Question 1

Which act governs privacy, security, and electronic transactions standards for health care information and was implemented to provide better access to health insurance, limit fraud and abuse, and reduce administrative costs?

Accepted Answer

A)   BBA
B)   HIPAA
C)   MMA
D)   TEFRAE) B) and C)
F) A) and B)

Question 2

Which is a systematic method of documentation that consists of four components: database, problem list, initial plan, and progress notes?

Accepted Answer

A)   electronic record
B)   integrated record
C)   problem-oriented record
D)   source-oriented recordE) B) and D)
F) B) and C)

Question 3

The Health Information Technology for Economic and Clinical Health Act was included in the American Recovery and Reinvestment Act of 2009 and amended the Public Health Service Act to establish the __________.

Accepted Answer

A)   Health Care Financing Administration
B)   Centers for Medicare and Medicaid Services
C)   Office of National Coordinator for HIT
D)   State Children's Health Insurance ProgramE) C) and D)
F) A) and D)

Question 4

Which provides coverage for catastrophic or prolonged illnesses and injuries?

Accepted Answer

A)   health insurance marketplace
B)   indemnity health plans
C)   major medical insurance
D)   state mandated benefitsE) B) and C)
F) A) and D)

Question 5

Which serves as a system of checks and balances for labor and management?

Accepted Answer

A)   health insurance exchange
B)   medical underwriter
C)   preferred provider organization
D)   third-party administratorE) B) and C)
F) A) and D)

Question 6

Which type of insurance has as its goal providing every individual with access to health coverage, regardless of the system implemented to achieve that goal?

Accepted Answer

A)   group health insurance
B)   individual health insurance
C)   public health insurance
D)   universal health insuranceE) A) and B)
F) None of the above

Question 7

A lifetime maximum amount is the maximum benefits payable to a __________.

Accepted Answer

A)   health plan participant
B)   nonparticipating provider
C)   participating provider
D)   third-party payerE) C) and D)
F) All of the above

Question 8

Title XIX of the Social Security Amendments of 1965 is a cost-sharing program between the federal and state governments to provide health care services to low-income Americans. It is a government plan known as __________.

Accepted Answer

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

Question 9

The Skilled Nursing Facility Prospective Payment System (SNF PPS)  was implemented to cover all costs (routine, ancillary, and capital)  related to services furnished to Medicare Part A beneficiaries. SNF PPS generates per diem payments for each admission. These payments are case-mix adjusted using a resident classification system called __________.

Accepted Answer

A)   diagnosis-related groups
B)   minimum data set
C)   outcomes and assessment information set
D)   resource utilization groupsE) B) and D)
F) A) and D)

Question 10

Which provides health insurance coverage?

Accepted Answer

A)   continuity of care
B)   health insurance exchange
C)   meaningful use
D)   third-party payerE) A) and D)
F) A) and C)

Question 11

Which is the amount for which the patient is financially responsible before an insurance policy provides payment?

Accepted Answer

A)   coinsurance
B)   copayment
C)   deductible
D)   exclusionaryE) B) and C)
F) None of the above

Question 12

The CHAMPUS Reform Initiative (CRI)  of 1988 resulted in a new program called TRICARE, which includes __________.

Accepted Answer

A)   certificates of insurance
B)   group health insurance
C)   health care marketplaces
D)   multiple optionsE) A) and B)
F) All of the above

Question 13

Which type of health insurance coverage includes federal and state government health programs (e.g., Medicare, Medicaid, SCHIP, TRICARE)  that are available to eligible individuals?

Accepted Answer

A)   group health insurance
B)   individual health insurance
C)   public health insurance
D)   universal health insuranceE) B) and C)
F) None of the above

Question 14

The Investing in Innovations (i2)  Initiative is designed to spur innovations in health information technology (health IT)  by promoting research and development to enhance competitiveness in the United States. An example of this type of an initiative includes _____.

