Question 1

The federal aspects of Medicaid are the responsibility of the

Accepted Answer

A)  AMA. 
B)  AHA. 
C)  HIAA. 
D)  CMS. 
A)  AMA. 
B)  AHA. 
C)  HIAA. 
D)  CMS. D

Question 2

The _______________________________________ Law prevents the community spouse from being impoverished by his or her spouse's institutionalization in a nursing facility.

Accepted Answer

Spousal Impoverishment Protection

Question 3

Medicaid eligibility must always be checked for the

Accepted Answer

A)  month of service. 
B)  type of service. 
C)  year of service. 
D)  both a and b 
A)  month of service. 
B)  type of service. 
C)  year of service. 
D)  both a and b D

Question 4

The Social Security Act of 1935

Accepted Answer

A)  set up the public assistance programs. 
B)  made a special provision for medical assistance. 
C)  made a special provision for dental coverage. 
D)  set up the state medical programs. 
A)  set up the public assistance programs. 
B)  made a special provision for medical assistance. 
C)  made a special provision for dental coverage. 
D)  set up the state medical programs.

Question 5

Medicaid was legally established by Title ____________________ of the Social Security Act.

Accepted Answer

The answer of Medicaid was legally established by Title ____________________...

Question 6

All states processing medical claims must bill using the CMS-1500 claim form.

Accepted Answer

A) True 
 B)False

Question 7

The patient's Medicaid card must be checked each time the patient visits the physician's office to verify eligibility for month of service.

Accepted Answer

A) True 
 B)False

Question 8

Basic Maternal and Child Health Program (MCHP) provisions offered in all states include

Accepted Answer

A)  children with handicap needs who require orthopedic treatment or plastic surgery. 
B)  children with hearing problems. 
C)  children with mental retardation. 
D)  children with paralyzed muscles. 
A)  children with handicap needs who require orthopedic treatment or plastic surgery. 
B)  children with hearing problems. 
C)  children with mental retardation. 
D)  children with paralyzed muscles.

Question 9

The Omnibus Budget Reconciliation Act

Accepted Answer

A)  helped set up a Medicaid fund for each state. 
B)  provided assistance for the blind who are below the poverty level and who are covered under the Medicare program. 
C)  provided assistance for the aged and disabled who are receiving Medicare and whose incomes are below the poverty level. 
D)  set up counseling centers for those on Medicaid and Medicare. 
A)  helped set up a Medicaid fund for each state. 
B)  provided assistance for the blind who are below the poverty level and who are covered under the Medicare program. 
C)  provided assistance for the aged and disabled who are receiving Medicare and whose incomes are below the poverty level. 
D)  set up counseling centers for those on Medicaid and Medicare.

Question 10

Medicaid identification cards are usually issued every ____________________.

Accepted Answer

The answer of Medicaid identification cards are usually issued every...

Question 11

Medicaid patients in managed care plans must go to hospitals participating in their assigned plan.

Accepted Answer

A) True 
 B)False

Question 12

The federal government financially supports the minimum assistance level of the medically needy aged, and the states must wholly support any part of the program that goes beyond the federal minimum.

Accepted Answer

A) True 
 B)False

Question 13

Medicaid is available to the needy and low-income people such as

Accepted Answer

A)  the blind. 
B)  the disabled. 
C)  the aged (65 years or older). 
D)  all of the above. 
A)  the blind. 
B)  the disabled. 
C)  the aged (65 years or older). 
D)  all of the above.

Question 14

It is not possible for a person to be eligible for Medicaid benefits and also have additional group health insurance coverage.

Accepted Answer

A) True 
 B)False

Question 15

Family planning is a Medicaid basic benefit.

Accepted Answer

A) True 
 B)False

Question 16

Prior approval or authorization is never required in the Medicaid program.

Accepted Answer

A) True 
 B)False

Question 17

DEFRA and CHAP were responsible for

Accepted Answer

A)  reducing Medicaid-covered services. 
B)  decreasing the number of people covered by Medicaid. 
C)  expanding Medicaid eligibility requirements. 
D)  changing the way the Medicaid program is administered. 
A)  reducing Medicaid-covered services. 
B)  decreasing the number of people covered by Medicaid. 
C)  expanding Medicaid eligibility requirements. 
D)  changing the way the Medicaid program is administered.

Question 18

In some cases the welfare office may grant retroactive eligibility to a patient.

Accepted Answer

A) True 
 B)False

Question 19

When Medicaid and a third-party payer cover the patient, Medicaid is always the payer of last resort.

