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CSO US Healthcare & Utilization Management

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

Government Sponsored Health Insurance? SATA

a)

Medicaid

b)

State Children’s Health Insurance  Program (SCHIP)

c)

TRICARE

d)

Veteran’s Health Administration

e)

PPO

2.

The following are Commercial Health Insurance Except?

a)

Group Insurance

b)

Medicare

c)

Individual Private Insurance

d)

Managed Care Plans

e)

High Deductible Health Plans

3.

Which of the following Managed Care Plans has no out of network benefits?

a)

HMO

b)

PPO

c)

POS

d)

All of the Above

4.

Which Federal insurance program covers patients over 65?

a)

Medicare

b)

Medicaid

c)

COBRA

d)

SCHIP

5.

Which Federal / State insurance program covers Patients of low income families?

a)

Medicare

b)

Medicaid

c)

VHA

d)

Tricare

6.

Which program caters to uninsured children up to the age of 18 and pregnant women

a)

Medicare

b)

Medicaid

c)

Tricare

d)

SCHIP

7.

Are Outpatient facilities which can assist patients with an illness or injury that does not appear to be life threatening, but also cannot wait for the next day?

a)

Emergency

b)

SNF

c)

LTAC

d)

Urgent Care

8.

What type of review occurs after the member has received services?

a)

Retrospective

b)

Concurrent

c)

Preservice

9.

Daylight Saving Time period in the US begins when?

a)

2nd Sunday in March

b)

1st Sunday in November

c)

1st Sunday in March

d)

2nd Sunday in November

10.

What are the dimensions of the Triple Aim System?

a)

Improving Health of Population, Improving Experience of Care, Increasing Cost per Capita

b)

Improving Health of Population, Improving Experience of Care, Reducing Cost per Capita

c)

Experience of Care, Manage Care Pograms, Wellness

d)

Cost per Capita, Medicare, Wellness