NWCA study guide-Exam 2026 Exam Questions
& Answers | Latest Already Graded A+ UPDATE
2026|2026!! STUDY GUIDE EXAM
Managed Care Organization (MCO) ------- ✔ CORRECT ANSWER ✓✓Combines functions of health
insurance, delivery of care and administration
Exclusive Provider Organization (EPO) ------- ✔ CORRECT ANSWER ✓✓Services covered only if
use doctors, specialists or hospitals in plans network (except in hospitals)
Health Maintenance Organization (HMO) ------- ✔ CORRECT ANSWER ✓✓Limits coverage to care
from doctors who work for or contract with the HMO, generally won't cover out of network care
except in emergency. May require to live or work in its service area.
Point of Service (POS) ------- ✔ CORRECT ANSWER ✓✓Pay less if you use doctors, and other
health care providers that belong to the plans network, required to get a referral from primary
care doctor in order to see specialist
Quality Improvement Organization (QIO) ------- ✔ CORRECT ANSWER ✓✓Physician can hose
whether or not accept Medicare patients, who are seeking non medical services, signs an
agreement and May sign a participating provider agreement(PAR)
Preferred Provider Organization (PPO) ------- ✔ CORRECT ANSWER ✓✓Pay less if use providers in
plans network. Can use providers outside of network without a referral for N additional cost.
DHHS stands for ------- ✔ CORRECT ANSWER ✓✓Department of health and human services
& Answers | Latest Already Graded A+ UPDATE
2026|2026!! STUDY GUIDE EXAM
Managed Care Organization (MCO) ------- ✔ CORRECT ANSWER ✓✓Combines functions of health
insurance, delivery of care and administration
Exclusive Provider Organization (EPO) ------- ✔ CORRECT ANSWER ✓✓Services covered only if
use doctors, specialists or hospitals in plans network (except in hospitals)
Health Maintenance Organization (HMO) ------- ✔ CORRECT ANSWER ✓✓Limits coverage to care
from doctors who work for or contract with the HMO, generally won't cover out of network care
except in emergency. May require to live or work in its service area.
Point of Service (POS) ------- ✔ CORRECT ANSWER ✓✓Pay less if you use doctors, and other
health care providers that belong to the plans network, required to get a referral from primary
care doctor in order to see specialist
Quality Improvement Organization (QIO) ------- ✔ CORRECT ANSWER ✓✓Physician can hose
whether or not accept Medicare patients, who are seeking non medical services, signs an
agreement and May sign a participating provider agreement(PAR)
Preferred Provider Organization (PPO) ------- ✔ CORRECT ANSWER ✓✓Pay less if use providers in
plans network. Can use providers outside of network without a referral for N additional cost.
DHHS stands for ------- ✔ CORRECT ANSWER ✓✓Department of health and human services
