Navigation » List of Schools » Glendale Community College » Medical Office Administration » MOA 183 – Medical Billing and Coding » Fall 2020 » Exam 1
Below are the questions for the exam with the choices of answers:
Question #1
A TRUE
B FALSE
Question #2
A FALSE
B TRUE
Question #3
A TRUE
B FALSE
Question #4
A FALSE
B TRUE
Question #5
A Medicaid incentive payments.
B Medicare and Medicaid incentive payments.
C free license renewals as long as they remain in practice.
D Medicare incentive payments.
Question #6
A corporate owners of covered entities.
B friends and family of providers.
C friends and family of patients.
D business associates of covered entities.
Question #7
A $100,000
B $150,000
C $400,000
D $250,000
Question #8
A administrative, physical, and electronic.
B physical, administrative, and technical.
C technical, training, and administrative.
D physical, technical, and procedural.
Question #9
A code sets.
B descriptors.
C modifiers.
D claim forms.
Question #10
A 400
B 450
C 500
D 350
Question #11
A Consumer Protection Agency.
B Centers for Medicare and Medicaid Services (CMS).
C insurance carriers whose claims were affected.
D individuals whose records were affected.
Question #12
A at least 10 free copies.
B request corrections of any inaccuracies in the records.
C file a complaint about how long it takes to get a claim paid.
D designate a specific person at an insurance company who may also have access.
Question #13
A A coroner requests it to assist in identifying a body.
B All of these
C An organ procurement organization requests it to facilitate the donation and transplantation of organs.
D The U.S. Food and Drug Administration requests it in relation to a product recall.
Question #14
A assignment of benefits form.
B acknowledgment of informed consent form.
C designation for release of medical information form.
D designation of beneficiary form.
Question #15
A claim status requests and reports
B eligibility requests and verifications
C All of these
D health insurance claims
Question #16
A FALSE
B TRUE
Question #17
A TRUE
B FALSE
Question #18
A TRUE
B FALSE
Question #19
A TRUE
B FALSE
Question #20
A TRUE
B FALSE
Question #21
A FALSE
B TRUE
Question #22
A 26
B 25
C 21
D 19
Question #23
A MCOs have all asked to be accredited, but some do not qualify.
B some MCOs are accredited, and some are not.
C accredited MCOs are always better than nonaccredited MCOs.
D MCOs must be accredited to operate.
Question #24
A service fees.
B medical credentials.
C workplace environment.
D All of these.
Question #25
A accountants.
B physicians.
C actuaries.
D managers.
Question #26
A treat the patient as much as possible without a specialist referral unless absolutely necessary.
B expand office hours and/or staff to permit more patients to be seen each day.
C see as many patients each day as possible, even if this means less time with each patient.
D make frequent referrals to contracted network specialists.
Question #27
A charge the usual and customary fee instead of the discounted fee.
B bill the patient directly.
C take legal action against the MCO.
D terminate the MCO contract after filing a written notice of intention.
Question #28
A reduced per-case rate.
B discounted per-diem rate.
C per-member-per-month rate.
D reduced percentage of usual and customary charges.
Question #29
A list of physicians in the network.
B description of what types of employer groups are offered coverage.
C list of patients covered by the plan.
D description of how the physician will be paid for services.
Question #30
A active provider.
B MCO provider.
C permanent provider.
D participating provider.
Question #31
A attorney.
B physician or upper management.
C account manager or business manager.
D medical office specialist.
Question #32
A long-term care insurance.
B short-term health insurance.
C major medical insurance.
D special risk insurance.
Question #33
A employees only.
B employees and all their dependents.
C employees and spouses only
D employees and children only.
Question #34
A laboratories.
B All of these.
C nursing homes.
D surgery centers.
Question #35
A payment by capitation.
B a limited provider network.
C a flexible benefit design.
D gatekeepers.
Question #36
A Data is collected and analyzed to measure health outcomes.
B Providers strive to improve the quality of their care.
C Hospitals and physicians provide services more efficiently.
D Physicians run the risk of unfavorable evaluations by enrollees.
Question #37
A The plan is more restrictive than a health maintenance organization (HMO).
B It includes a contracted network of providers.
C Members must obtain referrals to see a specialist.
D Members select a primary care physician (PCP) as a gatekeeper.
Question #38
A It requires people to prove citizenship before receiving services.
B It cannot deny coverage due to a pre-existing condition.
C It is also known as Obamacare.
D It offers five different types of government plans.
Question #39
A individual practice association.
B open access model.
C group model.
D preferred provider model.
Question #40
A enroll more members in the health plan.
B maintain their income.
C minimize malpractice suits.
D deliver MCO-required preventive care.
Question #41
A expenses must have incurred during the coverage period.
B unused reimbursements cannot be accessed.
C the funds cannot be used for dental and vision care.
D participation ends upon termination of employment.
Question #42
A member or provider.
B policyholder or member.
C patient or carrier.
D employer or policyholder.
Question #43
A coordinating patient care.
B All of these.
C referring patients to specialists.
D acting as a gatekeeper to services.
Question #44
A dermatologist.
B family practitioner.
C general practitioner.
D internal medicine doctor.
Question #45
A allowed amount.
B adjusted amount.
C diagnostic code.
D billed amount.
Question #46
A provider networks and discounted fees for services.
B provider networks and regular premium increases.
C prohibiting the use of out-of-network providers.
D discounted fees for services and mandatory high deductibles across all health plans.
Question #47
A refused to extend health insurance to employees.
B increased employee premium contributions.
C decreased the number of health plans available to employees.
D hired younger employees.