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WorksheetsChapter 4 Today's Healthcare Environment
Total questions: 20
Worksheet time: 10mins
Name
Class
Date
1.
A fixed-payment plan of health insurance offers coverage for
a)
hospital care.
b)
physicians' visits.
c)
complete medical care.
d)
dental care.
2.
Third-party payers are
a)
physicians.
b)
insurance companies.
c)
patients.
d)
hospitals.
3.
The purpose of the gatekeeper is to
a)
approve all nonemergency services.
b)
approve hospitalizations.
c)
approve tests before they are given
d)
all of the above.
4.
In a managed care organization, financial risk is shared by the
a)
organization.
b)
hospital.
c)
physician.
d)
all of the above.
5.
A gag clause, considered illegal in contracts between physicians and managed care organizations
a)
prohibits the physician from discussing the income of the organization.
b)
allows the physician to share financial incentives only with patients.
c)
prohibits the physician from discussing financial incentives given by the organization.
d)
allows the managed care organization to refuse to pay for care given by the physician.
6.
Managed care organizations may attempt to limit a patient's
a)
choice of hospitals.
b)
referrals to specialists.
c)
length of stay in a hospital.
d)
all of the above.
7.
A health maintenance organization (HMO) provides
a)
healthcare services available for a predetermined fee per member by a limited group of providers.
b)
no preventive care services
c)
healthcare services by requiring a large copayment.
d)
healthcare services through a nonrestricted group of providers.
8.
Capitation is
a)
a fixed monthly fee paid to the healthcare provider for providing patient services.
b)
an additional payment for services paid directly by the patient at the time of service.
c)
limitation of all services for care to a fixed dollar amount.
d)
a fixed amount the managed care organization may charge the patient for membership in the organization.
9.
Medicaid is a
a)
federally implemented program for indigent care.
b)
state-funded program for indigent care.
c)
federal program of care for the poor implemented by the states.
d)
locally implemented program of indigent care.
10.
A Medicare-instituted method of hospital payment is
a)
the classification of patients of illness by diagnosis.
b)
persons without funds.
c)
limiting care to a certain number of persons with a diagnosis.
d)
limiting care to a set number of days.
11.
Those persons most likely to receive the best care under a managed care system are
a)
the wealthy.
b)
the poor and ignorant.
c)
those who understand the system.
d)
all of the above.
12.
Medicare and Medicaid prohibit physicians from
a)
referring to services they own.
b)
charging a reasonable fee for service.
c)
referring to rehabilitation or long-term care.
d)
ordering expensive tests.
13.
A practice in which the physician employs other physicians and pays them a salary is called
a)
solo practice.
b)
sole proprietorship.
c)
partnership.
d)
associate practice.
14.
A business operation of a medical practice in which two or more physicians are responsible for the actions of each, including debts, is called a/an
a)
associate practice.
b)
solo practice.
c)
partnership.
d)
group practice.
15.
A medical practice consisting of three or more physicians who practice the same specialty and share expenses and income is a/an
a)
group practice.
b)
partnership.
c)
associate practice.
d)
corporation.
16.
The members of a professional corporation are known as
a)
the board of directors.
b)
shareholders.
c)
physicians.
d)
lawyers.
17.
Benefits of a corporation include all of the following except
a)
profit sharing for its members.
b)
pension plans for its members.
c)
insurance for its members.
d)
protection from lawsuits for the corporation
18.
Which form of medical practice ends with the death of the owner?
a)
A corporation
b)
A partnership with several partners
c)
An associate practice
d)
A solo practice
19.
Allied health professionals who are certified include all of the following except
a)
medical assistants.
b)
phlebotomist.
c)
medical transcriptionists.
d)
pharmacists.
20.
A person with the appropriate education who practices as a doctor of medicine or doctor of osteopathy is called a/an
a)
allied health professional.
b)
physician.
c)
dentist.
d)
all of the above.
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