Question 1

What form describes benefits to the patient and the provider with accompanying payment or denial of payment?

Accepted Answer

A)  Dental Fee Slip 
B)  Utilization Review Form 
C)  Dental Claim Form 
D)  Explanation of Benefits 
E)  None of the above 
A)  Dental Fee Slip 
B)  Utilization Review Form 
C)  Dental Claim Form 
D)  Explanation of Benefits 
E)  None of the above D

Question 2

Choose the item that best matches each item of the following
-The monthly amount due to the insurance entity by the group or the individual.

Accepted Answer

A) Premium 
B) Procedure numbers 
C) Copayment 
D) UCR 
E) Procedure codes
F)Dental necessity
G)EPSDT 
A) Premium 
B) Procedure numbers 
C) Copayment 
D) UCR 
E) Procedure codes
F)Dental necessity
G)EPSDT A

Question 3

A federal insurance program to pay for medical bills of all people over age 65 is called ________.

Accepted Answer

A)  Medicare 
B)  Medicaid 
C)  CHIPs 
D)  UCR 
E)  None of the above 
A)  Medicare 
B)  Medicaid 
C)  CHIPs 
D)  UCR 
E)  None of the above A

Question 4

Which system is used when a patient and a dental provider negotiate payment by exchanging goods and services?

Accepted Answer

A)  Capitation system 
B)  Barter system 
C)  Fee-for-service system 
D)  Encounter system 
E)  None of the above 
A)  Capitation system 
B)  Barter system 
C)  Fee-for-service system 
D)  Encounter system 
E)  None of the above

Question 5

The federal government funds dental care for which of the following target populations?

Accepted Answer

A)  Veterans with service-connected disabilities 
B)  Military personnel 
C)  Inmates 
D)  Native Americans 
E)  All of the above 
A)  Veterans with service-connected disabilities 
B)  Military personnel 
C)  Inmates 
D)  Native Americans 
E)  All of the above

Question 6

Medicaid, not Medicare, generally funds dental care for the indigent population.

Accepted Answer

A) True 
 B)False

Question 7

A plan that uses the fee-for-service payment method and operates by means of a submittal-and-reimbursement method is called ________.

Accepted Answer

A)  Utilization review 
B)  Deductible 
C)  Indemnity 
D)  Capitation 
E)  None of the above 
A)  Utilization review 
B)  Deductible 
C)  Indemnity 
D)  Capitation 
E)  None of the above

Question 8

What is the amount that the insurance entity will pay for covered dental services?

Accepted Answer

A)  Benefit 
B)  Provider fee review 
C)  Deductible 
D)  Prepaid group entitlement 
E)  None of the above 
A)  Benefit 
B)  Provider fee review 
C)  Deductible 
D)  Prepaid group entitlement 
E)  None of the above

Question 9

Contractual agreements between practitioners and their insurers to provide dental care services for lower-than-average fees are ________.

Accepted Answer

A)  Dental Service Corporation 
B)  Dental Health Care Organization 
C)  Dental Managed Care 
D)  Preferred Provider Organization 
E)  None of the above 
A)  Dental Service Corporation 
B)  Dental Health Care Organization 
C)  Dental Managed Care 
D)  Preferred Provider Organization 
E)  None of the above

Question 10

Choose the item that best matches each item of the following
-The fee that reflects the average dental provider fee per service.

Accepted Answer

A) Premium 
B) Procedure numbers 
C) Copayment 
D) UCR 
E) Procedure codes
F)Dental necessity
G)EPSDT 
A) Premium 
B) Procedure numbers 
C) Copayment 
D) UCR 
E) Procedure codes
F)Dental necessity
G)EPSDT

Question 11

Funding for public water fluoridation usually falls under the auspices of the local government.

Accepted Answer

A) True 
 B)False

Question 12

Choose the item that best matches each item of the following
-The number given to a specific procedure as designated in the ADA Codes on Dental Procedures and Nomenclature.

Accepted Answer

A) Premium 
B) Procedure numbers 
C) Copayment 
D) UCR 
E) Procedure codes
F)Dental necessity
G)EPSDT 
A) Premium 
B) Procedure numbers 
C) Copayment 
D) UCR 
E) Procedure codes
F)Dental necessity
G)EPSDT

Question 13

What is the term for the arrangement when fees for services may be decreased depending on the patient's income and family's size?