Accepted Answer

A)   facilitating the exchange of health information by prohibiting individuals from customizing privacy allowances for their personal health records
B)   generating results by providing patients, caregivers, and clinicians with access to rigorous and relevant information that can support real needs and immediate decisions
C)   permitting the unsecured and effective sharing of information by individuals with members of their social network
D)   prohibiting individuals from connecting with others during natural disasters and other periods of emergencyE) B) and D)
F) B) and C)

Question 15

The Health Care and Education Reconciliation Act (HCERA)  amended the PPACA to implement health care reform initiatives, which included __________.

Accepted Answer

A)   closing the Medicare "donut hole"
B)   decreasing tax credits to buy health insurance
C)   eliminating revenue changes on indoor tanning services
D)   increasing special deals provided to senatorsE) A) and B)
F) A) and C)

Question 16

Which legislation protects and compensates railroad workers who are injured on the job?

Accepted Answer

A)   Federal Civil Defense Act
B)   Federal Employees' Compensation Act
C)   Federal Employers' Liability Act
D)   Federal Unemployment Tax ActE) B) and C)
F) All of the above

Question 17

Which act resulted in a prospective payment system (PPS)  that issues a predetermined payment for inpatient services?

Accepted Answer

A)   Employee Retirement Income Security Act of 1974
B)   Health Maintenance Organization Assistance Act of 1973
C)   Omnibus Budget Reconciliation Act of 1981
D)   Tax Equity and Fiscal Responsibility Act of 1982E) A) and B)
F) C) and D)

Question 18

Total practice management software is used to generate the electronic medical record, automating which of the following medical practice functions?

Accepted Answer

A)   appointment scheduling
B)   collecting bad debts
C)   patient check writing
D)   third-party payer reimbursementE) B) and D)
F) A) and B)

Question 19

The State Children's Health Insurance Program (SCHIP)  was established to provide health assistance to uninsured, low-income children, either through separate programs or through expanded eligibility under state __________ programs.

Accepted Answer

A)   CHAMPUS
B)   CHAMPVA
C)   Medicaid
D)   MedicareE) A) and B)
F) A) and C)

Question 20

The Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)  includes a patient classification system that reflects differences in patient __________.

Accepted Answer

A)   assessments and income
B)   case- and facility-level adjustments
C)   outcomes and assessment information
D)   resource use and costsE) All of the above
F) C) and D)

Exam 2: Introduction to Health Insurance

The CHAMPUS Reform Initiative (CRI) of 1988 resulted in a new program called TRICARE, which includes __________.

Correct Answer
verified

Which provides coverage for catastrophic or prolonged illnesses and injuries?

Correct Answer
verified

Which type of health insurance coverage includes federal and state government health programs (e.g., Medicare, Medicaid, SCHIP, TRICARE) that are available to eligible individuals?

Correct Answer
verified

Total practice management software is used to generate the electronic medical record, automating which of the following medical practice functions?

Correct Answer
verified

Which act governs privacy, security, and electronic transactions standards for health care information and was implemented to provide better access to health insurance, limit fraud and abuse, and reduce administrative costs?

Correct Answer
verified

The Health Care and Education Reconciliation Act (HCERA) amended the PPACA to implement health care reform initiatives, which included __________.

Correct Answer
verified

Which act resulted in a prospective payment system (PPS) that issues a predetermined payment for inpatient services?

Correct Answer
verified

Correct Answer
verified

Which is a systematic method of documentation that consists of four components: database, problem list, initial plan, and progress notes?

Correct Answer
verified

Which provides health insurance coverage?

Correct Answer
verified

Which legislation protects and compensates railroad workers who are injured on the job?

Correct Answer
verified

Which is the amount for which the patient is financially responsible before an insurance policy provides payment?

Correct Answer
verified

A lifetime maximum amount is the maximum benefits payable to a __________.

