Question 1

The federal government reimburses states for the cost of services provided by Indian Health Service facilities at a rate of:

Accepted Answer

A)  0%. 
B)  50%. 
C)  75%. 
D)  100%. 
A)  0%. 
B)  50%. 
C)  75%. 
D)  100%.

Question 2

Optional Medicaid services that are eligible for federal matching funds include all of the following EXCEPT:

Accepted Answer

A)  transportation services. 
B)  rehabilitation services. 
C)  acupuncture for pain relief. 
D)  optometrist services and eyeglasses. 
A)  transportation services. 
B)  rehabilitation services. 
C)  acupuncture for pain relief. 
D)  optometrist services and eyeglasses.

Question 3

Under a primary care case management (PCCM) arrangement, primary care physicians are paid on a:

Accepted Answer

A)  monthly capitation basis. 
B)  monthly capitation basis plus a case-management fee. 
C)  fee-for-service basis. 
D)  fee-for-service basis plus a case-management fee. 
A)  monthly capitation basis. 
B)  monthly capitation basis plus a case-management fee. 
C)  fee-for-service basis. 
D)  fee-for-service basis plus a case-management fee.

Question 4

Care provided under the PACE program can be rendered in:

Accepted Answer

A)  nursing homes. 
B)  hospitals. 
C)  the patient's home. 
D)  all of the above. 
A)  nursing homes. 
B)  hospitals. 
C)  the patient's home. 
D)  all of the above.

Question 5

Hospitals are NOT permitted to submit interim claims for Medicaid patients while they are still hospitalized.

Accepted Answer

A) True 
 B)False

Question 6

Due to the Affordable Care Act of 2010, Medicaid expenditures are expected to increase by how much over earlier projections?

Accepted Answer

A)  3% 
B)  5% 
C)  8% 
D)  10% 
A)  3% 
B)  5% 
C)  8% 
D)  10%

Question 7

Two managed care models implemented in state Medicaid programs include:

Accepted Answer

A)  HMOs and POS. 
B)  HMOs and PCCM. 
C)  POS and PCCM. 
D)  PPOs and POS. 
A)  HMOs and POS. 
B)  HMOs and PCCM. 
C)  POS and PCCM. 
D)  PPOs and POS.

Question 8

Match the following:
-The type of managed care Medicaid plan that pays primary care physicians a fee-for-service rate plus a case-management fee

Accepted Answer

A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF) 
A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF)

Question 9

Federal Medical Assistance Percentage is calculated ________ for each state based on a statutory formula that takes into account state per capita income with some adjustments prescribed by legislation.

Accepted Answer

The answer of Federal Medical Assistance Percentage is calculated ________...

Question 10

States may pay for Medicaid services on a fee-for-service basis or:

Accepted Answer

A)  based on the Medicare fee schedule. 
B)  through contracts with managed care organizations. 
C)  using a scale based on the beneficiary's annual income. 
D)  through a per-diem rate. 
A)  based on the Medicare fee schedule. 
B)  through contracts with managed care organizations. 
C)  using a scale based on the beneficiary's annual income. 
D)  through a per-diem rate.

Question 11

To verify a patient's eligibility of Medicaid, the medical office specialist can do all the following EXCEPT:

Accepted Answer

A)  scan the patient's Medicaid card. 
B)  enter the Medicaid number on the Medicaid website. 
C)  check the website for eligibility from 3 months past to current data. 
D)  call the Department of Human Services. 
A)  scan the patient's Medicaid card. 
B)  enter the Medicaid number on the Medicaid website. 
C)  check the website for eligibility from 3 months past to current data. 
D)  call the Department of Human Services.

Question 12

Which services covered under Medicaid are exempt from copayments?

Accepted Answer

Emergency services a

Question 13

Match the following:
-The program that provides care for persons 55 and older requiring a nursing facility level of care

Accepted Answer

A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF) 
A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF)

Question 14

A low-income individual age 65 or older may be eligible for both Medicare and ________ health insurance coverage.

Accepted Answer

The answer of A low-income individual age 65 or older...

Question 15

Match the following:
-The federal-state program that provides health insurance for certain categories of low-income children

Accepted Answer

A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF) 
A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF)

Question 16

Legal resident aliens who entered the United States after 1996 are eligible for Medicaid after ________ years.

