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

People go to websites to get the information they desperately need.  They could be looking for an answer to a nagging question.  They might be looking for help in completing an important task.  For recent graduates, they might be looking for ways on how to prepare a comprehensive resume that can capture the attention of the hiring manager

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Weekly Quiz 1 Chapter 1 & 2

Navigation   » List of Schools  »  Glendale Community College  »  Medical Office Administration  »  MOA 183 – Intro to Health Insurance  »  Fall 2022  »  Weekly Quiz 1 Chapter 1 & 2

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

Question #1
The restrictions in a health maintenance organization (HMO) reduce members’ premium costs.
A  True
B  False
Question #2
If a physician has ordered surgery for a patient, a managed care organization (MCO) case manager may disallow an inpatient stay if the MCO guidelines designate the procedure as best suited for outpatient care.
A  True
B  False
Question #3
The Patient Protection and Affordable Care Act requires that all individuals have health insurance beginning in:
A  2013
B  2014
C  2012
D  2015
Question #4
In 2011, the new health care reform law required insurers to offer dependent coverage for adult children up to age ________ so they could be included on their parents’ coverage.
A  24
B  21
C  26
D  18
Question #5
A physician who coordinates a patient’s care and refers patients to specialists is a(n):
A  primary care physician (PCP).
B  preferred provider physician (PPP).
C  referring gatekeeper.
D  primary physician coordinator (PPC).
Question #6
Which type of statement signed by the patient authorizes his or her insurance company to send payments directly to the provider?
A  assignment of benefits
B  advance directive
C  beneficiary designation
D  authorization to release protected health information
Question #7
Insurance information obtained by the medical office specialist:
A  verified with the insurance company.
B  All of these.
C  should be kept in the medical record.
D  updated on a regular basis.
Question #8
An insurance identification card usually includes all of the following information EXCEPT:
A  detailed benefit information.
B  name of the insurance policy.
C  insurance policy number.
D  name of the subscriber.
Question #9
Providers who contract with managed care organizations (MCOs) must provide care according to the MCO’s policies and guidelines in order to:
A  be paid for services provided.
B  be listed in the provider directory.
C  increase patient load.
D  increase revenue.
Question #10
Which of the following is true of managed care contracts with providers?
A  They are usually 1-year contracts.
B  Providers must provide a 1-year notice to cancel the contract.
C  They are irrevocable by the managed care organization (MCO).
D  They are irrevocable by the provider.
Question #11
The type of insurance that provides coverage for a designated period of time is:
A  medical insurance.
B  special risk.
C  short-term health insurance.
D  long-term care.
Question #12
The type of insurance coverage that provides protection against a specific type of accident or illness is:
A  major medical.
B  catastrophic health insurance.
C  outpatient.
D  special risk.
Question #13
Disadvantages of managed care include all of the following EXCEPT:
A  It may require physicians to carry additional malpractice insurance.
B  It creates an increased administrative burden.
C  It restricts physicians’ latitude in caring for patients.
D  It includes disease management programs based on recent research.
Question #14
The type of health maintenance organization (HMO) that contracts with more than one community-based multispecialty group to provide wider geographical coverage is a(n):
A  individual practice association (IPA) model.
B  group model.
C  network model.
D  staff model.
Question #15
The type of health maintenance organization (HMO) plan that employs salaried physicians who treat members in facilities owned and operated by the HMO is a(n):
A  network model.
B  group model.
C  staff model.
D  individual practice association (IPA) model.
Question #16
The type of health maintenance organization (HMO) plan that involves contracting with individual physicians to create a healthcare delivery system is a(n):
A  group model.
B  staff model.
C  network model.
D  individual practice association (IPA) model.
Question #17
All of the following are government plans under the Affordable Care Act EXCEPT:
A  titanium.
B  catastrophic.
C  silver.
D  bronze.
Question #18
A characteristic of a staff model health maintenance organization (HMO) is that it:
A  agrees to contractual discounts with physicians.
B  employs salaried physicians.
C  contracts with a multispecialty physician group.
D  is a decentralized healthcare delivery system.
Question #19
The most restrictive type of managed care plan is the:
A  individual practice association (IPA).
B  preferred provider organization (PPO).
C  health maintenance organization (HMO).
D  exclusive provider organization (EPO).
Question #20
Beginning in 2014, employers with 50 or more workers who do not offer coverage will be fined what amount for each employee?
A  $250.00
B  $500.00
C  $2,000.00
D  $1,000.00
Question #21
All the following are true regarding HMOs EXCEPT:
A  require a referral for specialist services.
B  regulated by federal and state law.
C  encourage preventative health services.
D  the least restrictive type of care plan.
Question #22
Which of the following plan types does not use a network of providers?
A  EPO plan
B  Indemnity plan
C  HMO plan
D  PPO plan
Question #23
Utilization guidelines are used to:
A  determine if an employee is covered under the plan.
B  determine if the provider is in the network.
C  determine if services are medically necessary.
D  determine if care is provided by the most appropriate provider.
Question #24
Terms that refer to fees in an insurance contract include all of the following EXCEPT:
A  customary.
B  reasonable.
C  ordinary.
D  usual.
Question #25
The goals of managed care include all of the following EXCEPT:
A  medical care rendered by the most appropriate provider.
B  medical care that is medically necessary and appropriate based on the patient’s condition and diagnosis.
C  medical care rendered in the most appropriate setting.
D  medical care rendered in the most profitable setting.
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“Kudos to the team for a job well done.  I am sincerely appreciative of the time and effort you gave on my resume.  You did not only help me land the job I had always been dreaming of but you also made me realize how important adding those specific keywords to my resume!  Cheers!

Manush
Fresh Graduate
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