Chapter 3 Quiz

Navigation » List of Schools » Glendale Community College » Medical Office Administration » MOA 183 – Medical Billing and Coding » Fall 2020 » Chapter 3 Quiz

Need help with your exam preparation?

Existing Quiz Clients Login here

Below are the questions for the exam with the choices of answers:

Try The Exam

Question #1

A medical office specialist should always document, sign, and date all conversations regarding any patient’s account.

A FALSE

B TRUE

Question #2

The Patient’s Bill of Rights under the Affordable Care Act put an end to insurance companies limiting choice of doctors.

A FALSE

B TRUE

Question #3

A medical office specialist cannot be held liable for fraudulent billing practices if told to do so by a physician.

A TRUE

B FALSE

Question #4

A managed care contract that involves payment through capitation provides incentives for physicians to emphasize preventive care.

A FALSE

B TRUE

Question #5

Which of the following are new laws in the Patient’s Bill of Rights under the Affordable Care Act?

A All of these.

B no one can be denied coverage because of a pre-existing medical condition.

C insurance companies can no longer put a lifetime limit of the amount of coverage.

D a patient cannot be dropped from coverage due to an unintentional mistake on their application.

Question #6

Which of the following is true of the new Patient’s Bill of Rights under the Affordable Health Care Act?

A Insurance companies are banned from limiting choice of doctors.

B Insurance companies are prohibited from charging patients for preventative care.

C All of these.

D Insurance companies are banned from restricting emergency room care.

Question #7

All of the following regarding the Patient’s Bill of Rights are true EXCEPT:

A Patients may receive financial reimbursement for out of network penalties.

B Patients can receive preventative care without paying deductibles, coinsurance, or copayments.

C Patients have the right to appeal an insurance company decision with an independent third party.

D Patients joining a new plan can choose their own doctor in the insurer network.

Question #8

Principles adopted in the Patient’s Bill of Rights include all of the following EXCEPT the right to:

A accurate and easily understood information.

B know your treatment options.

C sue the managed care organization.

D receive emergency services without penalty.

Question #9

The contract provision that states a physician cannot seek payment from a patient under a managed care contract in relation to any benefit penalties that were applied based on a utilization review decision is:

A hold harmless.

B liability.

C no fault.

D stoploss coverage.

Question #10

An individual who is an insured, enrolled subscriber or dependent under the terms of a health benefit plan is a(n):

A contracted entity.

B covered person.

C payer.

D provider.

Question #11

Medically necessary services include all of the following EXCEPT services that are:

A accepted by the healthcare profession as appropriate and effective for the condition being treated.

B not solely for the convenience of a covered person or a healthcare provider.

C based on recognized standards of the specialty involved.

D experimental, investigative, or unproven.

Question #12

When a person has health insurance coverage through two or more plans, the determination of which plan will provide benefits as primary or secondary payer is known as:

A case management.

B benefit determination.

C coordination of benefits.

D coordination of services.

Question #13

In cases of fraudulent billing:

A only the physician can be held liable.

B the medical office specialist can be held liable.

C the physician can never be held liable.

D the medical office specialist can never be held liable.

Question #14

A medical office specialist works as a liaison between: (Select all that apply),,

A the patient and employer.

B the provider and carrier.

C the provider and patient.

D the employer and carrier.

Question #15

The following is true of Obamacare:

A requires all insurance plans to cover contraceptives at no cost.

B All of these.

C preventative care is more accessible.

D employers are mandated to furnish healthcare or be fined.

Question #16

The Affordable Care Act represents the most significant overhaul of the U.S. healthcare system since:

A the passing of Obamacare.

B the passing of Medicaid.

C the passing of Medicare.

D Both the passing of Medicaid and the passing of Medicare.

Question #17

Business values incorporated into medical practices as a result of managed care include a(n):

A return to fee-for-service payments.

B focus on administrative requirements and paperwork.

C emphasis on the doctor—patient relationship.

D focus on efficiency, cost reduction, and profit.

Question #18

All the following are true regarding an ACO EXCEPT:

A It shares the patient’s information with its network of providers.

B It needs a patient’s authorization to release medical information.

C It participates in a Medicare Shared Savings Program.

D It is part of a Medicare Advantage plan.

Question #19

Which type of payment method creates an incentive to provide more preventive care?

A discounted fee-for-service

B per diem

C per case

D capitation

Question #20

A contract with which of the following payment terms can result in an increased financial risk to the provider?

A percentage of premiums

B fee-for-service

C discounted fee-for-service

D capitation

Question #21

An increase in patient volume is often caused by:

A per diem and per case contracts.

B capitation contracts.

C discounted fee-for-service contracts.

D percentage of premium and capitation contracts.

Question #22

Which of the following is NOT a common type of payment arrangement in a managed care contract?

A per case

B capitation

C discounted fee-for-service

D annual fee

Question #23

The benefits of a managed care contract to the provider include:

A adding opportunities for staff development.

B keeping costs down.

C increasing administrative duties.

D bringing more patients to the practice.

Question #24

Managed care organizations (MCOs) develop a network by contracting with:

A facilities.

B pharmacies.

C physicians.

D All of these.

Try The Exam

Fresh Grad Lands Job as Real Estate Agent With Help from Professional Writers

Need help with your exam preparation?

Below are the questions for the exam with the choices of answers:

Christian S.

Tyra

Linda

Manush

We accept payment