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QUESTION NO:7
that providers have to pay insurers to cover the cost of defending against
the lawsuits and paying large jury awards.
A. Ambulatory payment classifications
B. Reimbursement Insurance cost plan
C. Health proactive Insurance standard act
D. Increased insurance premiums
Answer: D
QUESTION NO:5
Prescription drug coverage for Medicare enrollees, which offsets some of the out-of-
pocket costs for medications, this covers:
A. Medicare Part A
B. Medicare Part B
C. Medicare Part D
D. Medicare Part F
Answer: C
QUESTION NO:6
The need to abide by governmental regulations, whether they are for the provision of
care, billing, privacy accounting standards, security or the like refers to:
A. Compliance
B. Chronic Medicare
C. Health proactive standards
D. None of the above
Answer: A
QUESTION NO:16
Which one of the following systems is used to classify inpatients based o their diagnoses,
used by both Medicare and private insurers?
A. Diagnosis-related groups
B. Proactive payments system
C. Payment insurance group D.
None of the above
Answer: A
QUESTION NO:3
when providers try to get one payor to pay for costs that have not been covered by
another payor, this refers to:
A. Cost Capacity
B. Cost capitalization
C. Cost-shifting
D. Prospective cost
Answer: C
QUESTION NO:12
Which one of the following is NOT the factor of Uninsured?
A. Health insurance premiums becoming too costly
B. Requiring patients to pay for the part of their own care-up
C. Individuals being screened out of insurance policies
D. Employers feeling they cannot afford to continue to provide health insurance as a
benefit
Answer: B
QUESTION NO:17
A system that pays providers a specific amount in advance to care for defined health care
needs of a population over a specific period is called:
A. Health care system
B. Prospective payments system
C. Global payment system
D. Capitation
Answer: D
QUESTION NO:10
In which act, federal legislation designed to tighten accounting standards in financial
reporting and that holds top executives personally liable as to the accuracy and fairness of
their financial statements?
A. Sarbanes-Oxley Act
B. Insurance accountability Act
C. Financial statement Act
D. Portability and Accountability Standardized Act
Answer: A
QUESTION NO:8
A set of federal compliance regulations to ensure standardization of billing, privacy and
reporting as institutions convert to electronic systems is called:
A. Health Insurance standard Act
B. Reimbursement Insurance Act
C. Medicare Reporting Act
D. Health Insurance portability and Accountability Act
Answer: D
QUESTION NO:9
____________ is the tendency health care practitioners to do more testing and to provide
more care for patients than might otherwise be necessary to protect themselves against
potential litigation.
Answer:
Defensive medicine
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