes to payers. 1) ICD-10-CM 2) HCPCS level III 3) DSM-5 4) CPT/HCPCS level II - CPT/HCPCS level II The reverse of the CMS-1500 claim contains special instructions for 1) BlueCross and BlueShield. 2) Private commercial insurance. 3) Government programs. 4) Workers' compensation. - Government programs. Electronic claims must meet requirements adopted as the national standard under 1) CLIA. 2) ARRA. 3) HIPAA. 4) MMA. - HIPAA. When one charg...

BCBS Study Questions with All Correct Answers In what year was the BlueCross BlueShield Association (BCBSA) created - Answer-1986 BCBS would like the office to ask patients to sign a ROI form - Answer-yearly ROI - Answer-Release of Information When filling out claim forms - Answer-ALL CAPS No Punctuation The National Provider Identifier (NPI) - Answer-10 digit number issued to providers and healthcare organizations RA - Answer-remittance advice blue cross (pre paid ) hospital ...

What is a benefit to employers when offering medical benefits to their employees? Federal income tax advantages Which of the following apply to group health plans? Group health plans (GHP) Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:02 / 0:15 Full screen Riders are also called _____. options An employer may do which of the following during negotiations to change benefits to a group policy? Omit a specific benef...

The attending physician - A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information - On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination - A provider performs an examination of a patient's throat duri...

History of bluecross and blueshield - Began as separate prepaid health plans: Selling contracts to individuals or groups Providing coverage of specified medical expenses Requiring that premiums be paid Origin of bluecross - Implemented by Baylor University Hospital in Dallas, TX (1929) Dallas school district teachers were provided with prepaid health plan: Guaranteed up to 21 days of hospitalization per year for subscribers and dependents Cost was $6 annual premium. Origin of bluec...

Blue Cross Blue Shield Exam Questions and Answers | 100% Pass BS was formed in palo alto, california in 1939 as a prepaid health plan for what type of services - Answer️️ -physician what year did BC and BS combine personnel under the leadership of a single president, responsible to both boards of directors - Answer️️ -1977 what year did BC and BS merge into a single corporation called BlueCross BlueShield Association - Answer️️ -1986 an organization or corporation that return...

Bluecross blueshield began as - separate prepaid health plans: •Selling contracts to individuals or groups •Providing coverage of specified medical expenses •Requiring that premiums be paid Origin of bluecross - Implemented by Baylor University Hospital in Dallas, TX (1929) Origin of blueshield - •Began as a resolution passed by House of Delegates at AMA meeting (1938)•Resolution supported concept of voluntary health insurance to encourage physicians to cooperate with prepai...

what is the percent that a patient pays each time they recieve services, can vary from ins. to ins. and plan to plan - co-insurance what type of organization must pay taxes on the profits and then distributes a percent to all share holders? - for-profit corporation what year did BC and BS combine personnel under the leadership of a single president, responsible to both boards of directors - 1977 what year did BC and BS merge into a single corporation called BlueCross BlueShield Association...

NHA Billing and Coding practice test (CBCS) Questions with Complete Rationales The attending physician - ANS: A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information - ANS: On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? P...

CAHIMS 1.1, CAHIMS 1.2, CAHIMS 1.3, CAHIMS 1.4, CAHIMS 2.1, CAHIMS 2.2, CAHIMS 2.3, CAHIMS 2.4 Questions And Answers Wxyzab is a small country where the entire population has access to healthcare facilities owned and operated by the government, and funded by a tax on citizens. However, the current healthcare infrastructure does not have technologically advanced radiologic imaging facilities, and a commercial organization is allowed by the government to operate its own diagnostic im...