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There are 7 questions that need to be done
- Copy and paste the questions to the text entry field.
- Each question is numbered, each response should be directly below the question.
- Do not write all the answers in one paragraph.
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Explanation & Answer
Attached.
Running head: MEDICAL BILLING AND CODING
Medical Billing and Coding
Student’s Name:
Course Name:
Professor’s Name:
Date:
1
MEDICAL BILLING AND CODING
2
Medical billing and coding
Question 1: Define the following terms: the Affordable Care Act, commercial health
insurance, copay, deductible, covered California and Obamacare
Affordable Care Act refers to the comprehensive reform in the healthcare that had been
implemented into the state’s law by President Barrack Obama in the year 2010 (Phelps, &
Jackson-Moore, 2020).Commercial health insurance refers to health insurance that is
administered and provided by the non-governmental entities to cover expenses associated with
healthcare services. Copay entails the amount of fixed out-of-pocket that can be paid by the
insurance to for the services which have been covered. Covered California denotes the services
that help to connect the brand-name health insurance with Californians through patient protection
as well as the Affordable Care Act. Lastly, Obamacare refers to the Affordable Care Act and
patient protection which helps in changing ways through which healthcare services are being
delivered in the US.
Question 2: Explain the duties of a primary care physician (PCP) in a health maintenance
organization (HMO)
The PCP refers to the specialist especially in internal medicine, pediatrics, or family
medicine who has the duty of providing care to undifferentiated individuals from the first
contact. Besides they have been involved in ensuring that there has been the provision of
comprehensive care to the patients. This is done through making a critical examination with the
patients to determine the infection being associated with.
Question 3: define and compare the differences among an HMO, PPO, and POS.
The term HMO is generally designed to maintain predictable and lower cost hence being
cheap when compared to the other plans. PPO provid...