Eventos
The first health insurance policy was provided by the Franklin Health Assurance Company Of MassachusettsPresident Franklin Theodore Roosevelt signed legislation to provide workers compensation - a program
mandated by federal and state governments that
requires employers to cover medical expenses and loss of wages for workers who are injured on the job
or who have developed job-related disordersFirst Blue Cross policy was a plan initiated by Baylor University Dallas teachers 21 days of hospital care for $6 a yearFirst Blue Shield plan was founded in California due to labor and mining camp employees who wanted to provide medical care for their workersThe World Health Organization (WHO) developed ICD to collect data for statistical purposesCPT was developed by the American Medical Association including E?M (Evaluation and Management) sectionMedicare established to provide health care services to Americans over the age of 65Medicaid established as a cost- sharing program between the federal and state governments to provide health services to low income AmericansOccupational Safety and Health Administration (OSHA) established and is designed to protect all employees against injuries from occupational hazards in the workplaceCHAMPVA (Civilian Health and Medical Program of Department of Veteran Affairs) provides health care benefits for dependents of veterans rated as 100% permanently and totally disabled as a result of service-connected conditions, veterans who died as a result of service-connected conditions and veterans who died on duty with less than 30 days of active service.Health Care Financing Administration (HCFA) formed to combine health care financing and quality assurance programs into a single agencyBlueCross BlueShield Association (BCBSA) formed by merger between Blue Cross and Blue ShieldConsolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) - Allows employees to continue health care coverage beyond their termination datemedicare began requiring physician offices to submit ICD-9-CM codes on HCFA-1500 now called CMS-1500 claim formsHealth Insurance and Accountability Act of 1996 (HIPAA) mandates regulations that govern piracy, security, and electronic transaction standards for health care information.
Goals: Provides better access to health insurance, limit fraud and abuse, and reduce administrative costsHCFA changed its name to Center for Medicare and Medicaid (CMS)EIN assigned to the IRS for use in health care transactionsProviders began applying for NPI May 23, 2005Providers must utilize NPI on electronic claims effective May 23, 2007Small health plans must utilize NPI on electronic claims by May 23, 2008Some
event
happenedHealthcare Reform Act - on March 23, 2010 President Obama signed the Patient Protection and Affordability Care Act (PPACA) a law that puts in place helath insurance reformsAll Americans will have access to affordable healthcare option. The
marketplace allows individuals and small companies to compare health plans
on a level playing field. Middle and low income families get a tax credit that
covers a significant portion of the cost for coverage. medicaid plans will
expand to cover more low-income AmericansManditory use of ICD-10 on Oct 1, 2015 for all medical providers
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