HEALTHCARE REIMBURSEMENT EXAM
WITH QUESTIONS AND VERIFIED ANSWERS||
ALREADY GRADED A+|| GUARANTEED PASS||
LATEST UPDATE
All of the following are true of state Medicaid programs except:
a. Federal funds allocated to each state are based on the average income per
person for that state.
b. The program must cover infants born to Medicaid-eligible pregnant women.
c. States may offer a managed care option.
d. Services offered to beneficiaries are the same in each state. - ANSWER-d.
Services offered to beneficiaries are the same in each state.
In states where there is not a mandated fund for workers' compensation which
of the following is an option for employers?
a. Use the Federal program operated by the Office of Workers' Compensation
Programs
b. Purchase workers' compensation insurance from a private carrier
c. Provide workers' compensation self-insurance coverage
d. Do not offer workers' compensation to their employees
e. A and B are correct
,f. B and C are correct - ANSWER-f. B and C are correct
Medicare part C is a ___________ option known as Medicare Advantage.
a. Managed care
b. Fee for service
c. Self-insured
d. Free - ANSWER-a. Managed care
The Civilian Health and Medical Program of the Department of Veterans
Affairs (CHAMPVA) is available for:
a. Veterans of the armed forces
b. Spouse or widow(er) of a veteran meeting specific criteria
c. Children of a veteran meeting specific criteria
d. Any spouse, widow(er) or children of a veteran
e. B and C - ANSWER-c. Children of a veteran meeting specific criteria
Which Part of the Medicare program does not include a cost-sharing provision?
a. Part A
b. Part B
c. Part C
d. Part D
e. All parts of Medicare include a cost-sharing provision. - ANSWER-e. All
parts of Medicare include a cost-sharing provision.
Which national model for the delivery of healthcare services is financed by
general revenue funds from taxes?
,a. Social insurance (Bismarck) model
b. National health service (Beveridge) model
c. Private health insurance model
d. A and B only
e. All of the above - ANSWER-b. National health service (Beveridge) model
Which type of reimbursement methodology is associated with the abbreviation
"PMPM"?
a. Capitated payment
b. Global payment
c. Block grant
d. Retrospective - ANSWER-a. Capitated payment
All of the following are efforts to fight healthcare fraud and abuse except:
a. Operation Restore Trust
b. Medicare Integrity Program
c. Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)
d. Medicare and Medicaid Patient and Program Protection Act of 1987 -
ANSWER-c. Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)
Common forms of fraud and abuse include all of the following except:
a. Upcoding
b. Unbundling
c. Refiling claims after denials
, d. Billing for services not furnished to patients - ANSWER-c. Refiling claims
after denials
Which government-sponsored program is designed to help needy families
achieve self-sufficiency?
a. Medicare Part C
b. State Children's Health Insurance Program (CHIP)
c. Programs of All-Inclusive Care for the Elderly (PACE)
d. Temporary Assistance for Needy Families program (TANF) - ANSWER-d.
Temporary Assistance for Needy Families program (TANF)
Which government-sponsored program provides coverage for the dependents of
active members of the armed forces (ADFM).
a. TRICARE
b. CHAMPVA
c. Indian Health Service
d. Worker's Compensation - ANSWER-a. TRICARE
Which of the following is not a function of the Indian Health Service (IHS)?
a. Assists Indian tribes in the development of their own health programs
b. Facilitates and assists Indian tribes in coordinating health planning
c. Provides only inpatient healthcare services
d. Promotes using health resources available at federal, state, and local levels -
ANSWER-c. Provides only inpatient healthcare services
WITH QUESTIONS AND VERIFIED ANSWERS||
ALREADY GRADED A+|| GUARANTEED PASS||
LATEST UPDATE
All of the following are true of state Medicaid programs except:
a. Federal funds allocated to each state are based on the average income per
person for that state.
b. The program must cover infants born to Medicaid-eligible pregnant women.
c. States may offer a managed care option.
d. Services offered to beneficiaries are the same in each state. - ANSWER-d.
Services offered to beneficiaries are the same in each state.
In states where there is not a mandated fund for workers' compensation which
of the following is an option for employers?
a. Use the Federal program operated by the Office of Workers' Compensation
Programs
b. Purchase workers' compensation insurance from a private carrier
c. Provide workers' compensation self-insurance coverage
d. Do not offer workers' compensation to their employees
e. A and B are correct
,f. B and C are correct - ANSWER-f. B and C are correct
Medicare part C is a ___________ option known as Medicare Advantage.
a. Managed care
b. Fee for service
c. Self-insured
d. Free - ANSWER-a. Managed care
The Civilian Health and Medical Program of the Department of Veterans
Affairs (CHAMPVA) is available for:
a. Veterans of the armed forces
b. Spouse or widow(er) of a veteran meeting specific criteria
c. Children of a veteran meeting specific criteria
d. Any spouse, widow(er) or children of a veteran
e. B and C - ANSWER-c. Children of a veteran meeting specific criteria
Which Part of the Medicare program does not include a cost-sharing provision?
a. Part A
b. Part B
c. Part C
d. Part D
e. All parts of Medicare include a cost-sharing provision. - ANSWER-e. All
parts of Medicare include a cost-sharing provision.
Which national model for the delivery of healthcare services is financed by
general revenue funds from taxes?
,a. Social insurance (Bismarck) model
b. National health service (Beveridge) model
c. Private health insurance model
d. A and B only
e. All of the above - ANSWER-b. National health service (Beveridge) model
Which type of reimbursement methodology is associated with the abbreviation
"PMPM"?
a. Capitated payment
b. Global payment
c. Block grant
d. Retrospective - ANSWER-a. Capitated payment
All of the following are efforts to fight healthcare fraud and abuse except:
a. Operation Restore Trust
b. Medicare Integrity Program
c. Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)
d. Medicare and Medicaid Patient and Program Protection Act of 1987 -
ANSWER-c. Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)
Common forms of fraud and abuse include all of the following except:
a. Upcoding
b. Unbundling
c. Refiling claims after denials
, d. Billing for services not furnished to patients - ANSWER-c. Refiling claims
after denials
Which government-sponsored program is designed to help needy families
achieve self-sufficiency?
a. Medicare Part C
b. State Children's Health Insurance Program (CHIP)
c. Programs of All-Inclusive Care for the Elderly (PACE)
d. Temporary Assistance for Needy Families program (TANF) - ANSWER-d.
Temporary Assistance for Needy Families program (TANF)
Which government-sponsored program provides coverage for the dependents of
active members of the armed forces (ADFM).
a. TRICARE
b. CHAMPVA
c. Indian Health Service
d. Worker's Compensation - ANSWER-a. TRICARE
Which of the following is not a function of the Indian Health Service (IHS)?
a. Assists Indian tribes in the development of their own health programs
b. Facilitates and assists Indian tribes in coordinating health planning
c. Provides only inpatient healthcare services
d. Promotes using health resources available at federal, state, and local levels -
ANSWER-c. Provides only inpatient healthcare services
