NWCA study guide Exam Questions and
Answers Graded A+
Managed Care Organization (MCO) - Correct answer-Combines functions of
health insurance, delivery of care and administration
Exclusive Provider Organization (EPO) - Correct answer-Services covered only if
use doctors, specialists or hospitals in plans network (except in hospitals)
Health Maintenance Organization (HMO) - Correct answer-Limits coverage to care
from doctors who work for or contract with the HMO, generally won't cover out of
network care except in emergency. May require to live or work in its service area.
Point of Service (POS) - Correct answer-Pay less if you use doctors, and other
health care providers that belong to the plans network, required to get a referral
from primary care doctor in order to see specialist
Quality Improvement Organization (QIO) - Correct answer-Physician can hose
whether or not accept Medicare patients, who are seeking non medical services,
signs an agreement and May sign a participating provider agreement(PAR)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
Answers Graded A+
Managed Care Organization (MCO) - Correct answer-Combines functions of
health insurance, delivery of care and administration
Exclusive Provider Organization (EPO) - Correct answer-Services covered only if
use doctors, specialists or hospitals in plans network (except in hospitals)
Health Maintenance Organization (HMO) - Correct answer-Limits coverage to care
from doctors who work for or contract with the HMO, generally won't cover out of
network care except in emergency. May require to live or work in its service area.
Point of Service (POS) - Correct answer-Pay less if you use doctors, and other
health care providers that belong to the plans network, required to get a referral
from primary care doctor in order to see specialist
Quality Improvement Organization (QIO) - Correct answer-Physician can hose
whether or not accept Medicare patients, who are seeking non medical services,
signs an agreement and May sign a participating provider agreement(PAR)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
