HCAD 401 QUIZ 5 QUESTIONS WITH
CORRECT ANSWERS
The Patient Protection and Affordable Care Act and the Health Care and Education
Reconciliation Act set out to
A) Expand insurance coverage to 32 million uninsured Americans
B) Reduce the growth rate of both Medicare and Medicaid
C) Choices A and B
D) None of the above - Answer- C) Choices A and B
Fraud is defined as
A) Intentional misrepresentation of fact
B) Unintentional misrepresentation of fact
C) The use of another for financial gain
D) The use of finances for inappropriate purpose - Answer- A) Intentional
misrepresentation of fact
Abuse is defined as
A) Intentional misrepresentation of fact
B) Unintentional misrepresentation of fact
C) The use of finances for inappropriate purposes
D) The use of another for financial gain - Answer- B) Unintentional misrepresentation of
fact
The Anti-Kickback Act prohibits
A) Upcoding and other acts of fraud
B) Physicians from referring patients to other physicians in a specified area
C) Anyone from accepting any type of financial arrangement to induce referrals
D) Physicians from referring patients to an organization in which it has a vested financial
interest - Answer- C) Anyone from accepting any type of financial arrangement to
induce referrals
What are federal safe harbors?
A) Physician payment practices that are safe from federal prosecution
B) Caps on the amount of malpractice insurance a physician may purchase
C) Guidelines to bulling practices
, D) None of the above - Answer- A) Physician payment practices that are safe from
federal prosecution
The Medicare Access and CHIPS Reauthorization Act of 2015 was designed to
substantially alter which part of Medicare reimbursement?]
A) Part A
B) Part B
C) Part C
D) Part D - Answer- B) Part B
Which law introduced the Skilled Nursing Facility Value-Based Purchasing Program, to
become effective in 2019?
A) MACRA of 2015
B) ACA
C) Protecting Access to Medicare Act of 2014
D) Medicare - Answer- C) Protecting Access to Medicare Act of 2014
Even though __________ finance(s) the majority of Medicaid, __________ is(are) given
significant discretion in running the program
A) States, the government
B) The government, states
C) States, the US Department of Health and Human Services
D) The government, the US Department of Health and Human Services - Answer- B)
The government, states
Medicaid provides health insurance to
A) The elderly
B) People with chronic illnesses
C) State employees
D) The medically indigent - Answer- D) The medically indigent
The most common third-party payers in the United States healthcare system are
A) Insurance companies and providers
B) Providers and the government
C) The government and insurance companies
D) Providers and insurance companies - Answer- C) The government and insurance
companies
Which organization offered prepaid medical care to school teachers?
A) The Medical Care Plan of Texas
CORRECT ANSWERS
The Patient Protection and Affordable Care Act and the Health Care and Education
Reconciliation Act set out to
A) Expand insurance coverage to 32 million uninsured Americans
B) Reduce the growth rate of both Medicare and Medicaid
C) Choices A and B
D) None of the above - Answer- C) Choices A and B
Fraud is defined as
A) Intentional misrepresentation of fact
B) Unintentional misrepresentation of fact
C) The use of another for financial gain
D) The use of finances for inappropriate purpose - Answer- A) Intentional
misrepresentation of fact
Abuse is defined as
A) Intentional misrepresentation of fact
B) Unintentional misrepresentation of fact
C) The use of finances for inappropriate purposes
D) The use of another for financial gain - Answer- B) Unintentional misrepresentation of
fact
The Anti-Kickback Act prohibits
A) Upcoding and other acts of fraud
B) Physicians from referring patients to other physicians in a specified area
C) Anyone from accepting any type of financial arrangement to induce referrals
D) Physicians from referring patients to an organization in which it has a vested financial
interest - Answer- C) Anyone from accepting any type of financial arrangement to
induce referrals
What are federal safe harbors?
A) Physician payment practices that are safe from federal prosecution
B) Caps on the amount of malpractice insurance a physician may purchase
C) Guidelines to bulling practices
, D) None of the above - Answer- A) Physician payment practices that are safe from
federal prosecution
The Medicare Access and CHIPS Reauthorization Act of 2015 was designed to
substantially alter which part of Medicare reimbursement?]
A) Part A
B) Part B
C) Part C
D) Part D - Answer- B) Part B
Which law introduced the Skilled Nursing Facility Value-Based Purchasing Program, to
become effective in 2019?
A) MACRA of 2015
B) ACA
C) Protecting Access to Medicare Act of 2014
D) Medicare - Answer- C) Protecting Access to Medicare Act of 2014
Even though __________ finance(s) the majority of Medicaid, __________ is(are) given
significant discretion in running the program
A) States, the government
B) The government, states
C) States, the US Department of Health and Human Services
D) The government, the US Department of Health and Human Services - Answer- B)
The government, states
Medicaid provides health insurance to
A) The elderly
B) People with chronic illnesses
C) State employees
D) The medically indigent - Answer- D) The medically indigent
The most common third-party payers in the United States healthcare system are
A) Insurance companies and providers
B) Providers and the government
C) The government and insurance companies
D) Providers and insurance companies - Answer- C) The government and insurance
companies
Which organization offered prepaid medical care to school teachers?
A) The Medical Care Plan of Texas
