Question 1

Which is a centralized health care system adopted by some Western nations (e.g., Canada, Great Britain)  and funded by taxes?

Accepted Answer

A)   individual health insurance
B)   single-payer plan
C)   socialized medicine
D)   universal health insuranceE) A) and D)
F) B) and C)

Question 2

Which type of health insurance coverage is subsidized by employers and other organizations?

Accepted Answer

A)   group health insurance
B)   individual health insurance
C)   public health insurance
D)   universal health insuranceE) A) and D)
F) B) and C)

Question 3

The Veterans Healthcare Expansion Act of 1973 authorized Veterans Affairs to establish __________ to provide health care benefits for dependents of veterans rated as 100 percent 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.

Accepted Answer

A)   CHAMPUS
B)   CHAMPVA
C)   Medicaid and Medicare
D)   TRICAREE) All of the above
F) A) and D)

Question 4

Which is a type of single-payer system in which the government owns and operates health care facilities and providers (e.g., physicians)  receive salaries?

Accepted Answer

A)   government health plan
B)   managed care
C)   socialized medicine
D)   universal health insuranceE) C) and D)
F) B) and C) C

Question 5

Which has a more narrow focus because it is the patient record created for a single medical practice using a computer, keyboard, mouse, optical pen device, voice recognition system, scanner, and/or touch screen?

Accepted Answer

A)   electronic health record
B)   electronic medical record
C)   multidisciplinary health record
D)   personal health recordE) All of the above
F) A) and B)

Question 6

The Financial Services Modernization Act (FSMA)  (or Gramm-Leach-Bliley Act)  prohibits sharing of medical information among health insurers and other financial institutions for use in making __________ decisions.

Accepted Answer

A)   credit
B)   financial
C)   payment
D)   reimbursementE) B) and C)
F) A) and C) A

Question 7

The Medicare Contracting Reform initiative (MCR)  was established to integrate the administration of Medicare Parts A and B fee-for-service benefits with new entities called __________.

Accepted Answer

A)   carriers
B)   fiscal intermediaries
C)   Medicare administrative contractors
D)   third-party payersE) None of the above
F) C) and D)

Question 8

The Resource-Based Relative Value Scale (RBRVS)  system reimburses physicians' practice expenses using a __________.

Accepted Answer

A)   fee schedule
B)   guaranteed issue method
C)   prospective payment system
D)   usual and reasonable payment basisE) None of the above
F) B) and C)

Question 9

Which may specifically result in the early detection of health problems, allowing less drastic and less expensive treatment options?

Accepted Answer

A)   health care insurance
B)   medical necessity
C)   preventive examination
D)   third-party paymentE) B) and D)
F) C) and D)

Question 10

Medicare requires providers to submit the __________ claim for payment of outpatient and office services.

Accepted Answer

A)   CMS-1450
B)   CMS-1500
C)   UB-02
D)   UB-04E) A) and B)
F) None of the above

Question 11

One result of the Patient Protection and Affordable Care Act (PPACA)  was establishment of state health insurance __________ that Americans will use to purchase health coverage that fits their budget and meets their needs.

Accepted Answer

A)   exchanges or marketplaces
B)   payment or reimbursement systems
C)   requirements or regulations
D)   statutes or lawsE) A) and C)
F) A) and B)

Question 12

Prior to implementation of a prospective payment system for acute care hospital inpatient stays, reimbursement was generated on a __________ basis, which issued payment based on daily rates.

Accepted Answer

A)   capitated
B)   per diem
C)   prospective
D)   res gestaeE) B) and C)
F) A) and B)

Question 13

Which act allows employees to continue health care coverage beyond the benefit termination date?

Accepted Answer

A)   Consolidated Omnibus Budget Reconciliation Act of 1985
B)   Health Insurance Portability and Accountability Act of 1996
C)   Omnibus Budget Reconciliation Act of 1981
D)   Tax Equity and Fiscal Responsibility Act of 1982E) C) and D)
F) A) and D)

Question 14

The Outpatient Prospective Payment System (OPPS) , which uses __________ to calculate reimbursement, is implemented for billing of hospital-based Medicare outpatient claims.

