Podcast
Questions and Answers
What is another name for the system mentioned in the text?
What is another name for the system mentioned in the text?
Where can the Certification Number be typically found on CMS 1500?
Where can the Certification Number be typically found on CMS 1500?
Who needs to approve certain health care services under this system?
Who needs to approve certain health care services under this system?
What does Pre-admission approval refer to in the context of the text?
What does Pre-admission approval refer to in the context of the text?
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What is one of the benefits associated with health insurance coverage mentioned in the text?
What is one of the benefits associated with health insurance coverage mentioned in the text?
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What is one of the common challenges individuals face despite having health insurance?
What is one of the common challenges individuals face despite having health insurance?
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How does health insurance coverage help prevent long-term health issues according to the text?
How does health insurance coverage help prevent long-term health issues according to the text?
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Why do about 40% of surveyed individuals delay or go without care according to the text?
Why do about 40% of surveyed individuals delay or go without care according to the text?
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What is a key reason why health insurance coverage is important according to the text?
What is a key reason why health insurance coverage is important according to the text?
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What is one obstacle mentioned in the text that some insured Americans face despite having coverage?
What is one obstacle mentioned in the text that some insured Americans face despite having coverage?
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What is one of the benefits of health insurance coverage mentioned in the text?
What is one of the benefits of health insurance coverage mentioned in the text?
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Which group has disproportionately high rates of being uninsured according to the text?
Which group has disproportionately high rates of being uninsured according to the text?
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What is one impact of Medicaid expansion on hospitals mentioned in the text?
What is one impact of Medicaid expansion on hospitals mentioned in the text?
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What is one outcome associated with Medicaid expansion according to the text?
What is one outcome associated with Medicaid expansion according to the text?
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How does health insurance coverage impact communities according to the text?
How does health insurance coverage impact communities according to the text?
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What is one reason why it is important to improve access to coverage and care according to the text?
What is one reason why it is important to improve access to coverage and care according to the text?
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Study Notes
Health Insurance and Coverage
- Another name for the system mentioned in the text is Medicaid.
CMS 1500 Form
- The Certification Number can typically be found on the CMS 1500 form.
Healthcare Services Approval
- Certain healthcare services need to be approved by insurance providers under this system.
Pre-Admission Approval
- Pre-admission approval refers to the approval required for hospital admissions and certain medical procedures.
Benefits of Health Insurance Coverage
- One benefit associated with health insurance coverage is financial protection against medical expenses.
Challenges with Health Insurance
- Despite having health insurance, one common challenge individuals face is high out-of-pocket costs.
Health Insurance and Preventative Care
- Health insurance coverage helps prevent long-term health issues by encouraging regular check-ups and preventative care.
Delaying or Foregoing Care
- About 40% of surveyed individuals delay or go without care due to high out-of-pocket costs.
Importance of Health Insurance Coverage
- A key reason why health insurance coverage is important is that it provides financial protection against medical expenses.
Obstacles with Health Insurance
- One obstacle mentioned in the text that some insured Americans face is high out-of-pocket costs despite having coverage.
Benefits of Health Insurance Coverage
- One benefit of health insurance coverage is that it encourages regular check-ups and preventative care.
Uninsured Populations
- Young adults (19-34 years old) have disproportionately high rates of being uninsured.
Impact of Medicaid Expansion on Hospitals
- One impact of Medicaid expansion on hospitals is that they see a reduction in uncompensated care costs.
Outcomes of Medicaid Expansion
- One outcome associated with Medicaid expansion is improved health outcomes for low-income individuals.
Impact of Health Insurance on Communities
- Health insurance coverage has a positive impact on communities by encouraging community clinics and health centers.
Importance of Access to Coverage and Care
- It is important to improve access to coverage and care because it leads to better health outcomes and a healthier workforce.
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Description
Test your knowledge on the steps involved in obtaining approval from the health plan Medical Director in the UMR Department before receiving specific health care services. Learn about the certification process and medical necessity assessments. This quiz covers important terms like Certification Number, Prior-Authorization Number, Pre-certification, and Pre-admission approval.
