CAHIMS REVIEW QUESTIONS MEDICINE COURSE
2025/2026 | VERIFIED QUESTIONS AND ANSWERS
GRADED A+ | HEALTHCARE INFORMATION MANAGEMENT
& MEDICAL TECHNOLOGY STUDY GUIDE | GUARANTEED
SUCCESS
What group determines whether someone is eligible for Medicare and processes
their premium payments?
a. The Centers for Medicare & Medicaid Services
b. The Federal Insurance Contributions Agency
c. The Social Security Administration
d. The US Department of Health & Human Services - CORRECT ANSWER -
-c
Choose the best statement about Medicaid and Medicare coverage:
a. Medicaid covers older adults; Medicare covers people with low incomes.
b. Medicaid covers people with low incomes; Medicare covers children and
pregnant women in families that earn too much for Medicaid.
c. Medicare covers older adults; Medicaid covers people with low incomes.
d. Medicare covers all uninsured children and pregnant women; Medicaid
covers older adults. - CORRECT ANSWER - -c
Which of the following statements is/are TRUE?
a. Medicaid has different names in different states.
b. Medicaid is funded by federal income taxes;
,c. Medicare is partially funded by individuals and their employers through
payroll taxes;
d. Some people on Medicaid also qualify for Medicare.
e. All of the above - CORRECT ANSWER - -e
Samples of and electronic data interchange transaction include (choose all that
apply):
a. a fax copy of the claim
b. CMS Form 1500
c. CMS Form 1450
d. 837 transaction for healthcare claims - CORRECT ANSWER - -d
Which of the following is currently used to code claims for healthcare services
(choose all that apply):
a. CPT
b. ICD-9-CM
c. NDC - National Drug Codes
d. ICD-10-PCS - CORRECT ANSWER - -a, b, c, d
Which of the following is used for diagnosis coding and reporting on claims
regardless of the provider?
a. ICD-9
b. CPT
c. HCPCS
d. CDT - CORRECT ANSWER - -a
,Fee-for-service payment type include (choose all that apply):
a. episode-of-care
b. traditional retrospective
c. prospective payment
d. global payment
e. self-pay - CORRECT ANSWER - -b, e
The third party payer is
a. the insured
b. the provider
c. the insurance company
d. all of the above - CORRECT ANSWER - -c
Episode of care reimbursement types include all of the following except:
a. self-pay
b. prospective payment
c. capitation
d. global payment - CORRECT ANSWER - -a
Managed care reimbursement may be paid using which of the following
methods:
a. fee-for-service
b. episode-of-care
c. either fee-for-service or episode-of-care
, d. none of the above - CORRECT ANSWER - -c
The sectors of healthcare spending that utilize the most resources include
(choose all that apply):
a. hospitals
b. physician services
c. pharmaceutical costs
d. nursing homes - CORRECT ANSWER - -a, b, c
Wxyzab is a small country where the entire population has access to healthcare
facilities owned and operated by the government, and funded by a tax on
citizens. However, the current healthcare infrastructure does not have
technologically advanced radiologic imaging facilities, and a commercial
organization is allowed by the government to operate its own diagnostic
imaging facilities, where patients have to pay for services out-of-pocket. This is
an example of a transition of a healthcare system from:
a. a public to a private healthcare system model
b. a private to a mixed healthcare system model
c. a public to a mixed healthcare system model - CORRECT ANSWER - -c
Patient assessed value and efficiency are parameters of a framework to assess:
a. Health
b. Healthcare
c. Healthcare systems
d. All of the above - CORRECT ANSWER - -c
Which of the statements about epidemiology is FALSE?
2025/2026 | VERIFIED QUESTIONS AND ANSWERS
GRADED A+ | HEALTHCARE INFORMATION MANAGEMENT
& MEDICAL TECHNOLOGY STUDY GUIDE | GUARANTEED
SUCCESS
What group determines whether someone is eligible for Medicare and processes
their premium payments?
a. The Centers for Medicare & Medicaid Services
b. The Federal Insurance Contributions Agency
c. The Social Security Administration
d. The US Department of Health & Human Services - CORRECT ANSWER -
-c
Choose the best statement about Medicaid and Medicare coverage:
a. Medicaid covers older adults; Medicare covers people with low incomes.
b. Medicaid covers people with low incomes; Medicare covers children and
pregnant women in families that earn too much for Medicaid.
c. Medicare covers older adults; Medicaid covers people with low incomes.
d. Medicare covers all uninsured children and pregnant women; Medicaid
covers older adults. - CORRECT ANSWER - -c
Which of the following statements is/are TRUE?
a. Medicaid has different names in different states.
b. Medicaid is funded by federal income taxes;
,c. Medicare is partially funded by individuals and their employers through
payroll taxes;
d. Some people on Medicaid also qualify for Medicare.
e. All of the above - CORRECT ANSWER - -e
Samples of and electronic data interchange transaction include (choose all that
apply):
a. a fax copy of the claim
b. CMS Form 1500
c. CMS Form 1450
d. 837 transaction for healthcare claims - CORRECT ANSWER - -d
Which of the following is currently used to code claims for healthcare services
(choose all that apply):
a. CPT
b. ICD-9-CM
c. NDC - National Drug Codes
d. ICD-10-PCS - CORRECT ANSWER - -a, b, c, d
Which of the following is used for diagnosis coding and reporting on claims
regardless of the provider?
a. ICD-9
b. CPT
c. HCPCS
d. CDT - CORRECT ANSWER - -a
,Fee-for-service payment type include (choose all that apply):
a. episode-of-care
b. traditional retrospective
c. prospective payment
d. global payment
e. self-pay - CORRECT ANSWER - -b, e
The third party payer is
a. the insured
b. the provider
c. the insurance company
d. all of the above - CORRECT ANSWER - -c
Episode of care reimbursement types include all of the following except:
a. self-pay
b. prospective payment
c. capitation
d. global payment - CORRECT ANSWER - -a
Managed care reimbursement may be paid using which of the following
methods:
a. fee-for-service
b. episode-of-care
c. either fee-for-service or episode-of-care
, d. none of the above - CORRECT ANSWER - -c
The sectors of healthcare spending that utilize the most resources include
(choose all that apply):
a. hospitals
b. physician services
c. pharmaceutical costs
d. nursing homes - CORRECT ANSWER - -a, b, c
Wxyzab is a small country where the entire population has access to healthcare
facilities owned and operated by the government, and funded by a tax on
citizens. However, the current healthcare infrastructure does not have
technologically advanced radiologic imaging facilities, and a commercial
organization is allowed by the government to operate its own diagnostic
imaging facilities, where patients have to pay for services out-of-pocket. This is
an example of a transition of a healthcare system from:
a. a public to a private healthcare system model
b. a private to a mixed healthcare system model
c. a public to a mixed healthcare system model - CORRECT ANSWER - -c
Patient assessed value and efficiency are parameters of a framework to assess:
a. Health
b. Healthcare
c. Healthcare systems
d. All of the above - CORRECT ANSWER - -c
Which of the statements about epidemiology is FALSE?
