Bcbs major medical Study guides, Class notes & Summaries
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![BCBS chap 13 Exam Questions with All Correct Answers](/docpics/4671712/65e740d17c261_4671712_121_171.jpeg)
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BCBS chap 13 Exam Questions with All Correct Answers
- Exam (elaborations) • 3 pages • 2024
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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...
![Ch. 8 Private Payers Blue Cross Blue Shield test questions fully solved & updated 2024.](/docpics/4220647/65a32db3b0987_4220647_121_171.jpeg)
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Ch. 8 Private Payers Blue Cross Blue Shield test questions fully solved & updated 2024.
- Exam (elaborations) • 13 pages • 2024
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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 
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Which of the fo...
![Chapter 8 Private Payers ACA Plans EXAM questions and answers 2024](/docpics/4220682/65a32ee620b7d_4220682_121_171.jpeg)
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Chapter 8 Private Payers ACA Plans EXAM questions and answers 2024
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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 
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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...
![Blue Cross , Blue Shield FULLY SOLVED & VERIFIED FOR ACCURACY 2024 LATEST UPDATE](/docpics/4220551/65a328f7ac8ef_4220551_121_171.jpeg)
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Blue Cross , Blue Shield FULLY SOLVED & VERIFIED FOR ACCURACY 2024 LATEST UPDATE
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History of Blue Cross 
* 1929 at Baylor University Hospital in Dallas Texas 
* Hospital Visits 
* Plan would Guarantee teachers and there dependents up to 21 days hospitalization per year inexchange for a $6 annual fee. 
 
 
 
History of Blue Shield 
* Office Visits 
* Pasted by the House of Delegates 
* Palo Alto, California in 1939 
* Plan would cover physicians fee's for medical services if the subscriber earned less than $3,000 a year, and if the subcriber earned more than $3,000 a year a s...
![GBA 1 - Study Guide Questions and Answers Rated A+](/docpics/4106651/658f29198d5ca_4106651_121_171.jpeg)
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GBA 1 - Study Guide Questions and Answers Rated A+
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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...
![N5350 Roles Final Study Guide](/docpics/628070ec5b43b_1732375.jpg)
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N5350 Roles Final Study Guide
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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 discuss pt...
![BCBS chap 13 Exam Questions with All Correct Answers](/docpics/4965701/66167d294f28f_4965701_121_171.jpeg)
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BCBS chap 13 Exam Questions with All Correct Answers
- Exam (elaborations) • 3 pages • 2024
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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 chap 13 Exam Questions with All Correct Answers](/docpics/5224220/663a98715b365_5224220_121_171.jpeg)
-
BCBS chap 13 Exam Questions with All Correct Answers
- Exam (elaborations) • 3 pages • 2024
- Available in package deal
-
- $7.99
- + learn more
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 chap 13 Exam Questions with All Correct Answers](/docpics/4857863/66053f2e01d30_4857863_121_171.jpeg)
-
BCBS chap 13 Exam Questions with All Correct Answers
- Exam (elaborations) • 3 pages • 2024
-
- $7.99
- + learn more
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...
![AAPC CPC Chapter 1 correctly answered 2023](/docpics/63db922581624_2328023.jpg)
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AAPC CPC Chapter 1 correctly answered 2023
- Exam (elaborations) • 5 pages • 2023
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AAPC CPC Chapter 1 correctly answered 2023MS-DRG 
Medicare Severity Diagnosis Related Group- Determines the amount the hospital will be reimbursed. 
 
 
 
EHR 
Electronic Health Record 
 
 
 
APC 
Ambulatory Payment Classification 
 
 
 
Outpatient coding 
* Provider Services, use CPT, HCPC level II and ICD10-CM Codes. 
 
* Work in provider offices, outpatient clinics, facility out patient department. 
 
*Also use APC's 
 
*More interaction with physician 
 
 
 
Inpatient hospital coding 
*Use ...
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