Accepted Answer

A)  Federal standards 
B)  Federal indemnity standards 
C)  Sliding scale 
D)  Customary 
E)  None of the above 
A)  Federal standards 
B)  Federal indemnity standards 
C)  Sliding scale 
D)  Customary 
E)  None of the above

Question 14

What is the range of fees charged by dental providers with similar training and service within a specific and limited geographic area?

Accepted Answer

A)  Customary 
B)  Regular 
C)  Usual 
D)  Reasonable 
E)  None of the above 
A)  Customary 
B)  Regular 
C)  Usual 
D)  Reasonable 
E)  None of the above

Question 15

Local governments may be involved in funding dental care to which target population(s)?

Accepted Answer

A)  Schoolchildren 
B)  Inmates at a nearby federal prison 
C)  Military personnel 
D)  Both A and B 
E)  None of the above 
A)  Schoolchildren 
B)  Inmates at a nearby federal prison 
C)  Military personnel 
D)  Both A and B 
E)  None of the above

Question 16

Which payment method is a fee scale per service developed for each service rendered?

Accepted Answer

A)  Capitation 
B)  Encounter 
C)  Barter 
D)  Fee for service 
A)  Capitation 
B)  Encounter 
C)  Barter 
D)  Fee for service

Question 17

Federal block grants are usually utilized as preventive block grants and may cover dental services for children.

Accepted Answer

A) True 
 B)False

Question 18

State governments generally fund dental services for inmates of federal prisons within their state.

Accepted Answer

A) True 
 B)False

Question 19

What form is used when a dental provider bills for dental procedures rendered?

Accepted Answer

A)  Dental Fee Slip 
B)  Explanation of Benefits 
C)  Dental Claim Form 
D)  Utilization Review Form 
E)  None of the above 
A)  Dental Fee Slip 
B)  Explanation of Benefits 
C)  Dental Claim Form 
D)  Utilization Review Form 
E)  None of the above

Question 20

The federal and state governments' joint program that funds dental care for certain individuals is called ________.

Accepted Answer

A)  Title XX 
B)  Title XVIII 
C)  Title XI 
D)  Title XIX 
E)  None of the above 
A)  Title XX 
B)  Title XVIII 
C)  Title XI 
D)  Title XIX 
E)  None of the above

Exam 5: Financing of Dental Care

What form describes benefits to the patient and the provider with accompanying payment or denial of payment?

Choose the item that best matches each item of the following -The monthly amount due to the insurance entity by the group or the individual.

A federal insurance program to pay for medical bills of all people over age 65 is called ________.

Which system is used when a patient and a dental provider negotiate payment by exchanging goods and services?

The federal government funds dental care for which of the following target populations?

Medicaid, not Medicare, generally funds dental care for the indigent population.

A plan that uses the fee-for-service payment method and operates by means of a submittal-and-reimbursement method is called ________.

What is the amount that the insurance entity will pay for covered dental services?

Contractual agreements between practitioners and their insurers to provide dental care services for lower-than-average fees are ________.

Choose the item that best matches each item of the following -The fee that reflects the average dental provider fee per service.

Funding for public water fluoridation usually falls under the auspices of the local government.

Choose the item that best matches each item of the following -The number given to a specific procedure as designated in the ADA Codes on Dental Procedures and Nomenclature.

What is the term for the arrangement when fees for services may be decreased depending on the patient's income and family's size?

What is the range of fees charged by dental providers with similar training and service within a specific and limited geographic area?

Local governments may be involved in funding dental care to which target population(s)?

Which payment method is a fee scale per service developed for each service rendered?

Federal block grants are usually utilized as preventive block grants and may cover dental services for children.

State governments generally fund dental services for inmates of federal prisons within their state.

What form is used when a dental provider bills for dental procedures rendered?

The federal and state governments' joint program that funds dental care for certain individuals is called ________.

Dental Public Health: An Overview

The Prevention Movement

Dental Care Delivery in the United States

Dental Hygiene Care Delivery in the Global Community

Federal and State Legislation Affecting Dental Hygiene Practice

Advocacy for Dental Care

Dental Health Education and Promotion

Lesson Plan Development

Target Populations

Cultural Competency

Program Planning

Program Evaluation

Research in Dental Hygiene

Ethical Principles in Research

The Research Process

Biostatistics

Oral Epidemiology

Current Oral Epidemiological Findings

Evaluation of Scientific Literature and Dental Products

Careers in Dental Public Health

Strategies for Creating Dental Hygiene Positions in Dental Public Health Settings

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