Accepted Answer

The answer of Legal resident aliens who entered the United...

Question 17

Under the Welfare Reform Bill, mandatory covered services for immigrants include:

Accepted Answer

A)  prenatal care. 
B)  well-child checkups. 
C)  emergency services. 
D)  preventive services. 
A)  prenatal care. 
B)  well-child checkups. 
C)  emergency services. 
D)  preventive services.

Question 18

What must states file with CMS to request permission to make changes in the design and implementation of their Medicaid programs?

Accepted Answer

A)  Payment request 
B)  Authorization request 
C)  Waiver request 
D)  Certification request 
A)  Payment request 
B)  Authorization request 
C)  Waiver request 
D)  Certification request

Question 19

Match the following:
-The program that provides preventive care and health screenings for children younger than age 21

Accepted Answer

A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF) 
A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF)

Question 20

State legislators cannot make changes in Medicaid eligibility or services.

Accepted Answer

A) True 
 B)False

The federal government reimburses states for the cost of services provided by Indian Health Service facilities at a rate of:

Optional Medicaid services that are eligible for federal matching funds include all of the following EXCEPT:

Under a primary care case management (PCCM) arrangement, primary care physicians are paid on a:

Care provided under the PACE program can be rendered in:

Hospitals are NOT permitted to submit interim claims for Medicaid patients while they are still hospitalized.

Due to the Affordable Care Act of 2010, Medicaid expenditures are expected to increase by how much over earlier projections?

Two managed care models implemented in state Medicaid programs include:

Match the following: -The type of managed care Medicaid plan that pays primary care physicians a fee-for-service rate plus a case-management fee

Federal Medical Assistance Percentage is calculated ________ for each state based on a statutory formula that takes into account state per capita income with some adjustments prescribed by legislation.

States may pay for Medicaid services on a fee-for-service basis or:

To verify a patient's eligibility of Medicaid, the medical office specialist can do all the following EXCEPT:

Which services covered under Medicaid are exempt from copayments?

Match the following: -The program that provides care for persons 55 and older requiring a nursing facility level of care

A low-income individual age 65 or older may be eligible for both Medicare and ________ health insurance coverage.

Match the following: -The federal-state program that provides health insurance for certain categories of low-income children

Legal resident aliens who entered the United States after 1996 are eligible for Medicaid after ________ years.

Under the Welfare Reform Bill, mandatory covered services for immigrants include:

What must states file with CMS to request permission to make changes in the design and implementation of their Medicaid programs?

Match the following: -The program that provides preventive care and health screenings for children younger than age 21

State legislators cannot make changes in Medicaid eligibility or services.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters

Exam 13: Medicaid Medical Billing

The federal government reimburses states for the cost of services provided by Indian Health Service facilities at a rate of:

Optional Medicaid services that are eligible for federal matching funds include all of the following EXCEPT:

Under a primary care case management (PCCM) arrangement, primary care physicians are paid on a:

Care provided under the PACE program can be rendered in:

Hospitals are NOT permitted to submit interim claims for Medicaid patients while they are still hospitalized.

Due to the Affordable Care Act of 2010, Medicaid expenditures are expected to increase by how much over earlier projections?

Two managed care models implemented in state Medicaid programs include:

Match the following: -The type of managed care Medicaid plan that pays primary care physicians a fee-for-service rate plus a case-management fee

Federal Medical Assistance Percentage is calculated ________ for each state based on a statutory formula that takes into account state per capita income with some adjustments prescribed by legislation.

States may pay for Medicaid services on a fee-for-service basis or:

To verify a patient's eligibility of Medicaid, the medical office specialist can do all the following EXCEPT:

Which services covered under Medicaid are exempt from copayments?

Match the following: -The program that provides care for persons 55 and older requiring a nursing facility level of care

A low-income individual age 65 or older may be eligible for both Medicare and ________ health insurance coverage.

Match the following: -The federal-state program that provides health insurance for certain categories of low-income children

Legal resident aliens who entered the United States after 1996 are eligible for Medicaid after ________ years.

Under the Welfare Reform Bill, mandatory covered services for immigrants include:

What must states file with CMS to request permission to make changes in the design and implementation of their Medicaid programs?

Match the following: -The program that provides preventive care and health screenings for children younger than age 21

State legislators cannot make changes in Medicaid eligibility or services.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters