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WorksheetsFinal Assessment
Total questions: 9
Worksheet time: 18mins
What is HIPAA?
An organization that provides health care coverage to its members through a network of doctors, hospitals and other health care providers.
A federal law that outlines the rules and requirements employer-sponsored group insurance plans, insurance companies and managed care organizations must follow to provide health care insurance coverage for individuals and groups.
The federal program established to provide health care coverage for eligible senior citizens and certain eligible disabled persons under age 65.
Services provided for the initial outpatient treatment of an acute medical condition, usually in a hospital setting. Most health care plans have specific guidelines to define emergency medical care.
Complete the following sentence:
A (a) is the fixed amount of the eligible expenses you are required to pay before reimbursement by your health plan begins
Which of these are attributed to a PPO?
An organization of Doctors that provide specialist services only.
No primary Care Physician needed to coordinate your care.
Can only visit select providers.
Can get care from in-network or out-of-network providers.
Which best describes an HMO?
Monthly premiums, copays and deductibles are often lower than other types of plans.
Designed to keep costs low and predictable. With one doctor to coordinate your care, an HMO health plan is easy to use and may be just what you’re looking for.
Access to certain doctors and hospitals, called your HMO provider network, which helps control how much you pay for health care.
All of the above.
Which items below are considered to be SPI under HIPAA?
Address
Medical History
Mental History
Lab Results
A Catastrophic plan is an option where coverage may be unaffordable.
True
False
____ is needed before you can but prescription medicine.
Doctor
Prescription
Healthcare plan?
HMO
What are the those information you need to ask during customer verification?
First and Last name, Date of birth,State located
State located,Phone number, member ID number
Name,Member Id number,Phone number,Date of birth
Name, date of birth,phone number
ACA is a law passed in 2010 that reformed America’s Health Care System to improve access and affordability for more Americans.
Yes
No
