KINN'S THE ADMINISTRATIVE
MEDICAL ASSISTANT EXAM 2
QUESTIONS WITH CORRECT
SOLUTIONS||100% GUARANTEED
PASS||UPDATED 2026/2027
SYLLABUS||ALREADY GRADED
A+||<<RECENT VERSION>>
The term for limitations on an insurance contract for which benefits are not
payable is __________________. - ANSWER ✓ exclusions
A reimbursement model in which the health plan pays the provider's fee for every
health insurance claim is called ________________. - ANSWER ✓ Fee-for-
service or Indemnity plan
Medicaid and Medicare are examples of ________________ plans. - ANSWER
✓ Government-sponsored
A privately sponsored health plan purchased by an employer for their employees
is considered a(n) ____________________ policy. - ANSWER ✓ Employer-
sponsored group
___________________ is a third-party system that reimburses a provider when
services are rendered for an insured patient. - ANSWER ✓ Health insurance
A(n) ______________ is a healthcare plan that controls the cost of healthcare
delivery by requiring all patients to seek care with a primary care provider to
assess if more specialized care is needed. - ANSWER ✓ Health Maintenance
Organization (HMO)
_________________ pay for all or a share of the cost of covered services,
regardless of which physician, hospital, or other licensed healthcare provider is
, used. Policyholders of these plans and their dependents choose when and where to
get healthcare services. - ANSWER ✓ Indemnity plans
A(n) __________ is health insurance coverage for those who are not covered by
their employer group plan. - ANSWER ✓ Individual health insurance
An umbrella term for all healthcare plans that focus on reducing the cost of
delivering quality care to patient members in return for scheduled payments and
coordinated care through a defined network of primary care physicians and
hospitals is _________________. - ANSWER ✓ Managed Care Plan
A(n) _______________ is a healthcare provider who enters into a contract with a
specific insurance company or program and agrees to accept the contracted fee
schedule. - ANSWER ✓ participating provider
________________ is a process required by some insurance carriers in which the
provider obtains authorization to perform certain procedures or services or to refer
a patient to a specialist. - ANSWER ✓ Preauthorization
A payment of a specific sum of money to an insurance company for a list of health
insurance benefits is called a(n) _____________________. - ANSWER ✓
premium
The primary care provider who can approve or deny when a patient seeks
additional care is referred to as a(n) _____________ - ANSWER ✓ gatekeeper
An insurance term used when a primary care provider wants to send a patient to a
specialist is ______________. - ANSWER ✓ referral
The fee schedule designed to provide national uniform payment of Medicare
benefits after adjustment to reflect the differences in practice costs across
geographic areas is called the _______________________________. - ANSWER
✓ Resource-Based Relative Value Scale (RBRVS)
A(n) ______________ is funded by an organization with an employee base large
enough to fund its own insurance plan. - ANSWER ✓ Self-funded plan
MEDICAL ASSISTANT EXAM 2
QUESTIONS WITH CORRECT
SOLUTIONS||100% GUARANTEED
PASS||UPDATED 2026/2027
SYLLABUS||ALREADY GRADED
A+||<<RECENT VERSION>>
The term for limitations on an insurance contract for which benefits are not
payable is __________________. - ANSWER ✓ exclusions
A reimbursement model in which the health plan pays the provider's fee for every
health insurance claim is called ________________. - ANSWER ✓ Fee-for-
service or Indemnity plan
Medicaid and Medicare are examples of ________________ plans. - ANSWER
✓ Government-sponsored
A privately sponsored health plan purchased by an employer for their employees
is considered a(n) ____________________ policy. - ANSWER ✓ Employer-
sponsored group
___________________ is a third-party system that reimburses a provider when
services are rendered for an insured patient. - ANSWER ✓ Health insurance
A(n) ______________ is a healthcare plan that controls the cost of healthcare
delivery by requiring all patients to seek care with a primary care provider to
assess if more specialized care is needed. - ANSWER ✓ Health Maintenance
Organization (HMO)
_________________ pay for all or a share of the cost of covered services,
regardless of which physician, hospital, or other licensed healthcare provider is
, used. Policyholders of these plans and their dependents choose when and where to
get healthcare services. - ANSWER ✓ Indemnity plans
A(n) __________ is health insurance coverage for those who are not covered by
their employer group plan. - ANSWER ✓ Individual health insurance
An umbrella term for all healthcare plans that focus on reducing the cost of
delivering quality care to patient members in return for scheduled payments and
coordinated care through a defined network of primary care physicians and
hospitals is _________________. - ANSWER ✓ Managed Care Plan
A(n) _______________ is a healthcare provider who enters into a contract with a
specific insurance company or program and agrees to accept the contracted fee
schedule. - ANSWER ✓ participating provider
________________ is a process required by some insurance carriers in which the
provider obtains authorization to perform certain procedures or services or to refer
a patient to a specialist. - ANSWER ✓ Preauthorization
A payment of a specific sum of money to an insurance company for a list of health
insurance benefits is called a(n) _____________________. - ANSWER ✓
premium
The primary care provider who can approve or deny when a patient seeks
additional care is referred to as a(n) _____________ - ANSWER ✓ gatekeeper
An insurance term used when a primary care provider wants to send a patient to a
specialist is ______________. - ANSWER ✓ referral
The fee schedule designed to provide national uniform payment of Medicare
benefits after adjustment to reflect the differences in practice costs across
geographic areas is called the _______________________________. - ANSWER
✓ Resource-Based Relative Value Scale (RBRVS)
A(n) ______________ is funded by an organization with an employee base large
enough to fund its own insurance plan. - ANSWER ✓ Self-funded plan
