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Completa Quiz

Select the Answer that corresponds to the displayed Question.
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1. Amount for which the patient is financially responsible before an insurance policy provides coverage.




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2. Coverage for catastrophic or prolonged illnesses and injuries.




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3. Federal legislation that expanded the Medicare and Medicaid programs.




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4. Three or more health care providers who share equipment, supplies, and personnel, and divide income by a prearranged formula.




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5. Performs utilization and quality control review of health care furnished, or to be furnished, to Medicare beneficiaries.




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6. Prospective payment system used to calculate reimbursement for outpatient care according to similar clinical characteristics and in terms of resources required.




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7. Process of the third-party payer recovering health care expenses from the liable party.




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8. Designed to help individuals avoid health and injury problems.




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9. Provision in an insurance policy that requires the policyholder or patient to pay a specified dollar amount to a health care provider for each visit or medical service received.




Select the Question that corresponds to the displayed Answer.
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10. Health Insurance Portability and Accountability Act of 1996 (HIPAA)




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11. Resource-Based Relative Value Scale system (RBRVS)




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12. Medicaid




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13. group health insurance




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14. disability insurance




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15. prospective payment system (PPS)




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16. third-party administrator (TPA)




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17. Resource Utilization Groups (RUGs)




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18. CMS-1500




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19. Medicare





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