chapter 2 intro to health insurance

Question 1

ACCOUNTABLE CARE ORGANIZATION

Answer 1

GROUPS OF PHYSIANS HOSPITALS AND OTHER HEALTH CARE PROVIDERS ALL OF WHOM COME TOGETHER VOLUNTRAILY TO PROVIDE COORDINATED HIGH QUALITY CARE TO MEDICARE PATIENTS

Question 2

ADVANCED ALTERNATIVE PAYMENT MODLES

Answer 2

INCLUDE NEW WAYS FOR CMS TO REIMBURSE HEALTH CARE PROVIDERS FOR CARE PROVIDCED TO MEDICARE BENEFICIARIES

Question 3

ALTERNATIVE PAYMENT MODLES

Answer 3

PAYMENT APPRACH THAT INCLUDES INCENTIVE PAYMENTS TO PROVIDE HIGH QUAILTY AND COST EFFICIENT CARE

Question 4

AMNBULATORY PAYMENT CLASSIFICATIONS

Answer 4

PROSPECTIVE PAYMETN SYSTEM USED TO CALCULATE REIMBURSEMENT FOR OUTPATIENT CARE ACCORDING TO SIMILAR CLINICAL CHARACTERISTICS AND IN TERMS OF RESOURCES REQUIRED

Question 5

AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009

Answer 5

AUTHORIZED AN EXPENDITURE OF 1.5 BILLION FOR GRANTS FOR CONSTRUCTION RENVATOPN AND EQUIPMENT AND FOR THE ACQUISITION OF HEALTH INFORMATION TECHNOLOGY

Question 6

BALANCED BUDGET ACT OF 1997

Answer 6

ADDRESSES HEALTH CARE FRAUD AND ABUSE ISSUES

Question 7

BENCHMARKING

Answer 7

PRACTICE THAT ALLOWS AN ENTITY TO MEASURE AND COMPARE ITS OWN DATA AGAINST THAT OF OTHER AGENCIES AND ORGANIZATIONS FOR THE PURPOSE OF CONTINUOUS IMPROVEMENT

Question 8

CHAMPUS REFORM INITIATIVE

Answer 8

REUSLTED IN A NEW HEALTH PROGRAM CALLED TRICARE WHICH INDULDES W OPTIONS TRICARE PRIME AND TRICARE SELECT

Question 9

CHILDERN’S HEALTH INSURANCE PROGRAM

Answer 9

HEALTH INSURANCE COVERAGE TO UNINSURED CHILDERN WHOS FAMILY INCOME IS UP TO 200 PERCENT OF THE FEDERAL POVERTY LEVEL

Question 10

CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMETN OF VETERANS AFFAIRS CHAMPAVA

Answer 10

PROVIDES HEALTH BENFITS FOR DEPENDENTS OF VETERANS RATED AS 100 PERCENT PERMANENTLY AND TOTALLY DISABLED AS A RESULT OF SERVICE CONNECTED CONDITIONS

Question 11

CIVILIAN HEALTH AND MEDICAL PROGRAM UNIFORMED SERVICE CHAMPUS

Answer 11

DESIGNED AS A BENFIT FOR DEPENDENTS OF PERSONNEL SERVING IN THE ARMED FORCES AND UNIFORMED BRANCHES

Question 12

CLINICAL LABORATORY IMPROVEMENT ACT

Answer 12

QUALITY STANDARDS FOR ALL LABORATORY TESTING TO ENSURE THE ACCURACY RELIABILTY AND TIMELINESS OF PATIENT TEST RESULTS REGARDLESS OF WHERE THE TEST WAS PERFORMED

Question 13

CMS-1500 CLAIM

Answer 13

CLAIM SUBMITTED FOR REIMBURSEMENT OF PHYSICIAN OFFICE PROCEDURES ADN SERVICES

Question 14

COINSURANCE

Answer 14

THE PERCENTAGE THE PATIENT PAYS FOR COVEREDSERVICES AFTER THE DEDUCTIBLEHAS BEEN MET AND THE COPAYMETN HAS BEEN PAID

Question 15

CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT OR 1985 COBRA

Answer 15

ALLOWS EMPLOYEES TO CONTINUE HEALTH CARE COVERAGE BEYOND THE BENFIT TERMINATION DATE

Question 16

CONSUMER DRIVEN HEALTH PLANS CCHOS

Answer 16

HEALTH CARE PLAN THAT ENCOURAGES INDIVIDUALS TO LOCATE THE BEST HEALTH CARE AT EH LOWEST POSSIBLE PRICE

Question 17

CONTINUITY OF CARE

Answer 17

DOCUMENTING PATIENT CARE SERVICES SO THAT OTHERS WHO TREAT THE PATIENT HAVE A SOURCE OF INFORMATION ON WHICH TO BASE ADDITIONAL CARE AND TREATMENT

Question 18

COPAYMENT

Answer 18

INSURANCE POLICY THAT REQUIRES THE POLICYHOLDER OR PATIENT TO PAY ASPECIFIED DOLLAR AMOUNT TO A HEALTH CARE PROVIDER FOR EACH VISIT PR MEDICCAL SERVICE RECEIVED