Bcbs basic coverage Study guides, Class notes & Summaries

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 cros...

One of the requirements that a participating provider must comply with is to 1) Make fee adjustments for the difference between amounts charged to patients for services provided and payer-approved fees. 2) Write off deductible and copay/coinsurance amounts and accept as payment in full the BCBS-allowed fees. 3) Maintain a provider representative department to assist with billing and payment problems for submitted claims. 4) Purchase billing manuals and newsletters published by the payer a...

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...

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? (Select all that apply.) The group is considered the policyholder. Employers' human resource departments manage GHP benefits. The individual is considered the certificate holder. Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Which of the fo...

GBA 1 - Study Guide Questions and Answers Rated A+ 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 its funding during the Reagan adminis...

Primary Insurance Insurance plan responsible for paying insurance claims first. UCR Usual, Customary, and reasonable Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:04 / 0:15 Full screen Fee-for-Service Reimbursement that increases payment if the healthcare service fees increase, if multiple units of service are provided, or is more expensive services are provided instead of less expensive services. Preferred Provid...

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 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 ...

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 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...