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WorksheetsInsurance Terms Quiz chapter 3
Total questions: 20
Worksheet time: 18mins
After World War II, group health insurance became a commonly accepted employment benefit.
True
False
Medicare covers all health care expenses.
True
False
It is likely that all claims in the United States will eventually be filed electronically.
True
False
A co-payment is a fixed percentage of covered charges after the deductible is met.
True
False
Expenses such as routine eye examinations or dental care not covered by an insurance company are called exclusions.
True
False
A medical assistant has the responsibility to interpret the patient's insurance policy or extent of coverage.
Some insurers will not pay a claim unless it is filed within 6 months of the date of service.
True
False
The concept of usual, customary, and reasonable (UCR) fees was originally developed by Congress to pay medical insurance claims under Medicare.
True
False
The Health Care Financing Administration (HCFA) is the most common insurance claim form.
Fold the HCFA-1500 form for OCR before mailing.
True
False
Generally, disability insurance is less expensive than life, home, or automobile insurance.
True
False
Medicaid is an insurance program.
True
False
Older or disabled patients who have Medicare and cannot pay the difference between the bill and the Medicare payment qualify for Medi/Medi.
True
False
Blue Cross/Blue Shield is one large corporation.
True
False
The Blue Cross/Blue Shield service benefit policy provides payment in full for all services it covers.
True
False
A patient belonging to an HMO does not need pre-approval or authorization for inpatient surgery from the primary care physician or HMO.
Medicare discourages practices to file claims electronically.
True
False
It is almost certain that insurance processing in the twenty-first century will be entirely on-line, with insurers, hospitals, and doctors all contributing electronically to a patient's record.
True
False
Outpatient care means that a patient is not confined to the hospital for treatment.
True
False
All medical practices have to cover worker's compensation cases.
True
False
