IC MOCK EXAM 1 / INSURANCE COMMISSION TRADITIONAL LIFE
MOCK EXAMS_ 2025 LATEST UPDATED
Each month, the staff of the clinic with the lowest waiting time is awarded a free desert in the
Gulfside Healthcare Center cafeteria. The winner will be selected based on -
(answers)Comparative aggregate data
A *union campaign* is being conducted at your facility. As a department manager, it is
appropriate for you to tell employees that - (answers)You are opposed to the union
As the Coding Supervisor, your job description includes working with agents *who have been
charged with detecting and correcting overpayments *made to your hospital in the Medicare Fee
for Service program. You will need to develop a professional relationship with - (answers)*RAC.
Recovery audit Contractors*
Employing the SOAP style of progress notes, choose the assessment statement from the
following - (answers)Sciatica unimproved with hot pack therapy
*Based on MS-DRG report this case mix , What is the case mix index for this facility*
A. 1.234 RW. 12 #of patient
B. 3.122 RW. 10
C. 2.165 RW. 19
D 5.118 RW. 16 - (answers)2.965807
Case Mix= multipy each RW X each # of patient to get Total RW
Total RW/total #of patient
In preparation for EHR, you are conducting total facility inventory of all forms currently used.
You must name each form for bar coding and indexing. *The unnamed document in front of you
contains a checklist assessing an obstetric patient's lochia, fundus and perineum* The document
type would you give to this form - (answers)Labor record
, The special form or view that plays the* central role in planning and providing care at skilled
nursing, psychiatric, and rehabilitation facilities *is the - (answers)*Interdisciplinary patient care
plan*
*Four Patients were discharge from Crestview Hospital yesterday. A final progress note is an
appropriate discharge summary for* - (answers)Babson, who delivered a 8 pound boy without
complications for either mother or child, and was discharged within 36 hours of admission.
Make Me Better Clinic (MMBC) provides well child visits and childhood immunization for for
insurance companies. Data on the services they provided and the reimbursement they received
from the four companies are listed in the two tables below:
Insurance co. #of well Child. Reimbursement
Life care. 259. 31,196.55= 120.45
Get well. 786. 100,859.52= 128.32
SureHealth. 462. 54,631.50=. 118.25
BeHealthy. 219. 26,991.75=. 123.25
MMBC receives the best reimbursement for well child visit? - (answers)Getwell
Calculate: Well child visit
Divide: Reimbursement/ #of well child=Getwell
Most of the children who are seen at MMBC will have a well child visit and two immunizations.
If you add the reimbursement for two immunizations to the reimbursement for each well Child
visit, which insurance company benefits MMBC most?
Insurance co. #of Immunizations. Reimbursement.
Lifecare. 412. 2,175.36. =5.28 X 2
Getwell. 1465. 9,053.70 =6.18 X 2
MOCK EXAMS_ 2025 LATEST UPDATED
Each month, the staff of the clinic with the lowest waiting time is awarded a free desert in the
Gulfside Healthcare Center cafeteria. The winner will be selected based on -
(answers)Comparative aggregate data
A *union campaign* is being conducted at your facility. As a department manager, it is
appropriate for you to tell employees that - (answers)You are opposed to the union
As the Coding Supervisor, your job description includes working with agents *who have been
charged with detecting and correcting overpayments *made to your hospital in the Medicare Fee
for Service program. You will need to develop a professional relationship with - (answers)*RAC.
Recovery audit Contractors*
Employing the SOAP style of progress notes, choose the assessment statement from the
following - (answers)Sciatica unimproved with hot pack therapy
*Based on MS-DRG report this case mix , What is the case mix index for this facility*
A. 1.234 RW. 12 #of patient
B. 3.122 RW. 10
C. 2.165 RW. 19
D 5.118 RW. 16 - (answers)2.965807
Case Mix= multipy each RW X each # of patient to get Total RW
Total RW/total #of patient
In preparation for EHR, you are conducting total facility inventory of all forms currently used.
You must name each form for bar coding and indexing. *The unnamed document in front of you
contains a checklist assessing an obstetric patient's lochia, fundus and perineum* The document
type would you give to this form - (answers)Labor record
, The special form or view that plays the* central role in planning and providing care at skilled
nursing, psychiatric, and rehabilitation facilities *is the - (answers)*Interdisciplinary patient care
plan*
*Four Patients were discharge from Crestview Hospital yesterday. A final progress note is an
appropriate discharge summary for* - (answers)Babson, who delivered a 8 pound boy without
complications for either mother or child, and was discharged within 36 hours of admission.
Make Me Better Clinic (MMBC) provides well child visits and childhood immunization for for
insurance companies. Data on the services they provided and the reimbursement they received
from the four companies are listed in the two tables below:
Insurance co. #of well Child. Reimbursement
Life care. 259. 31,196.55= 120.45
Get well. 786. 100,859.52= 128.32
SureHealth. 462. 54,631.50=. 118.25
BeHealthy. 219. 26,991.75=. 123.25
MMBC receives the best reimbursement for well child visit? - (answers)Getwell
Calculate: Well child visit
Divide: Reimbursement/ #of well child=Getwell
Most of the children who are seen at MMBC will have a well child visit and two immunizations.
If you add the reimbursement for two immunizations to the reimbursement for each well Child
visit, which insurance company benefits MMBC most?
Insurance co. #of Immunizations. Reimbursement.
Lifecare. 412. 2,175.36. =5.28 X 2
Getwell. 1465. 9,053.70 =6.18 X 2
