Bcbs exam Study guides, Class notes & Summaries

GBA 1 - Study Guide Exam Questions & Answers 2023/2024 What was the purpose of the Health Maintenance Organization Act of 1973? - ANSWER-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? - ANSWER-The government began to withdraw its fund...

215 Insurance License Exam Questions And Answers risk pooling - ANS spreading risk over a large group of people law of large numbers - ANS larger the group, the more certain the predictions speculative risk - ANS not insurable - involves both chance of loss or gain pure risk - ANS insurable - involves chance of loss, never gain or profit peril - ANS event causing loss Ex: fire, death, accident, windstorm, disease hazard - ANS any factor that gives rise to p...

RHIT Exam Review Domain 3Data elements collected on large populations of individuals and stored in databases are referred to as: a. Statistics b. Information c. Aggregate data d. Standard - correct answer c. Aggregate data Data about patients can be extracted from individual health records and combined as aggregate data. Aggregate data are used to develop information about groups of patients. For example, data about all patients who suffered an acute myocardial infarction during a speci...

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 and commercial Exam Questions with Correct Answers commercial health insurance - Answer-covers the medical expenses for individuals (e.g. private health insurance) and groups (e.g. employer group health insurance commercial claim - Answer-the patient is covered by a large employer group health plan (EGHP) and a patient is also a Medicare beneficiary. EGHP is primary commercial secondary coverage - Answer-if the payers for the primary and secondary or supplemental policies are diffe...

MHA 707 Exam D Questions And Revised Correct Answers opening of 20th century - ANSWER- -doctors were solo practitioners -hospitals were single, independent entities, mostly non-profit -long term care for the elderly was largely home-based -pharmaceutical and medical device manufacturing was a small business 1847 - ANSWER- founding of American Medical Association (AMA) AMA - ANSWER- -established standards for preliminary medical education for the degree of MD -Code of medical ethics -...

GBA 1 - Study Guide Exam Questions & Answers 2024 What was the purpose of the Health Maintenance Organization Act of 1973? - ANSWER-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? - ANSWER-The government began to withdraw its funding d...

NCCT: Interactive Review: Medical Insurance Exam Questions And Answers With 100% Correct Answers Eligibility for Medicaid may change as quickly as - answermonthly. Which of the following processes requires checking and confirming that the patient is a member of the insurance plan and that the member identification number is correct? - answerverification The patient is a 3-year-old. Both parents have private insurance coverage on the patient, and the mother has a Healthcare Savings Accoun...

CPB Final Exam Correctly Answered 2024.EPO - correct answer ...provides benefits to subscribers who are required to receive services from network providers IDS - correct answer ...organizations of affiliated providers sites that offer joint healthcare services to subscribers HMO - correct answer ...providers comprehensive healthcare services to voluntarily enrolled members on a prepaid basis POS - correct answer ...patients can use the managed care panel of providers (paying discounted ...

CPB Final Exam EPO - correct answer ...provides benefits to subscribers who are required to receive services from network providers IDS - correct answer ...organizations of affiliated providers sites that offer joint healthcare services to subscribers HMO - correct answer ...providers comprehensive healthcare services to voluntarily enrolled members on a prepaid basis POS - correct answer ...patients can use the managed care panel of providers (paying discounted healthcare cost) or sel...