Question 1

Match between columns
                        Premises: Group of health care providers who offer medical care benefit packages.

Accepted Answer

The Answer of Accounts payable and Medicaid and Co-pay and is...

Question 2

Which of the following conditions may qualify an individual for insurance coverage through Medicare?

Accepted Answer

A)  Very low income 
B)  Severe disability 
C)  Age 60 
D)  Veteran status 
A)  Very low income 
B)  Severe disability 
C)  Age 60 
D)  Veteran status

Question 3

Insurance companies can legally refuse to pay for certain services if they are not preauthorized.

Accepted Answer

A) True 
 B)False

Question 4

How does a prepaid health plan encourage efficiency in the provision of health care services?

Accepted Answer

A)  It penalizes patients for overuse of services. 
B)  Health care providers can make higher profits. 
C)  The cost of individual services is set in advance. 
D)  It discourages the use of unnecessary tests and treatments. 
A)  It penalizes patients for overuse of services. 
B)  Health care providers can make higher profits. 
C)  The cost of individual services is set in advance. 
D)  It discourages the use of unnecessary tests and treatments.

Question 5

What is meant by "to earn a profit"?

Accepted Answer

A)  To keep accounts receivable low 
B)  To keep accounts payable high 
C)  Money remaining after all costs are paid 
D)  To maximize the cost of money 
A)  To keep accounts receivable low 
B)  To keep accounts payable high 
C)  Money remaining after all costs are paid 
D)  To maximize the cost of money

Question 6

Match between columns
                        Premises: Amount required to be paid by the insured before benefits become payable.

Accepted Answer

The Answer of ICD-10 and Accounts payable and PPO and is...

Question 7

Which of the following is an example of co-pay?

Accepted Answer

A)  Patient pays $10 every time they have an office visit. 
B)  Patient is denied a referral to a specialist. 
C)  Patient pays a set amount every month. 
D)  Patient pays 20 percent of the charges for health care services. 
A)  Patient pays $10 every time they have an office visit. 
B)  Patient is denied a referral to a specialist. 
C)  Patient pays a set amount every month. 
D)  Patient pays 20 percent of the charges for health care services.

Question 8

Which category of expenses is often the highest for a health care organization?

Accepted Answer

A)  Facility 
B)  Personnel 
C)  Equipment and supplies 
D)  Financing 
A)  Facility 
B)  Personnel 
C)  Equipment and supplies 
D)  Financing

Question 9

Controlling the costs in a health care facility is the responsibility of the administration.

Accepted Answer

A) True 
 B)False

Question 10

The youth of this nation are showing an alarming increase in obesity, poor diet, and lack of physical fitness, which is resulting in an onset of chronic conditions at a very young age.

Accepted Answer

A) True 
 B)False

Question 11

Some estimates claim that as much as $210 billion is wasted each year on ______ medical services.

Accepted Answer

The answer of Some estimates claim that as much as...

Question 12

Match between columns
                        Premises: C ode used to describe the condition or disease being treated, also known as the diagnosis.

Accepted Answer

The Answer of Premium and Coding and Accounts payable and is...

Question 13

Medicare will pay for all medications that are prescribed by the patient's primary physician.

Accepted Answer

A) True 
 B)False

Question 14

Match between columns
                        Premises: That which is most important.

Accepted Answer

The Answer of Coding and Accounts payable and Medicaid and is...

Question 15

If health care professionals are cross-trained, this means that they:

Accepted Answer

A)  have more than one college degree. 
B)  are qualified to work in more than one type of health care facility. 
C)  can work without direct supervision. 
D)  have learned to perform duties in addition to those expected of those with their job title. 
A)  have more than one college degree. 
B)  are qualified to work in more than one type of health care facility. 
C)  can work without direct supervision. 
D)  have learned to perform duties in addition to those expected of those with their job title.

Question 16

Match between columns
                        Premises: Amount a customer pays an insurance company in exchange for coverage of certain health care expenses.

Accepted Answer

The Answer of Accounts payable and Medicaid and ICD-10 and is...

Question 17

The goal of managed care is to provide good care while practicing efficiency and controlling costs.

Accepted Answer

A) True 
 B)False

Question 18

One response to rising costs has been the development of managed care plans, which contain specific built-in cost controls.

Accepted Answer

A) True 
 B)False

Question 19

Why is it argued that the fee-for-service method of determining medical expenses has contributed to rising health care costs?

Accepted Answer

A)  It rewards health care providers who prescribe the most services. 
B)  Insurance companies must pay the full amount of services provided. 
C)  The practice of preventive health care is discouraged. 
D)  Too many people use health care services. 
A)  It rewards health care providers who prescribe the most services. 
B)  Insurance companies must pay the full amount of services provided. 
C)  The practice of preventive health care is discouraged. 
D)  Too many people use health care services.

Question 20

Which of the following is a result of the development of DRGs?

Accepted Answer

A)  Expanded services for Medicare patients 
B)  Longer hospital stays for many illnesses and conditions 
C)  Some hospitals were paid more than they charged for a given service 
D)  Advances in medical research 
A)  Expanded services for Medicare patients 
B)  Longer hospital stays for many illnesses and conditions 
C)  Some hospitals were paid more than they charged for a given service 
D)  Advances in medical research

Exam 22: Paying for Health Care

Which of the following conditions may qualify an individual for insurance coverage through Medicare?

Insurance companies can legally refuse to pay for certain services if they are not preauthorized.

How does a prepaid health plan encourage efficiency in the provision of health care services?

What is meant by "to earn a profit"?

Which of the following is an example of co-pay?

Which category of expenses is often the highest for a health care organization?

Controlling the costs in a health care facility is the responsibility of the administration.

The youth of this nation are showing an alarming increase in obesity, poor diet, and lack of physical fitness, which is resulting in an onset of chronic conditions at a very young age.

Some estimates claim that as much as $210 billion is wasted each year on ______ medical services.

Medicare will pay for all medications that are prescribed by the patient's primary physician.

If health care professionals are cross-trained, this means that they:

The goal of managed care is to provide good care while practicing efficiency and controlling costs.

One response to rising costs has been the development of managed care plans, which contain specific built-in cost controls.

Why is it argued that the fee-for-service method of determining medical expenses has contributed to rising health care costs?

Which of the following is a result of the development of DRGs?

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