What is the Role of Medical Malpractice Reform Flashcards

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WHAT IS THE PROGRAM MANDATED BY FEDERAL AND STATE GOVERNMENT THAT REQUIRES EMPLOYERS TO COVER MEDICAL EXPENSES AND LOSS OF WAGES FOR WORKERS WHO ARE INJURED ON THE JOB? -WAGNER NATIONAL HEALTH ACT -WORKER COMPENSATION -HILL BURTON ACT -BLUE CROSS BLUE SHIELD
WORKERS COMPENSATION
ACCORDING TO THE US CENSUS BUREAU DATA FROM 2005 WHAT % OF PEOPLE IN THE UNITED STATES ARE COVERED BY GOVERNMENT PLANS(MEDICARE, MEDICAID) -9% -27% -60% -45%
27%
WHICH ACT MANDATES REGULATIONS THAT GOVERN PRIVACY, SECURITY AND ELECTRONIC TRANSACTIONS STANDARDS FOR HEALTH CARE INFORMATION. -ADMINISTRATIVE COMPLIANCE ACT -HIPPA -BALANCED BUDGET ACT TEFRA
HIPPA
THE FIRST BLUE SHIELD PLAN WAS FOUNDED IN? -MICHIGAN -CALIFORNIA -CONNECTICUT -OHIO
CALIFORNIA
A SUCCESSFUL HEALTH INSURANCE SPECIALIST SHOULD HAVE WHICH OF THE FOLLOWING CHARACTERISTICS? -WORK INDEPENDANTLY -ATTENTION TO DETAILS -ETHICS -ALL OF THE ABOVE
ALL OF THE ABOVE
REIMBURSEMENT FOR INCOME LOST AS A RESULT OF TEMPORARY/PERMANENT ILLNESS OR INJURY IS: -LIABILITY INSURANCE -RELIABILITY INSURANCE -DISABILITY INSURANCE --NONE OF THE ABOVE
DISABILITY INSURANCE
WHAT DOES CPT STAND FOR? -CODES POSTED VIA TELEPHONE -CLINICAL PROCEDURE TESTS -CURRENT PROCEDURAL TERMINOLOGY -NONE OF THE ABOVE
CURRENT PROCEDURAL TERMINOLOGY
DISABILITY INSURANCE PROVIDES THE DISABLED PERSON WTIH FINANCIAL ASSISTANCE BUT DOESNT GENERALLY PAY FOR -MEDICAL SERVICES- -UNEMPLOYMENT INSURANCE BENEFITS - BOTH -NEITHER
BOTH MEDICAL SERVICES AND UNEMPLOYMENT INSURANCE BENEFITS
WHICH OF THE FOLLOWING IS NOT A PROFESSIONAL ASSOCIATION FOR HEALTH INSURANCE SPECIALIST -AMERICAN ACADEMY OF CODERS -AMERICAN MEDICAL ASSOCIATION -AMERICAN HEALTH MANAGEMENT
AMERICAN MEDICAL ASSOCIATION
ICD-9CM STANDS FOR
INTERNATIONAL CLASSIFICATION OF DISEASES-9TH REVISION , CLINICAL MODIFICATION
IF THE INSURANCE PLAN HAS A HOLD HARMLESS CLAUSE; IT MEANS
PATIENT IS NOT RESPONSIBLE FOR PAYING WHAT THE INSURANCE PLAN DENIES
HEALTH CARE COVERAGE AVAILABLE THROUGH EMPLOYERS AND OTHER ORGANIZTIONS IN WHICH EMPLOYERS USUALLY PAY PART OR ALL OF THE PREMIUM COST IS CALLED?
GROUP HEALTH INSURANCE
THIS TYPE OF INSURANCE PROVIDES COVERAGE FOR CATASTROPHIC OR PROLONGED ILLNESS AND INJURIES -MAJOR MEDICAL INSURANCE -LIFETIME INSURANCE -LIABILITY INSURANCE -NONE OF THE ABOVE
MAJOR MEDICAL INSURANCE
ANOTHER NAME FOR HEALTH INSURANCE SPECIALIST IS -MEDICAL RECORDS CLERK -BILLER -REIMBURSEMENT SPECIALIST -NONE OF THE ABOVE
REIMBURSEMENT SPECIALIST
WHO REQUIRES PHYSICIAN OFFICES TO SUBMIT ICD-9SM CODES ON CMS1500 CLAIM FORMS? -HEDIS -MEDICARE -NATIONAL HEALTH INSURANCE COMMITTEE -MEDICAID
MEDICARE