HIMA 240 Quiz 1| Questions and Answers Latest Updated 2026/2027 (Graded
A+)- American Public University
Question 1 point
In which type of healthcare payment method does the healthcare plan pay for each service that a provider
renders?
Question options:
Episode-of-care reimbursement
Block grant
Fee-for-service reimbursement
Global payment
Question 2 point
In the United States, what is healthcare insurance?
Question options:
Federal program to provide medical care and services to indigent US citizens
State programs to provide medical care and services to deserving individuals
Reduction of a person's or a group's exposure to risk for unknown healthcare costs by the assumption of
that risk by an entity
Set of negotiated guarantees that all healthcare expenses of a risk pool will be covered by employers
Question 3 point
Which of the following characteristics is representative of commercial healthcare insurances?
Question options:
National federation of forty independent, locally operated plans
Composed of geographic plans and the FEP
For-profit in the private sector
Account for about one-fourth of US healthcare expenditures
Question 4 point
In the healthcare industry, what is another term for "charge"?
, Question options:
Fee
Discount
Capitated rate
Reimbursement
Question 5 point
In which type of healthcare payment method, does the healthcare plan oversee both the costs of healthcare and
the outcomes of care?
Question options:
Traditional retrospective
Case-based
Resource-based relative value scale
Managed care
Question 6 point
In which type of healthcare payment method does the healthcare plan recompense providers with a fixed rate
for each day a covered member is hospitalized?
Question options:
Traditional
Episode-of-care
Per diem
Fee-for-service
Question 7 point
The insurance analyst at the large group practice is responsible for issues related to coordination of benefits.
What does he or she do?
Question options:
Estimates the proportions of the payments from the primary and secondary carriers
Arranges the healthcare for a patient across the continuum of care
Reconciles discrepancies between the explanation of benefits and the claim
A+)- American Public University
Question 1 point
In which type of healthcare payment method does the healthcare plan pay for each service that a provider
renders?
Question options:
Episode-of-care reimbursement
Block grant
Fee-for-service reimbursement
Global payment
Question 2 point
In the United States, what is healthcare insurance?
Question options:
Federal program to provide medical care and services to indigent US citizens
State programs to provide medical care and services to deserving individuals
Reduction of a person's or a group's exposure to risk for unknown healthcare costs by the assumption of
that risk by an entity
Set of negotiated guarantees that all healthcare expenses of a risk pool will be covered by employers
Question 3 point
Which of the following characteristics is representative of commercial healthcare insurances?
Question options:
National federation of forty independent, locally operated plans
Composed of geographic plans and the FEP
For-profit in the private sector
Account for about one-fourth of US healthcare expenditures
Question 4 point
In the healthcare industry, what is another term for "charge"?
, Question options:
Fee
Discount
Capitated rate
Reimbursement
Question 5 point
In which type of healthcare payment method, does the healthcare plan oversee both the costs of healthcare and
the outcomes of care?
Question options:
Traditional retrospective
Case-based
Resource-based relative value scale
Managed care
Question 6 point
In which type of healthcare payment method does the healthcare plan recompense providers with a fixed rate
for each day a covered member is hospitalized?
Question options:
Traditional
Episode-of-care
Per diem
Fee-for-service
Question 7 point
The insurance analyst at the large group practice is responsible for issues related to coordination of benefits.
What does he or she do?
Question options:
Estimates the proportions of the payments from the primary and secondary carriers
Arranges the healthcare for a patient across the continuum of care
Reconciles discrepancies between the explanation of benefits and the claim
