Author Question: There has been an impact of the Health Insurance Reform Act, also known as The Patient Protection ... (Read 23 times)

storky111

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There has been an impact of the Health Insurance Reform Act, also known as The Patient Protection and Affordable Care Act, on system use and design. Which of the following actions was enacted upon the president's signature?
 
  1. Young people can remain on their parents insurance until 24 years old.
  2. Children with preexisting conditions are no longer covered.
  3. New plans must offer free preventive care.
  4. There are lifetime limits on benefits.

Question 2

Which of the following statements is true about the projected results of the increase in federal and state mandated health care cost reform legislation?
 
  1. The increase in governmental regulations provides for a higher quality of care.
  2. Governmental oversight is something that has been lacking in health care over the past several years.
  3. The burden of proof is placed on the health care community.
  4. The increase in governmental oversight allows for improved outcomes with decreased FTEs.



shayla

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Answer to Question 1

3
Rationale: -There will be an expanded ability to appeal decisions made by the health plan.

Answer to Question 2

3
Rationale: The more federal and state mandated health care cost reform legislation comes into play, the more the burden of proof is placed on the health care community to justify their services and receive proper reimbursement for them. That means more man-hours in coding, medical records logging and storing, EDI, and the evaluation of systems and procedures.



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