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Test Description: Introduction to Health Insurance
Instructions: Answer all questions to get your test result.
1) Which type of health insurance coverage is purchased by families who do not have access to employer-subsidized coverage?
A
public health insurance
B
individual health insurance
C
group health insurance
D
universal health insurance
2) Which type of health insurance coverage includes federal and state government health programs (e.g., Medicare, Medicaid, SCHIP, TRICARE) that are available to eligible individuals?
A
public health insurance
B
universal health insurance
C
group health insurance
D
individual health insurance
3) Which type of insurance has as its goal providing every individual with access to health coverage, regardless of the system implemented to achieve that goal?
A
group health insurance
B
individual health insurance
C
public health insurance
D
universal health insurance
4) Which is a type of single-payer system in which the government owns and operates health care facilities and providers (e.g., physicians) receive salaries?
A
managed care
B
government health plan
C
universal health insurance
D
socialized medicine
5) Which serves as a system of checks and balances for labor and management?
A
preferred provider organization
B
medical underwriter
C
health insurance exchange
D
third-party administrator
6) Amendments to the Dependents’ Medical Care Act of 1956 created the Civilian Health and Medical Program– Uniformed Services (CHAMPUS). The program is now called __________.
A
TRICARE
B
CHAMPVA
C
Medicaid
D
Medicare
7) Medicare requires providers to submit the __________ claim for payment of outpatient and office services.
A
CMS-1500
B
UB-02
C
UB-04
D
CMS-1450
8) Which act allows employees to continue health care coverage beyond the benefit termination date?
A
Consolidated Omnibus Budget Reconciliation Act of 1985(COBRA)
B
Omnibus Budget Reconciliation Act of 1981
C
Tax Equity and Fiscal Responsibility Act of 1982
D
Health Insurance Portability and Accountability Act of 1996
9) Clinical Laboratory Improvement Act (CLIA) legislation established __________ for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results regardless of where the test was performed.
A
quality standards
B
case management
C
plan administration
D
advance directives
10) CPT includes a section called Evaluation and Management (E/M), which describes patient encounters with providers for the purpose of the evaluation and management of __________.
A
surgical procedures
B
preadmission testing
C
lifetime insurance benefits
D
general health status
11) The National Correct Coding Initiative (NCCI) was created to promote national correct coding methodologies and to eliminate __________ coding.
A
improper
B
credentialed
C
outdated
D
provider
12) Which act governs privacy, security, and electronic transactions standards for health care information and was implemented to provide better access to health insurance, limit fraud and abuse, and reduce administrative costs?
A
HIPAA
B
MMA
C
TEFRA
D
BBA
*select an answer for all questions
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