More Medical Insurance Question Preview (ID: 48945)


Introduction To Health Insurance. TEACHERS: click here for quick copy question ID numbers.

Which type of health insurance coverage is purchased by families who do not have access to employer-subsidized coverage?
a) group health insurance
b) individual health insurance
c) public health insurance
d) universal health insurance

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) group health insurance
b) individual health insurance
c) public health insurance
d) universal health insurance

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

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) government health plan
b) managed care
c) socialized medicine
d) universal health insurance

Which serves as a system of checks and balances for labor and management?
a) health insurance exchange
b) medical underwriter
c) preferred provider organization
d) third-party administrator

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) CHAMPVA
b) Medicaid
c) Medicare
d) TRICARE

Medicare requires providers to submit the __________ claim for payment of outpatient and office services.
a) CMS-1450
b) CMS-1500
c) UB-02
d) UB-04

Which act allows employees to continue health care coverage beyond the benefit termination date?
a) Consolidated Omnibus Budget Reconciliation Act of 1985(COBRA)
b) Health Insurance Portability and Accountability Act of 1996
c) Omnibus Budget Reconciliation Act of 1981
d) Tax Equity and Fiscal Responsibility Act of 1982

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) advance directives
b) case management
c) plan administration
d) quality standards

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) general health status
b) lifetime insurance benefits
c) preadmission testing
d) surgical procedures

The National Correct Coding Initiative (NCCI) was created to promote national correct coding methodologies and to eliminate __________ coding.
a) credentialed
b) improper
c) outdated
d) provider

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) BBA
b) HIPAA
c) MMA
d) TEFRA

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