BCBS Exam Questions with Correct Answers

BCBS Exam Questions with Correct Answers Blue Cross Blue Shield began as two separate __________ health plans - Answerprepaid In ______ the membership of the separate BCBS national associations voted to combine personnel under the leadership of a single president - Answer-1977 In ______ BCBS merged into a single coproration - Answer-1986 __________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to the program of the corporation rather than distributed to shareholders and officers of the corporation - Answer-non-profit ______ corporations pay taxes on profits generated by the corporations enterprises and pay dividends to shareholders on after-tax profits - Answer-for-profit BSBS is responsible for: - Answer-* making prompt, direct payments * provide representatives to assist providers with claim problems/questions * provide educational seminars, workshops * provide billing manuals, newsletters * publish a directory of PAR's for BCBS subscribers PAR - Answer-Participating Provider - healthcare provider who enters into a contract with a BCBS corporation BCBS programs include the following: - Answer-* Fee-for-service * Indemnity * Managed care plans * Federal Employee Program * Medicare supplemental plans * Healthcare Anywhere __________________ plan are normally selected by individuals who do not have access to a group plan or are a small business with many employees - Answer-Fee-forservice BCBS Basic coverage includes: - Answer-* Hospitalization * Diagnostic laboratory services * X-rays * Surgical fees * Assistant surgical fees * Obstetric care * Intensive care * Newborn care * Chemotherapy for cancer