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