Bcbs exam questions - Study guides, Class notes & Summaries
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NCCT: Interactive Review: Medical Insurance Exam Questions and Answers
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NCCT: Interactive Review: Medical Insurance 
Exam Questions and Answers 
Eligibility for Medicaid may change as quickly as - Answer-monthly. 
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? - 
Answer-verification 
The patient is a 3-year-old. Both parents have private insurance coverage on the 
patient, and the mother has a Healthcare Savings Account. The primary insurance ...
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MHA 707 Exam D Questions And Revised Correct Answers
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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 
-...
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BCBS Exam Questions and Answers
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Blue Cross Blue Shield began as two separate __________ health plans - THE CORRECT ANSWER IS prepaid 
 
In ______ the membership of the separate BCBS national associations voted to combine personnel under the leadership of a single president - THE CORRECT ANSWER IS 1977 
 
In ______ BCBS merged into a single coproration - THE CORRECT ANSWER IS 1986 
 
__________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to the program of the corporat...
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BCBS chap 13 Exam Questions with All Correct Answers
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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...
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GBA 1 - Study Guide Exam Questions & Answers 2023/2024
- Exam (elaborations) • 6 pages • 2023
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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...
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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...
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215 Insurance License Exam Questions And Answers
- Exam (elaborations) • 7 pages • 2024
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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...
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Bcbs and commercial Exam Questions with Correct Answers
- Exam (elaborations) • 3 pages • 2024
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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...
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BCBS LMS Training 2018 Exam Questions with Correct Answers
- Exam (elaborations) • 5 pages • 2024
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BCBS LMS Training 2018 Exam 
Questions with Correct Answers 
 
 
 
What action can an individual request if BlueCross or its Business Associates refuse a 
request to amend or correct the individual's PHI? - Answer-The individual can request a 
statement of disagreement. 
Any potential breach of PHI must be reported to BlueCross within _______? - AnswerThree Business Days 
Who should a Business Associate contact with questions concerning HIPAA 
compliance? - Answer-BlueCross privacy official 
Wh...
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Revenue Cycle Management Ch.13 BlueCross BlueShield Practice Questions and Answers
- Exam (elaborations) • 13 pages • 2024
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Revenue Cycle Management Ch.13 
BlueCross BlueShield Practice 
Questions and Answers 
One of the requirements that a participating provider must comply with is to 
a. purchase billing manuals and newsletters published by the payer and pay registration 
fees to attend payer training sessions. 
b. make fee adjustments for the difference between amounts charged to patients for 
services provided and payer-approved fees. 
c. maintain a provider representative department to assist with billing and pa...
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