Accepted Answer

A)   ambulatory payment classifications
B)   diagnosis-related groups
C)   outcomes and assessment information
D)   resource utilization groupsE) All of the above
F) B) and C)

Question 15

The Patient Protection and Affordable Care Act (PPACA)  was signed into federal law on March 23, 2010, and resulted in the creation of a Health Insurance Marketplace to:

Accepted Answer

A)   ​allow Americans to purchase health coverage that fits their budget and meets their needs.
B)   ​create the Obama care federal national health insurance program.
C)   ​replace other health insurance programs, such as private insurance.
D)   ​require employers to offer group health insurance to all employees.E) None of the above
F) A) and B)

Question 16

Clinical Laboratory Improvement Act (CLIA)  legislation established __________ for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results regardless of where the test was performed.

Accepted Answer

A)   advance directives
B)   case management
C)   plan administration
D)   quality standardsE) A) and D)
F) B) and C)

Question 17

The National Correct Coding Initiative (NCCI)  was created to promote national correct coding methodologies and to eliminate __________ coding.

Accepted Answer

A)   credentialed
B)   improper
C)   outdated
D)   providerE) C) and D)
F) A) and D)

Question 18

Which act provided federal grants for modernizing hospitals that had become obsolete because of a lack of capital investment during the Great Depression and World War II (1929 to 1945) ?

Accepted Answer

A)   Brady Act
B)   Gramm-Leach-Bliley Act
C)   Hill-Burton Act
D)   Taft-Hartley ActE) A) and D)
F) B) and C)

Question 19

The American Recovery and Reinvestment Act of 2009 (ARRA)  established electronic health record (EHR)  __________ during three stages to achieve the goal of improved patient care outcomes and delivery as well as data capture and sharing, advance clinical processes, and improved outcomes.

Accepted Answer

A)   acquisition of health information technology systems
B)   health care reform initiatives
C)   meaningful use objectives and measures
D)   privacy and security requirementsE) B) and D)
F) All of the above

Question 20

Amendments to the Dependents' Medical Care Act of 1956 created the Civilian Health and Medical Program-Uniformed Services (CHAMPUS) , which was designed as a benefit for dependents of personnel serving in the armed forces as well as uniformed branches of the Public Health Service and the National Oceanic and Atmospheric Administration. The program is now called __________.

Accepted Answer

A)   CHAMPVA
B)   Medicaid
C)   Medicare
D)   TRICAREE) A) and B)
F) None of the above D

Exam 2: Introduction to Health Insurance

Which is a centralized health care system adopted by some Western nations (e.g., Canada, Great Britain) and funded by taxes?

Correct Answer
verified

Which type of health insurance coverage is subsidized by employers and other organizations?

Correct Answer
verified

Correct Answer
verified

Which is a type of single-payer system in which the government owns and operates health care facilities and providers (e.g., physicians) receive salaries?

Correct Answer
verified
C

Which has a more narrow focus because it is the patient record created for a single medical practice using a computer, keyboard, mouse, optical pen device, voice recognition system, scanner, and/or touch screen?

Correct Answer
verified

The Financial Services Modernization Act (FSMA) (or Gramm-Leach-Bliley Act) prohibits sharing of medical information among health insurers and other financial institutions for use in making __________ decisions.

Correct Answer
verified
A

The Medicare Contracting Reform initiative (MCR) was established to integrate the administration of Medicare Parts A and B fee-for-service benefits with new entities called __________.

Correct Answer
verified

The Resource-Based Relative Value Scale (RBRVS) system reimburses physicians' practice expenses using a __________.

Correct Answer
verified

Which may specifically result in the early detection of health problems, allowing less drastic and less expensive treatment options?

Correct Answer
verified

Medicare requires providers to submit the __________ claim for payment of outpatient and office services.

Correct Answer
verified

One result of the Patient Protection and Affordable Care Act (PPACA) was establishment of state health insurance __________ that Americans will use to purchase health coverage that fits their budget and meets their needs.

Correct Answer
verified

Prior to implementation of a prospective payment system for acute care hospital inpatient stays, reimbursement was generated on a __________ basis, which issued payment based on daily rates.

Correct Answer
verified

Which act allows employees to continue health care coverage beyond the benefit termination date?