Accepted Answer

A) True 
 B)False

Question 20

The Federal Emergency Relief Administration made funds available to pay for

Accepted Answer

A)  food and living expenses of the needy unemployed. 
B)  food and living expenses of the needy employed. 
C)  medical expenses of the needy unemployed. 
D)  medical expenses of the needy employed. 
A)  food and living expenses of the needy unemployed. 
B)  food and living expenses of the needy employed. 
C)  medical expenses of the needy unemployed. 
D)  medical expenses of the needy employed.

The federal aspects of Medicaid are the responsibility of the

The _______________________________________ Law prevents the community spouse from being impoverished by his or her spouse's institutionalization in a nursing facility.

Medicaid eligibility must always be checked for the

The Social Security Act of 1935

Medicaid was legally established by Title ____________________ of the Social Security Act.

All states processing medical claims must bill using the CMS-1500 claim form.

The patient's Medicaid card must be checked each time the patient visits the physician's office to verify eligibility for month of service.

Basic Maternal and Child Health Program (MCHP) provisions offered in all states include

The Omnibus Budget Reconciliation Act

Medicaid identification cards are usually issued every ____________________.

Medicaid patients in managed care plans must go to hospitals participating in their assigned plan.

The federal government financially supports the minimum assistance level of the medically needy aged, and the states must wholly support any part of the program that goes beyond the federal minimum.

Medicaid is available to the needy and low-income people such as

It is not possible for a person to be eligible for Medicaid benefits and also have additional group health insurance coverage.

Family planning is a Medicaid basic benefit.

Prior approval or authorization is never required in the Medicaid program.

DEFRA and CHAP were responsible for

In some cases the welfare office may grant retroactive eligibility to a patient.

When Medicaid and a third-party payer cover the patient, Medicaid is always the payer of last resort.

The Federal Emergency Relief Administration made funds available to pay for

Role of an Insurance Billing Specialist

Compliance, Privacy, Fraud, and Abuse in Insurance Billing

Basics of Health Insurance

Medical Documentation and the Electronic Health Record

Diagnostic Coding

Procedural Coding

The Paper Claim: Cms-1500 02-12

The Electronic Claim

Receiving Payments and Insurance Problem Solving

Office and Insurance Collection Strategies

The Blue Plans, Private Insurance, and Managed Care Plans

Medicare

Tricare and Veterans Health Care

Workers Compensation

Disability Income Insurance and Disability Benefit Programs

Hospital Billing

Seeking a Job and Attaining Professional Advancement

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Exam 13: Medicaid and Other State Programs

The federal aspects of Medicaid are the responsibility of the

The _______________________________________ Law prevents the community spouse from being impoverished by his or her spouse's institutionalization in a nursing facility.

Medicaid eligibility must always be checked for the

The Social Security Act of 1935

Medicaid was legally established by Title ____________________ of the Social Security Act.

All states processing medical claims must bill using the CMS-1500 claim form.

The patient's Medicaid card must be checked each time the patient visits the physician's office to verify eligibility for month of service.

Basic Maternal and Child Health Program (MCHP) provisions offered in all states include

The Omnibus Budget Reconciliation Act

Medicaid identification cards are usually issued every ____________________.

Medicaid patients in managed care plans must go to hospitals participating in their assigned plan.

The federal government financially supports the minimum assistance level of the medically needy aged, and the states must wholly support any part of the program that goes beyond the federal minimum.

Medicaid is available to the needy and low-income people such as

It is not possible for a person to be eligible for Medicaid benefits and also have additional group health insurance coverage.

Family planning is a Medicaid basic benefit.

Prior approval or authorization is never required in the Medicaid program.

DEFRA and CHAP were responsible for

In some cases the welfare office may grant retroactive eligibility to a patient.

When Medicaid and a third-party payer cover the patient, Medicaid is always the payer of last resort.

The Federal Emergency Relief Administration made funds available to pay for

Role of an Insurance Billing Specialist

Compliance, Privacy, Fraud, and Abuse in Insurance Billing

Basics of Health Insurance

Medical Documentation and the Electronic Health Record

Diagnostic Coding

Procedural Coding

The Paper Claim: Cms-1500 02-12

The Electronic Claim

Receiving Payments and Insurance Problem Solving

Office and Insurance Collection Strategies

The Blue Plans, Private Insurance, and Managed Care Plans

Medicare

Tricare and Veterans Health Care

Workers Compensation

Disability Income Insurance and Disability Benefit Programs

Hospital Billing

Seeking a Job and Attaining Professional Advancement

Filters