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Why do insurance companies practice things like restricting provider choice, gatekeeping, and pre-authorization?
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- Traditional Fee-For-Service coverage is selected by: A Small business employees Large groups of employees Individuals with no group plan None of the aboveWhy are healthcare workers reluctant to report mistakes and errors?What are two ways a healthcare provider could violate the HIPAA law, and what are alternative actions the healthcare provider could use to protect client confidentiality?
- The Physician Self-Referral Law, also known as the “Stark Law,” generally prohibits a physician from making referrals to an entity for certain healthcare services, if the physician has a financial relationship with the entity. How can a physician get around the Physician Self-Referral Law?With the HIPPA law that was enacted, how does this help the health care provider as it relates to patient confidentiality.How does health Insurance Portability and Accountability Act (HIPAA) facilitate electronic transactions? A Gives providers access to a centralized patient database B Gives covered providers unique identifiers to use with coding system C Allows anyone with computer access to file claims D Generates paper reports as a back up system
- How can private patient information be kept private even among staff?How has Health Insurance Portability and Accountability Act (HIPAA) changed how health care information is stored and accessed within an electronic health record (EHR)? A Implements security requirements B Requires thumbprint access protection C Requires paper backup D Limits patient accessWhat is long term reimbursement in health care
- Do contracts give a plan the right to conduct audits of medical records and billing data related to care provided to plan members? Select one: True False.How beneficial is it to look for information about health online? What kinds of technical hurdles must patients overcome when deciding between in-person and remote treatment?describe the difference between primary, secondary, and supplementary insurance. Do you feel having secondary and/or supplementary insurance is a benefit for the patient or more trouble than it is worth? Explain your answer.