Which act governs privacy, security, and electronic transactions standards for health care information and was implemented to provide better access to health insurance, limit fraud and abuse, and reduce administrative costs?
Which act mandated reporting and disclosure requirements for…
Which act mandated reporting and disclosure requirements for group life and health plans (including managed care plans), permitted large employers to self-insure employee health care benefits, and exempted large employers fromtaxes on health insurance premiums?
Clinical Laboratory Improvement Act (CLIA) legislation estab…
Clinical Laboratory Improvement Act (CLIA) legislation established __________ for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results regardless of where the test was performed.
To create flexibility in managed care plans, some HMOs and p…
To create flexibility in managed care plans, some HMOs and preferred provider organizations have implemented a(n)__________, under which patients have freedom to use the managed care panel of providers or to self-refer to outof-network providers.
Managed health care was developed as a way to provide afford…
Managed health care was developed as a way to provide affordable, comprehensive, prepaid health care services to __________.
A lifetime maximum amount is the maximum benefits payable to…
A lifetime maximum amount is the maximum benefits payable to a __________.
The organization that hires a(n) __________ is not liable fo…
The organization that hires a(n) __________ is not liable for the acts or omissions of that individual.
A managed care network of physicians and hospitals that have…
A managed care network of physicians and hospitals that have joined together to contract with insurance companies,employers, or other organizations to provide health care to subscribers for a discounted fee is called a(n)__________.
Title XIX of the Social Security Amendments of 1965 is a cos…
Title XIX of the Social Security Amendments of 1965 is a cost-sharing program between the federal and state governments to provide health care services to low-income Americans. It is a government plan known as__________.
Which is submitted to the payer requesting reimbursement?
Which is submitted to the payer requesting reimbursement?