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Insurance Terms Quiz chapter 3

Total questions: 20

Worksheet time: 18mins

Name
Class
Date
1.

After World War II, group health insurance became a commonly accepted employment benefit.

a)

True

b)

False

2.

Medicare covers all health care expenses.

a)

True

b)

False

3.

It is likely that all claims in the United States will eventually be filed electronically.

a)

True

b)

False

4.

A co-payment is a fixed percentage of covered charges after the deductible is met.

a)

True

b)

False

5.

Expenses such as routine eye examinations or dental care not covered by an insurance company are called exclusions.

a)

True

b)

False

6.

A medical assistant has the responsibility to interpret the patient's insurance policy or extent of coverage.

4 lines
7.

Some insurers will not pay a claim unless it is filed within 6 months of the date of service.

a)

True

b)

False

8.

The concept of usual, customary, and reasonable (UCR) fees was originally developed by Congress to pay medical insurance claims under Medicare.

a)

True

b)

False

9.

The Health Care Financing Administration (HCFA) is the most common insurance claim form.

4 lines
10.

Fold the HCFA-1500 form for OCR before mailing.

a)

True

b)

False

11.

Generally, disability insurance is less expensive than life, home, or automobile insurance.

a)

True

b)

False

12.

Medicaid is an insurance program.

a)

True

b)

False

13.

Older or disabled patients who have Medicare and cannot pay the difference between the bill and the Medicare payment qualify for Medi/Medi.

a)

True

b)

False

14.

Blue Cross/Blue Shield is one large corporation.

a)

True

b)

False

15.

The Blue Cross/Blue Shield service benefit policy provides payment in full for all services it covers.

a)

True

b)

False

16.

A patient belonging to an HMO does not need pre-approval or authorization for inpatient surgery from the primary care physician or HMO.

4 lines
17.

Medicare discourages practices to file claims electronically.

a)

True

b)

False

18.

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.

a)

True

b)

False

19.

Outpatient care means that a patient is not confined to the hospital for treatment.

a)

True

b)

False

20.

All medical practices have to cover worker's compensation cases.

a)

True

b)

False