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Which was the first commercial insurance company in the United States to provide private health care coverage for injuries not resulting in death?
Franklin Health Assurance Company
Which legislation provides civilian employees of the federal government with medical care, survivors' benefits, and compensation for lost wages?
Federal Employees Compensation Act
The first Blue Cross policy was introduced by
Baylor University in Dallas, Texas
The Blue Shield concept grew out of the lumbar and mining camps of the -----------region at the turn of the century.
Pacific Northwest
Health care coverage offered by___________is called group health insurance.
employers
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 I
facilities were required to provide services free or at reduced rates to patients unable to pay for care.
What is the Hill-Burton Act?
It is funding given to hospitals and in turn they cannot turn away anyone whether they have insurance or not
Third party administrators (TPAs) administer health care plans and process claims, serving as a
system of checks and balances for labor and management
Major medical insurance provides coverage for__________ILLNESSSES AND INJURIES, INCORPORATING LARGE DEDUCTIBLES AND LIFETIME MAXIMUM AMOUNTS.
catastrophic or prolonged
The government health plan that provides health care services to Americans over the age of 65 is called
Medicare
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
coinsurance
The Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) enacted the_______prospective payment system (PPS).
diagnosis related groups
What is Ms/Drg?
It is a payment method used by medicare to reimburse inpatient hospital service Ms-Drg codes.
The Clinical Laboratory improvement Act (CLIA) established quality standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results.
regardless of where the test was performed.
What is CLIA?
It is an agency responsible for laboratory guidelines and procedural maintenance.
The National Correct Coding initiative (NCCI) promotes national correct coding methodologies and eliminates improper coding. NCCI edits are developed based on coding conventions defined in___.current standards of medical and surgical coding
CPT
