Intro to MA Unit 2

Question 1

Pays the policyholder a certain amount of money in place of his usual income if he cannot work

Accepted Answer

disability insurance

Question 2

A state and federal program that covers low income individuals

Accepted Answer

medicaid

Question 3

A disadvantage to using the computer in the medical office is

Accepted Answer

initial cost and time to train employees

Question 4

Sets standards to safeguard the transmission of patient health information electronically

Accepted Answer

HIPAA Security Rule

Question 5

The CMS 1500 form is the most commonly used form for insurance claims

Accepted Answer

true

Question 6

If a person is self employed they may purchase

Accepted Answer

an individual policy

Question 7

People who are covered under managed care plans are commonly referred to as

Accepted Answer

enrollees

Question 8

A premium is a monthly fee paid for health insurance

Accepted Answer

true

Question 9

What Act made it illegal to deny health insurance to people with preexisting conditions

Accepted Answer

the affordable care act

Question 10

An E-prescribing computer program can access

Accepted Answer

all of these

Question 11

Allows patients to access their medical records and communicate with their providers

Accepted Answer

patient portal

Question 12

Exclusions are illnesses or injuries not covered by the insurance plan

Accepted Answer

true

Question 13

Money a person pays up front each year for medical expenses before insurance company pays

Accepted Answer

deductible

Question 14

Which of the following is an output device?

Accepted Answer

printer

Question 15

These are aspects of professional speech

Accepted Answer

all of these

Question 16

The Affordable Care Act prohibits health plans from imposing lifetime limits

Accepted Answer

true

Question 17

Most third party payers do not pay for medical services that

Accepted Answer

are not medically necessary

Question 18

After the deductible is met, the pt shares the cost of services with the insurance company is:

Accepted Answer

co-insurance

Question 19

A special tax shelter set up for the purpose of paying medical bills is a/an

Accepted Answer

medical savings plan

Question 20

Information entered into the patient registration system is used for which of the following?

Accepted Answer

all of these

Question 21

A group contract is an insurance policy with a business that covers all employees

Accepted Answer

true

Question 22

In this type of insurance the provider monitors who the pt sees and the treatment they receive

Accepted Answer

managed care

Question 23

Provides health insurance to people over 65 and those under 65 with certain disabilities

Accepted Answer

medicare

Question 24

PAR stands for

Accepted Answer

participating provider

Question 25

HIPAA regulations do not apply to the EMR

Accepted Answer

false

Question 26

Which of the following can be performed by an electronic medical record program?

Accepted Answer

all of these

Question 27

PHI stands for

Accepted Answer

Protected Health Information

Question 28

A program tells the computer how to perform a specific function

Accepted Answer

true

Question 29

Co-insurance rates are based on the UCR rates

Accepted Answer

true

Question 30

Which of the following does the EMR prescription program not have the ability to perform?

Accepted Answer

determine the number of refills

Question 31

A provider who contracts with the insurer is considered

Accepted Answer

a participating provider

Question 32

HSA stands for

Accepted Answer

health savings account

Question 33

Aspects of professional speech includes

Accepted Answer

all of these

Question 34

UCR rates stands for

Accepted Answer

usual, customary and reasonable rates

Question 35

a network of doctors and hospitals that manages healthcare needs of at least 5000 medicare pts

Accepted Answer

Accountable Care Organization

Question 36

What is an online application that allows patients to communicate with their Drs?

Accepted Answer

patient portal

Question 37

Once a patient has reached a certain amount, the insurer then will cover at 100%this is called

Accepted Answer

Out of Pocket max

Question 38

Limits total benefits an insured individual can receive if they have coverage under two plans

Accepted Answer

coordination of benefits

Question 39

HIPAA stands for

Accepted Answer

Health Insurance Portability and Accountability Act

Question 40

Which of the following is not a computer input device

Accepted Answer

printer

Question 41

Which of these is the cause of a computer system malfunction?

Accepted Answer

all of these

Question 42

Most third party payers will not cover medical services that are

Accepted Answer

not medically necessary

Question 43

CHAMPVA is the health benefits program for the Dept of Veteran Affairs

Accepted Answer

true

Question 44

When an individual obtains insurance through a commercial provider they have what is called

Accepted Answer

an individual policy

Question 45

Which of the following is NOT a characteristic of antivirus software?

Accepted Answer

performs periodic backups

Question 46

Premiums are the monthly payment made for health insurance coverage

Accepted Answer

true

Question 47

The money that a patient must pay each visit to the Dr is called

Accepted Answer

co-payment

Question 48

Health insurance for active duty personnel and eligible family members

Accepted Answer

tricare

Question 49

What is a function of the audit control?

Accepted Answer

to detect irregularities in data entry

Question 50

Creates a more organized and competitive market for health insurance with common rules

Accepted Answer

Health insurance exchange

Question 51

Traditional type of health insurance wherein patients can choose any provider or hospital is

Accepted Answer

indemnity or fee for service

Question 52

Illnesses or injuries that a patient had before obtaining health insurance are called

Accepted Answer

preexisting conditions

Question 53

People covered under a managed care plan are called

Accepted Answer

enrollees

Question 54

Which of the following protects a computer network from unauthorized access?

Accepted Answer

firewall

Question 55

Which of the following do health insurance companies NOT consider preventative?

Accepted Answer

xrays

Intro to MA Unit 2

Questions 55

Intro to MA Unit 2

Questions 55