Question 1

Medical coverage for persons 65 and older is called:

Accepted Answer

A)  Medicaid. 
B)  Medicare. 
C)  Blue Cross/Blue Shield. 
D)  TRICARE. 
A)  Medicaid. 
B)  Medicare. 
C)  Blue Cross/Blue Shield. 
D)  TRICARE. B

Question 2

Which part of Medicare covers prescriptions?

Accepted Answer

A)  A 
B)  B 
C)  C 
D)  D 
A)  A 
B)  B 
C)  C 
D)  D D

Question 3

In this insurance plan, the patient chooses his or her provider and pays a flat fee to the provider.

Accepted Answer

A)  Point-of-service 
B)  HMO 
C)  PPO 
D)  Worker's compensation 
A)  Point-of-service 
B)  HMO 
C)  PPO 
D)  Worker's compensation C

Question 4

A disadvantage to an HMO is:

Accepted Answer

A)  they are too large. 
B)  some areas may not have a participating physician. 
C)  they give too many referrals to specialists. 
D)  you have to pay first, and then get reimbursed. 
A)  they are too large. 
B)  some areas may not have a participating physician. 
C)  they give too many referrals to specialists. 
D)  you have to pay first, and then get reimbursed.

Question 5

A person is under the poverty level. What kind of insurance may he or she have?

Accepted Answer

A)  Medicaid 
B)  Medicare 
C)  Blue Cross/Blue Shield 
D)  TRICARE 
A)  Medicaid 
B)  Medicare 
C)  Blue Cross/Blue Shield 
D)  TRICARE

Question 6

Government carriers include all of the following, except:

Accepted Answer

A)  Medicaid. 
B)  Medicare. 
C)  Blue Cross/Blue Shield. 
D)  TRICARE. 
A)  Medicaid. 
B)  Medicare. 
C)  Blue Cross/Blue Shield. 
D)  TRICARE.

Question 7

This type of provider is not required to complete full medical school requirements.

Accepted Answer

A)  MD 
B)  DO 
C)  Surgeon 
D)  OD 
A)  MD 
B)  DO 
C)  Surgeon 
D)  OD

Question 8

Medicine is a business.

Accepted Answer

A) True 
 B)False

Question 9

This type of practice has physicians work for him or her, but still owns the practice.

Accepted Answer

A)  Solo 
B)  Sole proprietorship 
C)  Associate practice 
D)  Group practice 
A)  Solo 
B)  Sole proprietorship 
C)  Associate practice 
D)  Group practice

Question 10

All physician assistants bill insurance companies for their services.

Accepted Answer

A) True 
 B)False

Question 11

The providers are not physicians, but may perform similar services.

Accepted Answer

A)  BSNs 
B)  CMTs 
C)  PAs 
D)  EMTs 
A)  BSNs 
B)  CMTs 
C)  PAs 
D)  EMTs

Question 12

This type of practice is a corporate structure, and shares in the overhead and personnel expenses.

Accepted Answer

A)  Solo 
B)  Sole proprietorship 
C)  Associate practice 
D)  Group practice 
A)  Solo 
B)  Sole proprietorship 
C)  Associate practice 
D)  Group practice

Question 13

An ERISA plan is a self-insured model.

Accepted Answer

A) True 
 B)False

Question 14

The insurance used to cover military members and their families is called:

Accepted Answer

A)  Medicaid. 
B)  Medicare. 
C)  Blue Cross/Blue Shield. 
D)  TRICARE. 
A)  Medicaid. 
B)  Medicare. 
C)  Blue Cross/Blue Shield. 
D)  TRICARE.

Question 15

This type of practice has a two or more providers that share in overhead, but do not share in the profits or losses.

Accepted Answer

A)  Solo 
B)  Sole proprietorship 
C)  Associate practice 
D)  Group practice 
A)  Solo 
B)  Sole proprietorship 
C)  Associate practice 
D)  Group practice

Question 16

A person can be covered by both Medicaid and Medicare.

Accepted Answer

A) True 
 B)False

Question 17

All licensed physicians have undergone a minimum of undergraduate school and fully completed medical school and internship requirements beyond finishing medical school.

Accepted Answer

A) True 
 B)False

Question 18

All specialists must have the same amount of education.

Accepted Answer

A) True 
 B)False

Question 19

Which part of Medicare covers hospital claims?

Accepted Answer

A)  A 
B)  B 
C)  C 
D)  D 
A)  A 
B)  B 
C)  C 
D)  D

Question 20

Who can bill to insurance companies?

Accepted Answer

A)  RNs 
B)  BSNs 
C)  LPNs 
D)  NPs 
A)  RNs 
B)  BSNs 
C)  LPNs 
D)  NPs

Medical coverage for persons 65 and older is called:

Which part of Medicare covers prescriptions?

In this insurance plan, the patient chooses his or her provider and pays a flat fee to the provider.

A disadvantage to an HMO is:

A person is under the poverty level. What kind of insurance may he or she have?

Government carriers include all of the following, except:

This type of provider is not required to complete full medical school requirements.

Medicine is a business.

This type of practice has physicians work for him or her, but still owns the practice.

All physician assistants bill insurance companies for their services.

The providers are not physicians, but may perform similar services.

This type of practice is a corporate structure, and shares in the overhead and personnel expenses.

An ERISA plan is a self-insured model.

The insurance used to cover military members and their families is called:

This type of practice has a two or more providers that share in overhead, but do not share in the profits or losses.

A person can be covered by both Medicaid and Medicare.

All licensed physicians have undergone a minimum of undergraduate school and fully completed medical school and internship requirements beyond finishing medical school.

All specialists must have the same amount of education.

Which part of Medicare covers hospital claims?

Who can bill to insurance companies?

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Exam 12: Business Aspects of Healthcare

Medical coverage for persons 65 and older is called:

Which part of Medicare covers prescriptions?

In this insurance plan, the patient chooses his or her provider and pays a flat fee to the provider.

A disadvantage to an HMO is:

A person is under the poverty level. What kind of insurance may he or she have?

Government carriers include all of the following, except:

This type of provider is not required to complete full medical school requirements.

Medicine is a business.

This type of practice has physicians work for him or her, but still owns the practice.

All physician assistants bill insurance companies for their services.

The providers are not physicians, but may perform similar services.

This type of practice is a corporate structure, and shares in the overhead and personnel expenses.

An ERISA plan is a self-insured model.

The insurance used to cover military members and their families is called:

This type of practice has a two or more providers that share in overhead, but do not share in the profits or losses.

A person can be covered by both Medicaid and Medicare.

All licensed physicians have undergone a minimum of undergraduate school and fully completed medical school and internship requirements beyond finishing medical school.

All specialists must have the same amount of education.

Which part of Medicare covers hospital claims?

Who can bill to insurance companies?

The Us Legal System

The Basics of Ethics

Ethical and Bioethical Issues

Workplace Issues

Code and Standards Infractions

The Medical Malpractice Lawsuit and the Trial Process

Intentional and Quasi-Intentional Torts

Statutory Reporting and Public Duties

Professional Liability Insurance

Death and Dying Issues

Conflict Management

Filters