Navigation » List of Schools » Glendale Community College » Medical Office Administration » MOA 183 – Medical Billing and Coding » Fall 2020 » Exam 1
Below are the questions for the exam with the choices of answers:
Question #1
A TRUE
B FALSE
Question #2
A FALSE
B TRUE
Question #3
A TRUE
B FALSE
Question #4
A FALSE
B TRUE
Question #5
A Medicare incentive payments.
B free license renewals as long as they remain in practice.
C Medicare and Medicaid incentive payments.
D Medicaid incentive payments.
Question #6
A friends and family of patients.
B business associates of covered entities.
C friends and family of providers.
D corporate owners of covered entities.
Question #7
A $150,000
B $100,000
C $250,000
D $400,000
Question #8
A administrative, physical, and electronic.
B technical, training, and administrative.
C physical, technical, and procedural.
D physical, administrative, and technical.
Question #9
A modifiers.
B code sets.
C claim forms.
D descriptors.
Question #10
A 450
B 500
C 350
D 400
Question #11
A individuals whose records were affected.
B insurance carriers whose claims were affected.
C Consumer Protection Agency.
D Centers for Medicare and Medicaid Services (CMS).
Question #12
A designate a specific person at an insurance company who may also have access.
B request corrections of any inaccuracies in the records.
C file a complaint about how long it takes to get a claim paid.
D at least 10 free copies.
Question #13
A A coroner requests it to assist in identifying a body.
B All of these
C The U.S. Food and Drug Administration requests it in relation to a product recall.
D An organ procurement organization requests it to facilitate the donation and transplantation of organs.
Question #14
A designation of beneficiary form.
B acknowledgment of informed consent form.
C assignment of benefits form.
D designation for release of medical information form.
Question #15
A eligibility requests and verifications
B All of these
C health insurance claims
D claim status requests and reports
Question #16
A FALSE
B TRUE
Question #17
A FALSE
B TRUE
Question #18
A FALSE
B TRUE
Question #19
A TRUE
B FALSE
Question #20
A FALSE
B TRUE
Question #21
A TRUE
B FALSE
Question #22
A 26
B 21
C 25
D 19
Question #23
A accredited MCOs are always better than nonaccredited MCOs.
B MCOs have all asked to be accredited, but some do not qualify.
C MCOs must be accredited to operate.
D some MCOs are accredited, and some are not.
Question #24
A workplace environment.
B All of these.
C medical credentials.
D service fees.
Question #25
A accountants.
B managers.
C actuaries.
D physicians.
Question #26
A make frequent referrals to contracted network specialists.
B see as many patients each day as possible, even if this means less time with each patient.
C treat the patient as much as possible without a specialist referral unless absolutely necessary.
D expand office hours and/or staff to permit more patients to be seen each day.
Question #27
A charge the usual and customary fee instead of the discounted fee.
B take legal action against the MCO.
C terminate the MCO contract after filing a written notice of intention.
D bill the patient directly.
Question #28
A discounted per-diem rate.
B reduced percentage of usual and customary charges.
C reduced per-case rate.
D per-member-per-month rate.
Question #29
A description of how the physician will be paid for services.
B description of what types of employer groups are offered coverage.
C list of patients covered by the plan.
D list of physicians in the network.
Question #30
A MCO provider.
B permanent provider.
C participating provider.
D active provider.
Question #31
A account manager or business manager.
B physician or upper management.
C attorney.
D medical office specialist.
Question #32
A long-term care insurance.
B short-term health insurance.
C special risk insurance.
D major medical insurance.
Question #33
A employees and all their dependents.
B employees and children only.
C employees and spouses only
D employees only.
Question #34
A nursing homes.
B surgery centers.
C All of these.
D laboratories.
Question #35
A payment by capitation.
B a flexible benefit design.
C a limited provider network.
D gatekeepers.
Question #36
A Providers strive to improve the quality of their care.
B Hospitals and physicians provide services more efficiently.
C Data is collected and analyzed to measure health outcomes.
D Physicians run the risk of unfavorable evaluations by enrollees.
Question #37
A The plan is more restrictive than a health maintenance organization (HMO).
B It includes a contracted network of providers.
C Members select a primary care physician (PCP) as a gatekeeper.
D Members must obtain referrals to see a specialist.
Question #38
A It cannot deny coverage due to a pre-existing condition.
B It is also known as Obamacare.
C It offers five different types of government plans.
D It requires people to prove citizenship before receiving services.
Question #39
A group model.
B preferred provider model.
C individual practice association.
D open access model.
Question #40
A maintain their income.
B deliver MCO-required preventive care.
C minimize malpractice suits.
D enroll more members in the health plan.
Question #41
A unused reimbursements cannot be accessed.
B participation ends upon termination of employment.
C the funds cannot be used for dental and vision care.
D expenses must have incurred during the coverage period.
Question #42
A patient or carrier.
B employer or policyholder.
C member or provider.
D policyholder or member.
Question #43
A referring patients to specialists.
B acting as a gatekeeper to services.
C coordinating patient care.
D All of these.
Question #44
A family practitioner.
B general practitioner.
C dermatologist.
D internal medicine doctor.
Question #45
A diagnostic code.
B allowed amount.
C billed amount.
D adjusted amount.
Question #46
A provider networks and regular premium increases.
B prohibiting the use of out-of-network providers.
C discounted fees for services and mandatory high deductibles across all health plans.
D provider networks and discounted fees for services.
Question #47
A hired younger employees.
B refused to extend health insurance to employees.
C increased employee premium contributions.
D decreased the number of health plans available to employees.