Correct Answer
verified

Which type of insurance has as its goal providing every individual with access to health coverage, regardless of the system implemented to achieve that goal?

Correct Answer
verified

The State Children's Health Insurance Program (SCHIP) was established to provide health assistance to uninsured, low-income children, either through separate programs or through expanded eligibility under state __________ programs.

Correct Answer
verified

Title XIX of the Social Security Amendments of 1965 is a cost-sharing program between the federal and state governments to provide health care services to low-income Americans. It is a government plan known as __________.

Correct Answer
verified

Which serves as a system of checks and balances for labor and management?

Correct Answer
verified

The Health Information Technology for Economic and Clinical Health Act was included in the American Recovery and Reinvestment Act of 2009 and amended the Public Health Service Act to establish the __________.

Correct Answer
verified

The Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) includes a patient classification system that reflects differences in patient __________.

Correct Answer
verified

The Investing in Innovations (i2) Initiative is designed to spur innovations in health information technology (health IT) by promoting research and development to enhance competitiveness in the United States. An example of this type of an initiative includes _____.

Correct Answer
verified

Exam 2: Introduction to Health Insurance

The CHAMPUS Reform Initiative (CRI) of 1988 resulted in a new program called TRICARE, which includes __________.

Correct AnswerverifiedShow Answer

Which provides coverage for catastrophic or prolonged illnesses and injuries?

Correct AnswerverifiedShow Answer

Which type of health insurance coverage includes federal and state government health programs (e.g., Medicare, Medicaid, SCHIP, TRICARE) that are available to eligible individuals?

Correct AnswerverifiedShow Answer

Total practice management software is used to generate the electronic medical record, automating which of the following medical practice functions?

Correct AnswerverifiedShow Answer

Which act governs privacy, security, and electronic transactions standards for health care information and was implemented to provide better access to health insurance, limit fraud and abuse, and reduce administrative costs?

Correct AnswerverifiedShow Answer

The Health Care and Education Reconciliation Act (HCERA) amended the PPACA to implement health care reform initiatives, which included __________.

Correct AnswerverifiedShow Answer

Which act resulted in a prospective payment system (PPS) that issues a predetermined payment for inpatient services?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which is a systematic method of documentation that consists of four components: database, problem list, initial plan, and progress notes?

Correct AnswerverifiedShow Answer

Which provides health insurance coverage?

Correct AnswerverifiedShow Answer

Which legislation protects and compensates railroad workers who are injured on the job?

Correct AnswerverifiedShow Answer

Which is the amount for which the patient is financially responsible before an insurance policy provides payment?

Correct AnswerverifiedShow Answer

A lifetime maximum amount is the maximum benefits payable to a __________.

Correct AnswerverifiedShow Answer

Which type of insurance has as its goal providing every individual with access to health coverage, regardless of the system implemented to achieve that goal?

Correct AnswerverifiedShow Answer

The State Children's Health Insurance Program (SCHIP) was established to provide health assistance to uninsured, low-income children, either through separate programs or through expanded eligibility under state __________ programs.

Correct AnswerverifiedShow Answer

Title XIX of the Social Security Amendments of 1965 is a cost-sharing program between the federal and state governments to provide health care services to low-income Americans. It is a government plan known as __________.

Correct AnswerverifiedShow Answer

Which serves as a system of checks and balances for labor and management?

Correct AnswerverifiedShow Answer

The Health Information Technology for Economic and Clinical Health Act was included in the American Recovery and Reinvestment Act of 2009 and amended the Public Health Service Act to establish the __________.

Correct AnswerverifiedShow Answer

The Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) includes a patient classification system that reflects differences in patient __________.

Correct AnswerverifiedShow Answer

The Investing in Innovations (i2) Initiative is designed to spur innovations in health information technology (health IT) by promoting research and development to enhance competitiveness in the United States. An example of this type of an initiative includes _____.

Correct AnswerverifiedShow Answer

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