Medical Law And Ethics Review 2 Question Preview (ID: 43544)


2018-2019. TEACHERS: click here for quick copy question ID numbers.

Open-ended plans that all patients can use non-PPO providers in exchange for larger out-of-pocket expenses is called
a) Point of Service
b) Exclusive Provider Organization
c) Preferred Provider Organization
d) Case Management

Second surgical opinion is a review for medical necessity of tests and procedures ordered
a) True
b) False
c)
d)

PPO is the acronym for
a) Physician Provider Organization
b) Preferred Provider Organization
c) Provider Preferred Organization
d) Physician Provider Organization

Coverage for catastrophic or prolonged illness and/or injury is called
a) Health Maintenance Organization
b) Quality Assurance
c) Major Medical
d) Preauthorization

EPO is the acronym for
a) Exclusive Provider Organization
b) Executive Physicians Organization
c) Electronic Policies Operations
d) Evaluation of Practice Opportunities

FSA is the acronym for
a) Flexible Spending Account
b) Free Spending Act
c) Flex Saving Account
d) Form Spending Account

Primary Care Providers (PCP) are also known as
a) Caregivers
b) Gatekeeper
c) Out of Network Providers
d) Provider Care Group

An organization of affiliated providers sites that offer joint health care services to its subscribers is called
a) Preferred Provider Organization
b) Exclusive Provider Organization
c) Health Maintenance Organization
d) Integrated Delivery System

Under the integrated Delivery System, a PCP is assigned to each subscriber.
a) True
b) False
c)
d)

PCP approves referrals to specialist and inpatient hospital admissions
a) True
b) False
c)
d)

A managed care plan that offer benefits to its members if they receive services from a network providers
a) HMO
b) EPO
c) PPO
d) All of the above

A review for medical necessity of tests and procedures ordered are called
a) Primary Care Provider
b) Preauthorization
c) A specialist
d) Preadmission

A program that can access the quality of care that is provided in a health care setting is called
a) Health Maintenance Organization
b) Major Medical Insurance
c) Preauthorization
d) Quality Assurance

IDS is the acronym for
a) Integrated Delivery System
b) Individual Development Sections
c) Isolated Delivery System
d) Invasive Departmental Supplies

A physician who supervises and coordinates health care services for enrollees are called
a) Specialist
b) PPO providers
c) Primary Care Providers
d) Managed Care Physicians

This plan is exempt from co-payments because coinsurance payments are required instead is called
a) Exclusive Provider Organization
b) Integrated Delivery Systems
c) Quality Assurance
d) Primary Care Providers

OSHA is the acronym for
a) Organizational Safe Health Administration Act
b) Occupational Safety and Health Administration
c) Organized Safe Health Act
d) Occupational Safe Health Act

Health care professionals have a duty to protect the privacy of patients
a) True
b) False
c)
d)

Quality assurance is a program that can assess the quality of care provided in a health care setting a report card is issued
a) Health Medical Organization
b) Health Maintenance Organization
c) Health Medical Occupational
d) Health Maintenance Option

HMO is the acronym for
a) True
b) False
c)
d)

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