HI chp 2
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| What is a contract between a policybolder and a third-party payer or government program to reimburse the policyholder for all or a portion of the cost of medically necessary treatment or preventive care provided by healthcare professionals? | Health insurance
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| At Baylor University in Dallas, TX, Justin Ford Kimball introduced a plan to guarantee school teachers 21 days of hospital care for $6 a year. What is this considered? | First Blue Cross plan
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| Who administer healthcare plans and process claims thus serving as a system of checks and balances for labor and management? | Third-party administrators (TPAs)
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| What insurance provides coverage for catastrophic or prolonged illnesses or injuries? | Major medical
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| What is the amount for which the patient is financially responsible before an insurance policy provides payment? | Deductible
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| What provides healthcare services to Americans over the age of 65? | Medicare
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| What is a cost-sharing program between the federal and state governments to provide healthcare services to low-income Americans? | Medicaid
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| What does the acronym OSHA mean? | Occupational Safety and Health Administration
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| What is a provision in an insurance policy that requires the policyholder or patient to pay a specified dollar amount to a healthcare provider for each visit or medical service received? | Copayment (copay)
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| What is the percentage of costs a patient shares with a health plan? | Coinsurance
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| What does the acronym RBRVS mean? | Resource-Based Relative Value Scale
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| On what three components does the RBRVS system reimburse physicians' practice expenses? | Physician work, practice expense, and malpractice insurance expense
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| What is a list of predetermined payments for healthcare services provided to patients? | Fee-schedule
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| What does the acronym NCCI mean? | National Correct Coding Initiative
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| What does the acronym HIPAA mean? | Health Insurance Portability and Accountability Act
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| What was implemented for billing of hospital-based Medicare outpatient claims? | Outpatient Prospective Payment System (OPPS)
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| What does the acronym APC mean? | Ambulatory Payment Classifications
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| What does the acronym EIN mean? | Employer Identification Number
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| What does the acronym NPI mean? | National Provider Indentifier
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| What format does a POR use for documentation? | SOAP
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| What is a global concept that includes the collection of patient information documentation by a number of providers at different facilities regarding one patient? | Electronic health record
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| Who offers healthcare coverage that is called group health insurance? | Employers
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