Bcbs and commercial - Study guides, Class notes & Summaries
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HCM 425 Final Exam - Questions and Answers
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HCM 425 Final Exam - Questions and Answers Programs of All-inclusive Care for the Elderly (PACE) work to limit out-of-pocket costs to beneficiaries by not applying deductibles, copayments, or other cost-sharing. Which is subject to Medicaid preauthorization guidelines? any extension of inpatient acute care hospital days Which services are exempt from Medicaid copayments? family planning services An individual whose income is a t or below 100 percent of the federal poverty level (FPL) and has r...
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Blue Cross Blue Sheild Test FULLY SOLVED & VERIFIED FOR ACCURACY 2024 LATEST UPDATE
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Third Party administrator that processes claims and helps run healthcare plan 
TPA 
 
 
 
You must make a ________ if an insurance company denies payment 
Appeal 
 
 
 
 
Brainpower 
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The term for correct coding 
NCCI 
 
 
 
What plans are the largest commercial private health insurance plans? 
Blue Cross Blue Sheild 
 
 
 
A flat-fixed fee due a the time of service 
Co-pay 
 
 
 
What...
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BCBS Study guide Questions with Correct Answers
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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 period pri...
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MHA 706 FINANCIAL MANAGEMENT FINAL EXAM AND STUDY GUIDE NEWEST VERSION 2024 /2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS (100%) |ALREADY GRADED A+ Moral Hazard - -the risk of overuse of health services because the insured does not bear the f
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MHA 706 FINANCIAL MANAGEMENT FINAL EXAM 
AND STUDY GUIDE NEWEST VERSION 2024 /2025 
ACTUAL EXAM 100 QUESTIONS AND CORRECT 
ANSWERS (100%) |ALREADY GRADED A+ 
Moral Hazard - -the risk of overuse of health services because the insured does not bear the full cost of the consequences 
 
copayments - -the fixed amount for a covered service that the insurer mandates that the patient pay to the provider before the patient receives services from the provider 
 
Medicare Part A - -covers...
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Epic: Insurance Points to Remember and Coordination of Benefits (COB)
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BCBS correct answer: Has insurance cards with 1-5 (usually 3) alpha characters preceding the ID number which need to be included when loading/verifying the insurance. 
 
Out of state BCBS plan correct answer: Don't automatically use BCBS out of state option; if claims billing address states to file thru local office, then use BCBS of TX option 
 
Tricare correct answer: Insurance for active duty military and their dependents and retired military and their dependents; administrated by Humana ...
And that's how you make extra money
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BCBS Study guide Questions with Correct Answers
- Exam (elaborations) • 4 pages • 2024
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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 period pri...
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BCBS Study guide Questions with Correct Answers
- Exam (elaborations) • 4 pages • 2024
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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 period pri...
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AAMA CMA Admin Questions and Answers 2023
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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...
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The Basics of EMR and HER exam questions and answers.
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What is the definition of an Electronic Health Record (EHR)? 
An EHR contains patient information from all providers involved in a patient's care. EHR data can be created, managed, and shared by authorized providers and staff from across more than one health care organization. 
 
 
 
What is the definition of an Electronic Medical Record (EMR)? 
An EMR is a digital version of a paper chart that contains all of a patient's medical history from one practice. 
 
 
 
List the types of insurance co...
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FACHE Flash Cards – Healthcare questions and answers with complete solutions.
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FACHE Flash Cards – Healthcare questions and answers with complete solutions. 
 
 
 
 
 
activities of daily living (ADLs) - correct answers.Measures a person's ability to function in 6 activities: 
1. Eating 
2. Bathing 
3. Dressing 
4. Toileting 
5. Maintaining continence 
6. Getting in and out of a bed or chair 
 
Acute Condition - correct answers.A condition that has been present for a short period of time - a few days 
 
Sub-acute condition - correct answers.A condition that has been pre...
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