Correct Answer
verified

The Outpatient Prospective Payment System (OPPS) , which uses __________ to calculate reimbursement, is implemented for billing of hospital-based Medicare outpatient claims.

Correct Answer
verified

The Patient Protection and Affordable Care Act (PPACA) was signed into federal law on March 23, 2010, and resulted in the creation of a Health Insurance Marketplace to:

Correct Answer
verified

Clinical Laboratory Improvement Act (CLIA) legislation established __________ for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results regardless of where the test was performed.

Correct Answer
verified

The National Correct Coding Initiative (NCCI) was created to promote national correct coding methodologies and to eliminate __________ coding.

Correct Answer
verified

Which act provided federal grants for modernizing hospitals that had become obsolete because of a lack of capital investment during the Great Depression and World War II (1929 to 1945) ?

Correct Answer
verified

The American Recovery and Reinvestment Act of 2009 (ARRA) established electronic health record (EHR) __________ during three stages to achieve the goal of improved patient care outcomes and delivery as well as data capture and sharing, advance clinical processes, and improved outcomes.

Correct Answer
verified

Correct Answer
verified
D

Exam 2: Introduction to Health Insurance

Which is a centralized health care system adopted by some Western nations (e.g., Canada, Great Britain) and funded by taxes?

Correct AnswerverifiedShow Answer

Which type of health insurance coverage is subsidized by employers and other organizations?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which is a type of single-payer system in which the government owns and operates health care facilities and providers (e.g., physicians) receive salaries?

Correct AnswerverifiedC

Which has a more narrow focus because it is the patient record created for a single medical practice using a computer, keyboard, mouse, optical pen device, voice recognition system, scanner, and/or touch screen?

Correct AnswerverifiedShow Answer

The Financial Services Modernization Act (FSMA) (or Gramm-Leach-Bliley Act) prohibits sharing of medical information among health insurers and other financial institutions for use in making __________ decisions.

Correct AnswerverifiedA

The Medicare Contracting Reform initiative (MCR) was established to integrate the administration of Medicare Parts A and B fee-for-service benefits with new entities called __________.

Correct AnswerverifiedShow Answer

The Resource-Based Relative Value Scale (RBRVS) system reimburses physicians' practice expenses using a __________.

Correct AnswerverifiedShow Answer

Which may specifically result in the early detection of health problems, allowing less drastic and less expensive treatment options?

Correct AnswerverifiedShow Answer

Medicare requires providers to submit the __________ claim for payment of outpatient and office services.

Correct AnswerverifiedShow Answer

One result of the Patient Protection and Affordable Care Act (PPACA) was establishment of state health insurance __________ that Americans will use to purchase health coverage that fits their budget and meets their needs.

Correct AnswerverifiedShow Answer

Prior to implementation of a prospective payment system for acute care hospital inpatient stays, reimbursement was generated on a __________ basis, which issued payment based on daily rates.

Correct AnswerverifiedShow Answer

Which act allows employees to continue health care coverage beyond the benefit termination date?

Correct AnswerverifiedShow Answer

The Outpatient Prospective Payment System (OPPS) , which uses __________ to calculate reimbursement, is implemented for billing of hospital-based Medicare outpatient claims.

Correct AnswerverifiedShow Answer

The Patient Protection and Affordable Care Act (PPACA) was signed into federal law on March 23, 2010, and resulted in the creation of a Health Insurance Marketplace to:

Correct AnswerverifiedShow Answer

Clinical Laboratory Improvement Act (CLIA) legislation established __________ for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results regardless of where the test was performed.

Correct AnswerverifiedShow Answer

The National Correct Coding Initiative (NCCI) was created to promote national correct coding methodologies and to eliminate __________ coding.

Correct AnswerverifiedShow Answer

Which act provided federal grants for modernizing hospitals that had become obsolete because of a lack of capital investment during the Great Depression and World War II (1929 to 1945) ?

Correct AnswerverifiedShow Answer

The American Recovery and Reinvestment Act of 2009 (ARRA) established electronic health record (EHR) __________ during three stages to achieve the goal of improved patient care outcomes and delivery as well as data capture and sharing, advance clinical processes, and improved outcomes.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedD

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
D