Chapter 2 Insurance
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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Which is the abbreviation for the standardized notice that informs Medicare patients they are an outpatient receiving observation services and are not an inpatient of a hospital or a critical access hospital (CAH)? | show 🗑
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show | Federal Employees' Compensation Act
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show | Baylor University in Dallas, Texas.
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The Blue Shield concept grew out of the lumber and mining camps of the _____ region at the turn of the century. | show 🗑
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Health care coverage offered by _____ is called group health insurance. | show 🗑
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The Hill-Burton Act provided federal grants for modernizing hospitals that had become obsolete because of a lack of capital investment during the Great Depression and World War II (1929 to 1945). In return for federal funds, | show 🗑
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show | system of checks and balances for labor and management.
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show | catastrophic or prolonged
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show | Medicare.
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The percentage of costs a patient shares with the health plan (e.g., plan pays 80 percent of costs and patient pays 20 percent) is called | show 🗑
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The Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) enacted the _____ prospective payment system (PPS). | show 🗑
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The Clinical Laboratory Improvement Act (CLIA) established quality standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results | show 🗑
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show | CPT
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The intent of HIPAA legislation is to | show 🗑
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The Patient Protection and Affordable Care Act (PPACA) was signed into federal law by President Obama on March 23, 2010, and resulted in creation of a(n)_____. | show 🗑
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Which is a primary purpose of the patient record? | show 🗑
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The problem-oriented record (POR) includes the following four components: | show 🗑
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show | Record linkage.
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When a patient states, "I haven't been able to sleep for weeks," the provider who uses the SOAP format documents that statement in the _____ portion of the clinic note. | show 🗑
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show | Objective
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show | Program that provides health benefits for veterans who are disabled, died, or died on duty within 30 days of active duty
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CMS - 1500 claim | show 🗑
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show | the percentage the patient pays for covered services after the deductible has been met and the copayment has been paid
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Continuity of Care | show 🗑
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show | Amount for which the patient is financially responsible before an insurance policy provides coverage
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show | provision in an insurance policy that requires the policyholder or the patient to pay a specified dollar amount to a healthcare provider for each visit or medical service received.
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show | Global concept that includes the collection of patient in formation documented by a number of providers at different facilities regarding one patient
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show | list of predetermined payments for health care services provided to patients
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show | Traditional health care coverage by employers and other organizations
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HIPAA | show 🗑
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show | Health insurance for low-income Americans
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National Correct Coding Initiative (NCCI) | show 🗑
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Personal Health Record (PHR) | show 🗑
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policyholder | show 🗑
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show | federal and state government health programs (Medicare, Medicaid, TRICARE)
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show | health insurance company that provides coverage such as blue cross blue shield
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World Health Organization (WHO) | show 🗑
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