Question 15 of 30 10 10 points what is the term for

This preview shows page 8 - 13 out of 17 pages.

Quiz 1.docx

Question 14   of 30 1.0 / 1.0 Points To which of the following factors is health insurance status most closely linked ?
A.  Demographics
B.  Community rating
C.  Historical context
D.  Employment
Question 15   of 30 1.0 / 1.0 Points What is the term for the contract between the healthcare insurance company and the individual or group for whom the company is assuming the risk ?
Get answer to your question and much more
Question 16   of 30 1.0 / 1.0 Points Which of the following services has the highest likelihood of being a " covered service " ?
Get answer to your question and much more
Question 17   of 30 1.0 / 1.0 Points In the accounting system of the physician office , the account is categorized as " self - pay . " How should the insurance analyst interpret this category ?
Get answer to your question and much more
Question 18   of 30 1.0 / 1.0 Points In which type of reimbursement methodology do healthcare insurance companies reimburse providers after the costs have been incurred ?
A.  Retrospective payment
B.  Block grant
C.  Prospective payment
D.  Global payment
Question 19   of 30 1.0 / 1.0 Points Which governmental fraud and abuse effort focused on recouping lost funds for the Medicare Program due to inaccurate coding and billing ? $ 188 million were recovered during the first two years of this effort .
Get answer to your question and much more
Question 20   of 30 1.0 / 1.0 Points The policies and procedures section of a Coding Compliance Plan should include :
Get answer to your question and much more
Question 21   of 30 1.0 / 1.0 Points In the United States , what is healthcare insurance ?
Get answer to your question and much more
Question 22   of 30 1.0 / 1.0 Points From the patient 's healthcare insurance plan , the rehabilitation facility received a fixed , pre-established payment for the patient rehabilitation after a total knee replacement . What type of healthcare payment method was the patient 's healthcare insurance plan using ?
A.  Traditional retrospective
B.  Case - based
C.  Resource - based relative value scale
D.  Managed care
Question 15 of 30 1.0/ 1.0 Points What is the term for the contract between the healthcare insurance company and the individual or group for whom the company is assuming the risk? A. Benefit B. Coverage C. Rider
D. Policy Answer Key:D Question 16 of 30 1.0/ 1.0 Points Which of the following services has the highest likelihood of being a "covered service"?
Question 17 of 30 1.0/ 1.0 Points In the accounting system of the physician office, the account is categorized as "self-pay." How should the insurance analyst interpret this category?
C. The employer's self-insured healthcare insurance plan will cover the account. D. The patient will pay deductibles and noncovered charges. Answer Key:A Question 18 of 30 1.0/ 1.0 Points In which type of reimbursement methodology do healthcare insurance companies reimburse providers after the costs have been incurred?
Question 19 of 30 1.0/ 1.0 Points Which governmental fraud and abuse effort focused on recouping lost funds for the Medicare Program due to inaccurate coding and billing? $188 million were recovered during the first two years of this effort. A. Hospital Payment Monitoring Program
B. OIG Compliance Program Guidance C. Operation Restore Trust D. Medicare Integrity Program Answer Key:C Question 20 of 30 1.0/ 1.0 Points The policies and procedures section of a Coding Compliance Plan should include:
Question 21 of 30 1.0/ 1.0 Points In the United States, what is healthcare insurance?
A. Federal program to provide medical care and services to indigent US citizens B. State programs to provide medical care and services to deserving individuals C. Reduction of a person's or a group's exposure to risk for unknown healthcare costs by the assumption of that risk by an entity D. Set of negotiated guarantees that all healthcare expenses of a risk pool will be covered by employers Answer Key:C

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture