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Chapter 2 Insurance

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Question
Answer
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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