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DH 224 Quiz #4 Review

Total questions: 16

Worksheet time: 8mins

Name
Class
Date
1.

When paying for a rendered procedure at the time of the service, this would be which type of payment method?

a)

Fee for Service

b)

Capitation

c)

Encounter fees

d)

Barter System

2.

When the portion of the cost is paid by the patient, this is termed as

a)

Utilization Review

b)

Premium

c)

Copayment

d)

Capitation

3.

A preferred Provider Organization is defined as...

a)

Contractual agreement between the patient and the insurance

b)

A verbal agreement

c)

Contractual agreement between the practitioner and their insurance

d)

A verbal agreement between the provider and the patient

4.

T/F An Explanation of Benefits describes benefits to the patient and the provider with accompanying payment or denial of payment.

a)

True

b)

False

5.

T/F Medicaid funds the indigent population

a)

True

b)

False

6.

A person who causes a social change this person is know as the

a)

Change agent

b)

Propel agent

c)

External agent

d)

internal agent

7.

T/F To change a policy it is necessary to create change with an individual within the govern policy.

a)
True
b)
It is not necessary to involve anyone
c)
Only if the individual is a leader
d)
False
8.

Which branch of the government makes laws?

a)

Legislative

b)

Executive

c)

State of Commission on law

d)

Judicial

9.

What form of payment is accepted everywhere except online?

a)

debit card

b)

cash

c)

credit cards

d)

echeck

10.

T/F The Affordable Care Act aims to reduce the number of uninsured Americans.

a)

True

b)

False

11.

Which type of insurance plan requires a primary care physician referral to see a specialist?

a)

Point of Service (POS)

b)

Exclusive Provider Organization (EPO)

c)

Preferred Provider Organization (PPO)

d)

Health Maintenance Organization (HMO)

12.

Which type of insurance plan requires a primary care physician referral to see a specialist?

a)

Health Maintenance Organization (HMO)

b)

Preferred Provider Organization (PPO)

c)

Exclusive Provider Organization (EPO)

d)

Point of Service (POS)

13.

T/F The Executive branch of the government is responsible for enforcing laws.

a)

False

b)

True

14.

T/F A Health Maintenance Organization (HMO) requires patients to choose a primary care physician.

a)

False

b)

True

15.

What is the term for the maximum amount a patient has to pay for covered services in a year?

a)

Copayment

b)

Premium

c)

Deductible

d)

Out-of-pocket maximum

16.

T/F The executive branch of the government is responsible for interpreting laws.

a)

True

b)

False