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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  False
B  True
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  False
B  True
Question #3
The Patient Protection and Affordable Care Act requires that all individuals have health insurance beginning in:
A  2015
B  2013
C  2012
D  2014
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  18
B  26
C  24
D  21
Question #5
A physician who coordinates a patient’s care and refers patients to specialists is a(n):
A  primary care physician (PCP).
B  referring gatekeeper.
C  preferred provider physician (PPP).
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  authorization to release protected health information
B  beneficiary designation
C  assignment of benefits
D  advance directive
Question #7
Insurance information obtained by the medical office specialist:
A  should be kept in the medical record.
B  updated on a regular basis.
C  All of these.
D  verified with the insurance company.
Question #8
An insurance identification card usually includes all of the following information EXCEPT:
A  name of the insurance policy.
B  insurance policy number.
C  name of the subscriber.
D  detailed benefit information.
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 listed in the provider directory.
B  increase patient load.
C  increase revenue.
D  be paid for services provided.
Question #10
Which of the following is true of managed care contracts with providers?
A  They are irrevocable by the managed care organization (MCO).
B  They are irrevocable by the provider.
C  They are usually 1-year contracts.
D  Providers must provide a 1-year notice to cancel the contract.
Question #11
The type of insurance that provides coverage for a designated period of time is:
A  short-term health insurance.
B  special risk.
C  long-term care.
D  medical insurance.
Question #12
The type of insurance coverage that provides protection against a specific type of accident or illness is:
A  catastrophic health insurance.
B  outpatient.
C  special risk.
D  major medical.
Question #13
Disadvantages of managed care include all of the following EXCEPT:
A  It creates an increased administrative burden.
B  It may require physicians to carry additional malpractice insurance.
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  group model.
B  network model.
C  staff model.
D  individual practice association (IPA) 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  staff model.
B  group model.
C  network 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  network model.
C  staff model.
D  individual practice association (IPA) model.
Question #17
All of the following are government plans under the Affordable Care Act EXCEPT:
A  silver.
B  titanium.
C  bronze.
D  catastrophic.
Question #18
A characteristic of a staff model health maintenance organization (HMO) is that it:
A  contracts with a multispecialty physician group.
B  is a decentralized healthcare delivery system.
C  agrees to contractual discounts with physicians.
D  employs salaried physicians.
Question #19
The most restrictive type of managed care plan is the:
A  individual practice association (IPA).
B  exclusive provider organization (EPO).
C  preferred provider organization (PPO).
D  health maintenance organization (HMO).
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  $2,000.00
B  $250.00
C  $1,000.00
D  $500.00
Question #21
All the following are true regarding HMOs EXCEPT:
A  the least restrictive type of care plan.
B  encourage preventative health services.
C  regulated by federal and state law.
D  require a referral for specialist services.
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 services are medically necessary.
B  determine if an employee is covered under the plan.
C  determine if the provider is in the network.
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  reasonable.
B  ordinary.
C  usual.
D  customary.
Question #25
The goals of managed care include all of the following EXCEPT:
A  medical care rendered in the most profitable setting.
B  medical care that is medically necessary and appropriate based on the patient’s condition and diagnosis.
C  medical care rendered by the most appropriate provider.
D  medical care rendered in the most appropriate 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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