AND LONG-TERM CARE PRACTICE EXAM
QUESTIONS AND ANSWERS LATEST 2025-2026
UPDATE
Which entity handles claims from hospitals, skilled nursing facilities,
home health agencies and hospices?
A. Carrier
B. Intermediary
C. Quality Improvement Organization
D. Utilization Review Committee - Answer-B. Intermediary
What is the term for private organizations that administer Medicare Part
B benefits?
,A. Carriers
B. Medical Providers
C. Intermediaries
D. Peer review organizations - Answer-A. Carriers
All of the following are requirements for long-term care and medigap
policy except:
A. The agent must provide the applicant with a notice regarding
replacement
B. The notice regarding replacement must contain the free look period
C. The notice regarding replacement explains the replacing coverage in
comparison to the existing coverage
D. A 60-day free look period must be provided - Answer-D. A 60-day
free look period must be provided.
An individual who is not eligible for premium-free Medicare Part A
coverage may apply for coverage during which of the following
enrollment periods?
A. All of the above
B. Initial enrollment period
C. General enrollment period
D. Special enrollment period - Answer-A. All of the above
, Medicare makes what payment for services in which another payer may
be responsible:
A. Conditional payment
B. Interim payment
C. Transitional payment
D. Temporary payment - Answer-A. Conditional payment
Insurers must offer inflation protection in which of the following
policies?
A. Medicare Part C
B. Medigap
C. Long-Term Care
D. Medicaid - Answer-C. Long-Term Care
What program safeguards against unnecessary and inappropriate
medical care rendered to Medicaid recipients?
A. Medicaid review program
B. Utilization renew program
C. Quality improvement organization
D. Utilization review program - Answer-D. Utilization review program