UHI Final Exam PREP Questions with Detailed Verified Answers

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UHI Final Exam PREP Questions with
Detailed Verified Answers

Question: a patients monthly premium is 750 a month; how much
money does the patient pay in premiums per year?

Ans✅ ✅:

Question: patients premium is 7000 a year; how much money does the
patient pay per month for their insurance?

Ans✅ ✅:

Question: the patient has a deductible of 50, and they went to their PCP
for a physical which costs 195. The patient has no copay amount. How
much does the patient owe for the physical? How much is left on the
patients deductible?

Ans✅ ✅: $245 pt and $0 for ded

Question: Patients coinsurance is 75/25. Deductible has not been met.
Visit charges for this month equal 1300. What amount is paid by
insurance? What amount is the patients responsibility?

Ans✅ ✅: 975 ins and 325 pt

Question: Patient has a copay of 20. Patients coinsurance is 70/30.
Today's charges equal 985. What is the patients responsibility? What is
the insurances responsibility?

Ans✅ ✅: 689.50 ins and 315.50 pt

Question: What does Medicare part A cover?

Ans✅ ✅: Pays for hospital inpatient SNF home health and

hospice care

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Question: What does Medicare part B cover?

Ans✅ ✅: Part B covers doctor's services, other Healthcare provider services,

Question: What is the yearly limit of out of pocket cost for Medicare
Part B?

Ans✅ ✅: 20%

Question: Medicare requires providers to submit the -blank- claim for
payment of outpatient and office services.

Ans✅ ✅: CMS-1500

Question: How often should providers verify a patients Medicaid
eligibility?

Ans✅ ✅: at each encounter

Question: When the patient is covered by other medical or liability
policies, Medicaid reimburses providers -blank-.

Ans✅ ✅: first

Question: Any provider who accepts a Medicaid patient must accept the
Medicaid-determined payment as -blank-.

Ans✅ ✅: Full payment

Question: The Medicare program primarily covers...

Ans✅ ✅: people over the age of 65

Question: The Medicaid program primarily covers...

Ans✅ ✅: low income people

Question: TRICARE program primarily covers...

Ans✅ ✅: The families of active duty members of the uniformed service