Question 1

The federal government determines the payment for medical services in the Medicaid program.

Accepted Answer

A) True 
 B)False

Question 2

Medicaid is administered by federal funding only.

Accepted Answer

A) True 
 B)False

Question 3

Medicaid is not so much an insurance program as an assistance program.

Accepted Answer

A) True 
 B)False

Question 4

The group of Medicaid recipients referred to as ____________________ includes all cash recipients of the Aid to Families with Dependent Children, certain other AFDC-related groups, most cash recipients of the Supplemental Security Income program, and other SSI-related groups.

Accepted Answer

The answer of The group of Medicaid recipients referred to...

Question 5

Time limits for Medicaid claim submission can vary from ____________________ months to 1 year from the date of service depending on the state in which service was provided.

Accepted Answer

The answer of Time limits for Medicaid claim submission can...

Question 6

The federal government designs the Medicaid program for each state on the basis of the needs of the state.

Accepted Answer

A) True 
 B)False

Question 7

The Medicaid program was a direct result of

Accepted Answer

A)  funds provided by the Federal Emergency Relief Administration. 
B)  a law passed by the U.S. Congress in 1950. 
C)  the Social Security Act of 1935. 
D)  Title XIX of the Social Security Act. 
A)  funds provided by the Federal Emergency Relief Administration. 
B)  a law passed by the U.S. Congress in 1950. 
C)  the Social Security Act of 1935. 
D)  Title XIX of the Social Security Act.

Question 8

Home health care is never covered under Medicaid.

Accepted Answer

A) True 
 B)False

Question 9

It is not possible for an immigrant to have Medicaid coverage.

Accepted Answer

A) True 
 B)False

Question 10

Managed care Medicaid programs usually save money in health care delivery.

Accepted Answer

A) True 
 B)False

Question 11

The time limit to appeal a claim varies from state to state, but it is usually

Accepted Answer

A)  30-60 days. 
B)  90-120 days. 
C)  6 months. 
D)  1 year. 
A)  30-60 days. 
B)  90-120 days. 
C)  6 months. 
D)  1 year.

Question 12

Some Medicaid recipients in the medically needy category must pay a coinsurance payment and/or deductible, also known as a/an ____________________, within the eligibility month before state benefits may be received.

Accepted Answer

The answer of Some Medicaid recipients in the medically needy...

Question 13

The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act are federal legislation passed in _________________.

Accepted Answer

The answer of The Patient Protection and Affordable Care Act...

Question 14

Most states have ____________________ for Medicaid payments if a patient requires medical care while out of state.

Accepted Answer

The answer of Most states have ____________________ for Medicaid payments...

Question 15

The abbreviation for the Deficit Reduction Act of 1984 is ____________________.

Accepted Answer

The answer of The abbreviation for the Deficit Reduction Act...

Question 16

The Medicaid patient may be responsible for a copayment.

Accepted Answer

A) True 
 B)False

Question 17

If a physician accepts Medicaid patients, the physician must accept

Accepted Answer

A)  the Medicaid-allowed amount. 
B)  the Medicare-allowed amount. 
C)  an amount equal to his or her regular fee schedule. 
D)  the Medicaid-allowed amount plus 20%, which may be collected from the patient. 
A)  the Medicaid-allowed amount. 
B)  the Medicare-allowed amount. 
C)  an amount equal to his or her regular fee schedule. 
D)  the Medicaid-allowed amount plus 20%, which may be collected from the patient.

Question 18

The Medicaid medical assistance program in California is called ____________________.

Accepted Answer

The answer of The Medicaid medical assistance program in California...

Question 19

To control escalating health care costs by curbing unnecessary emergency department visits and emphasizing preventive care, Medicaid reform has involved

Accepted Answer

A)  increased state funding. 
B)  increased federal funding. 
C)  managed care programs. 
D)  fee-for-service programs. 
A)  increased state funding. 
B)  increased federal funding. 
C)  managed care programs. 
D)  fee-for-service programs.

Question 20

Emergency care and pregnancy services are exempt by law from copayment requirements.

Accepted Answer

A) True 
 B)False

The federal government determines the payment for medical services in the Medicaid program.

Medicaid is administered by federal funding only.

Medicaid is not so much an insurance program as an assistance program.

The group of Medicaid recipients referred to as ____________________ includes all cash recipients of the Aid to Families with Dependent Children, certain other AFDC-related groups, most cash recipients of the Supplemental Security Income program, and other SSI-related groups.

Time limits for Medicaid claim submission can vary from ____________________ months to 1 year from the date of service depending on the state in which service was provided.

The federal government designs the Medicaid program for each state on the basis of the needs of the state.

The Medicaid program was a direct result of

Home health care is never covered under Medicaid.

It is not possible for an immigrant to have Medicaid coverage.

Managed care Medicaid programs usually save money in health care delivery.

The time limit to appeal a claim varies from state to state, but it is usually

Some Medicaid recipients in the medically needy category must pay a coinsurance payment and/or deductible, also known as a/an ____________________, within the eligibility month before state benefits may be received.

The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act are federal legislation passed in _________________.

Most states have ____________________ for Medicaid payments if a patient requires medical care while out of state.

The abbreviation for the Deficit Reduction Act of 1984 is ____________________.

The Medicaid patient may be responsible for a copayment.

If a physician accepts Medicaid patients, the physician must accept

The Medicaid medical assistance program in California is called ____________________.

To control escalating health care costs by curbing unnecessary emergency department visits and emphasizing preventive care, Medicaid reform has involved

Emergency care and pregnancy services are exempt by law from copayment requirements.

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 government determines the payment for medical services in the Medicaid program.

Medicaid is administered by federal funding only.

Medicaid is not so much an insurance program as an assistance program.

The group of Medicaid recipients referred to as ____________________ includes all cash recipients of the Aid to Families with Dependent Children, certain other AFDC-related groups, most cash recipients of the Supplemental Security Income program, and other SSI-related groups.

Time limits for Medicaid claim submission can vary from ____________________ months to 1 year from the date of service depending on the state in which service was provided.

The federal government designs the Medicaid program for each state on the basis of the needs of the state.

The Medicaid program was a direct result of

Home health care is never covered under Medicaid.

It is not possible for an immigrant to have Medicaid coverage.

Managed care Medicaid programs usually save money in health care delivery.

The time limit to appeal a claim varies from state to state, but it is usually

Some Medicaid recipients in the medically needy category must pay a coinsurance payment and/or deductible, also known as a/an ____________________, within the eligibility month before state benefits may be received.

The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act are federal legislation passed in _________________.

Most states have ____________________ for Medicaid payments if a patient requires medical care while out of state.

The abbreviation for the Deficit Reduction Act of 1984 is ____________________.

The Medicaid patient may be responsible for a copayment.

If a physician accepts Medicaid patients, the physician must accept

The Medicaid medical assistance program in California is called ____________________.

To control escalating health care costs by curbing unnecessary emergency department visits and emphasizing preventive care, Medicaid reform has involved

Emergency care and pregnancy services are exempt by law from copayment requirements.

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