Question 1

Which of the following is a mechanism that pays medical providers for their services?

Accepted Answer

All of the options listed are mechanisms that can pay medical providers for their services, including private insurance, consumer-driven plans, and government coverage.

Question 2

Which of the following terms refers to the monetary compensation for medical care provided?

Accepted Answer

Reimbursement refers to the monetary compensation for medical care provided.

Question 3

Which of the following terms means "A fixed fee that is received from the payment each time care is provided"?

Accepted Answer

A

Question 4

Which of the following terms means "The amount an individual must pay before the insurance provider will begin paying for services"?

Accepted Answer

Deductible is the amount an individual must pay before the insurance provider will begin paying for services.

Question 5

_________ insurance protects people from the high costs associated with medical care.

Accepted Answer

Health insurance is designed to cover the costs of medical care, protecting individuals from high expenses related to healthcare services.

Question 6

Which one of the following groups do most people in the United States receive their health insurance through?

Accepted Answer

Most people in the United States receive their health insurance through their employers, as employer-sponsored health insurance is the most common form of health coverage.

Question 7

What is one of the major benefits of receiving healthcare services on a fee-for-service basis?

Accepted Answer

Fee-for-service allows patients to choose their healthcare providers and treatment plans, offering increased flexibility and choice.

Question 8

Which of the following is NOT a goal of the Affordable Care Act of 2010?

Accepted Answer

The Affordable Care Act aimed to expand coverage, improve access to health care, and make insurance companies more accountable, but it did not specifically aim to decrease deductibles.

Question 9

What year will most changes outlined in the Affordable Care Act begin?

Accepted Answer

Most of the major provisions of the Affordable Care Act, including the expansion of Medicaid and the establishment of health insurance exchanges, began in 2014.

Question 10

What is the primary goal of a managed care system?

Accepted Answer

The primary goal of a managed care system is to reduce healthcare costs while maintaining quality care by managing the services provided to patients.

Question 11

Which of the following is a privately owned and managed health-insurance provider?

Accepted Answer

Commercial insurance is a privately owned and managed health-insurance provider.

Question 12

Which of the following insurance plans requires individuals to select a primary care provider (PCP)?

Accepted Answer

Health maintenance organizations (HMOs) require individuals to select a primary care provider (PCP) who coordinates their care and provides referrals to specialists.

Question 13

Which of the following are accounts that can be used to pay for medical services not covered by the health-insurance provider?

Accepted Answer

HSA (Health Savings Account) and FSA (Flexible Spending Account) are accounts specifically designed to pay for medical expenses not covered by insurance.

Question 14

Which of the following groups will Medicare NOT provide health insurance for?

Accepted Answer

Medicare does not specifically cover people diagnosed with CPOD (Chronic Obstructive Pulmonary Disease) unless they qualify under other criteria such as age, disability, or ESRD (End-Stage Renal Disease).

Question 15

Which of the following individuals does Medicaid provide health-insurance coverage for?

Accepted Answer

Medicaid provides health-insurance coverage for low-income families, uninsured pregnant women, and disabled persons, among others.

Question 16

_______ is the process of assigning alphanumeric designations to diagnoses, procedures, and services.

Accepted Answer

Coding is the process of assigning alphanumeric designations to diagnoses, procedures, and services.

Question 17

What is the name of the universal system of classification and record-keeping for healthcare providers?

Accepted Answer

The International Classification of Diseases (ICD) is the universal system of classification and record-keeping for healthcare providers. It is used to classify diseases, injuries, and other health problems.

Question 18

The healthcare common procedure coding system (HCPCS) is a set of codes that standardizes the identification of medical:

Accepted Answer

HCPCS is used to standardize the identification of medical services, supplies, and equipment, which includes a wide range of healthcare-related items and services.

Question 19

Which of the following are symptoms of diabetes?

Accepted Answer

Polydipsia, polyuria, and polyphagia are all classic symptoms of diabetes, indicating excessive thirst, urination, and hunger, respectively.

Question 20

What is the term that refers to the act of an insurance provider only paying for certain claim codes and ignoring others?

Accepted Answer

The answer of What is the term that refers to...

Quiz 18: Medical Insurance and Coding