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