Assignment:Health Insurance

Assignment:Health Insurance

Assignment:Health Insurance

Assignment:Health Insurance

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11.   People who receive Medicare
A. are never eligible to receive Medicaid.
B. may be eligible to receive Medicaid if they meet the age requirement.
C. may be eligible to receive Medicaid coverage.
D. can combine Medicare with TRICARE.

12.   Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?
A. Yes, because the patient has end-stage renal disease
B. No, because the patient resides in New Mexico
C. No, because the patient is under age 65
D. Yes, because the patient has hypertension

13.   The first prepaid health insurance plans in the United States were
A. TRICARE and workers’ compensation.
C. Blue Cross and Blue Shield.
D. Medicare and Medicaid.

14.   Which of the following is the largest privately underwritten health insurance contract in the world?
A. Harless program
C. Federal Employee Program (FEP)
D. CHAMPVA program

15.   A provider is classified as a/an
A. biller who submits claims to insurance carriers.
B. coder who provides medical record data.
C. individual or group of individuals that provide a health care service.
D. beneficiary that provides information for insurance coverage.

16.   Tom is billing an emergency room visit for a Medicaid patient who’s being seen for a wellness visit. Which one of the following statements is true as a result of the Balanced Budget Act?
A. There are new surgical treatments available.
B. No new applications are required for TAFT recipients.
C. Patients have expanded preventive-care benefits.
D. There are new standards for TRICARE.


17.   Dr. Singer is working within a reimbursement system in which the insurance is billed after all the treatment has been given to the patients. What is the main reason that the doctor orders more tests, exams, and procedures under this system?
A. Fear of being sued
B. To increase resource utilization
C. To make a profit
D. Because no one has to pay for it

18.   With a PPO, the beneficiary has the ability to
A. choose a hospital within a 50-mile radius only.
B. choose a physician or hospital from the designated provider list.
C. select a dentist within a 10-mile radius.
D. select an add-on policy for supplemental unemployment benefits

19.   Physician-hospital organizations (PHOs) are also called _______ organizations.
A. medical staff-hospital
B. health management
C. individual provider
D. preferred provider

20.   Mrs. Fang is a 72-year-old retired school teacher who has been hospitalized for pneumonia. What type of insurance is most likely being used to pay for her hospital stay?
A. Medicare Part D
B. Medicare Part B
C. Medicare Part A
D. Medicare Part C

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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