Medicare Part B is also referred to as Medicare Advantage, and it can be considered a managed care
model. - Answers False
Medicare Part B is primarily financed from payroll taxes and is considered hospital insurance. - Answers
False
A recent trend in health insurance plans is consumer-driven health plans that are tax-advantaged plans
with high-deductible coverage. The most common CDHPs are health reimbursement arrangements
(HRAs) and health savings accounts (HSAs). - Answers True
Accountable care organizations (ACOs) are groups of providers and hospitals who volunteer to give
coordinated care to Medicare patients. - Answers True
Medicare is a program based on an individuals income. - Answers False
All insurance falls under these three categories: voluntary, social, and private. - Answers False
Medicare is an entitlement program because after paying into the program for years, people are entitled
to receive benefits. - Answers True
Managed care plans are a type of health program that combines administrative costs and service costs
for cost control. - Answers True
A pharmacy benefit manager (PBM) was developed to: - Answers Use technology-based tools to assess
and evaluate the management of the prescription component of a system to customize it to fit the
organization's needs.
The critical success factors that medical practices need to consider for successful HIT implementation
include: - Answers All participants adopt the technology
Establishment of a reliable HIT infrastructure
Ongoing training for all employees
ALL OF THESE ARE CORRECT
The general term of health or medical informatics refers to the: - Answers Science of computer
application that supports clinical and research data in different areas of health care.
____ is the broad term that encompasses the use of IT to deliver education, research, and clinical care -
Answers Telehealth
Health information technology's (HIT) goal is to manage the health data that can be used by
patients/consumers, insurance companies, healthcare providers, healthcare administrators, and any
stakeholder that has an interest in health care. - Answers True
, Medical informatics is the science of computer application that supports clinical and research data in
different areas of health care. It is a methodology of how the healthcare industry thinks about patients
and how their treatments are defined and evolved. - Answers True
An Enterprise Data Warehouse is developed to provide information to aid enterprises in making
decisions from a strategic perspective. Data warehousing requires an integration of many computer
systems across an organization. - Answers True
Electronic health records, according to the National Alliance for Health Information Technology (NAHIT),
are electronic records of health-related information on an individual that is accumulated from one
health system and is utilized by the health organization that is providing patient care. - Answers False
The key functions of a clinical decision support system (CDSS) are: - Answers Administrative
Case management
cost control and decision support
ALL OF THESE OR CORRECT
What are the key functions of a clinical decision support systems? - Answers Administrative
Case management
Cost Control
ALL OF THESE OR CORRECT
Economic equipment and actions are important to the healthcare industry because many workers often
lift patients to and from beds, operating tables, and wheelchairs. - Answers False
The Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA), an amendment to ERISA, was
passed to protect employees who lost or changed employers so they could keep their health insurance if
they paid 102% of the full premium. - Answers True
The Lilly Ledbetter Fair Pay Act of 2009 (FPA), an amendment to Title VII of the Civil Rights Act of 1964,
which also applies to claims under the Age Discrimination Act of 1967 and the Americans with
Disabilities Act of 1990, provides protection for unlawful employment practices related to compensation
discrimination. - Answers True
The Genetic Information Nondiscrimination Act of 2008 prohibits U.S. insurance companies and
employers from discriminating based on information derived from genetic tests. - Answers True
An affirmative action plan is a strategy that encourages employers to increase the diversity of their
workforce by hiring individuals based on race, sex, and age. - Answers True