20 Multiple choice questions
Term 1 of 20
The definition of disability for Social Security Disability Insurance benefits requires the
impairment to be expected to result in death or to last for a continuous period of at least how
many months?
A.) Three
B.) Four
C.) Five
D.) Six
E.) Twelve
E.) Twelve
A.) None
B.) II only
A.) I only
,Term 2 of 20
As quality improvement (QI) has been implemented in health care, the approach has evolved
over time with certain lessons learned and various improvements made. All the following
statements involving this evolutionary process are correct EXCEPT:
A.) When QI was first imported from other industries into medical care, it usually adopted an
approach of creating specific projects managed by special QI teams that applied.
B.) A revised model of QI was greatly simplified and instead of many steps, the model
proposed that QI teams first answer three basic questions.
C.) QI teams need a solid understanding and application of systems thinking, measurement,
variation, and change management.
D.) A modification of the QI process involved the focus on macrosystems.
E.) One step recognizes that QI effort must be incorporated into the normal management of
the primary care organization rather than being conducted as special p
A.) The use of unisex rates, which insurers would prefer, has been prohibited.
A.) TPA services provided to self-funded plans are highly uniform among TPA firms.
D.) Payment systems have little impact on quality improvements.
D.) A modification of the QI process involved the focus on macrosystems.
, Term 3 of 20
The Age Discrimination in Employment Act (ADEA), as amended and clarified, stipulates all the
following for group term life insurance benefits for active employees after age 65 EXCEPT:
A.) An employer may be able to make greater reductions in benefits on the basis of its own
demonstrably higher cost experience.
B.) An employer may reduce coverage each year starting at age 65 by 8 to 9 percent of the
declining balance of the life insurance benefit.
C.) An employer generally may terminate life insurance coverage for active employees at age
70 while continuing to provide coverages for younger employees.
D.) An employer may make a one-time reduction in life insurance benefits at age 65 from 35 to
40 percent and maintain this until retirement.
E.) An employer may use a "benefit-by-benefit" analysis to ascertain if a reduction in older
workers' benefits is permissible.
.
C.) Consumer choices must be limited for a free market to empower consumers, regulate
producers and operate efficiently.
E.) Of the many successes of the Diamond Project, much of it has been with patients
covered by Medical Assistance fee-for-service insurance.
D.) Excess charges for out-of-network hospital-based providers (e.g., anesthesiologists)
that are not chosen by the consumer are the responsibility of the hospital if it fails to
notify consumers of the providers' out-of-network status.
C.) An employer generally may terminate life insurance coverage for active employees
at age 70 while continuing to provide coverages for younger employees.