HIT 203 Midterm Exam Questions with
Verified Correct Answers
A physician office submitting an invoice (claim) for payment when the patient has
health insurance is an example of a transaction between ________ and ________.
Provider; third-party payer
Employer; third party payer
Patient; third party payer
Patient; employer
Provider; third-party payer
In the US, what is health insurance?
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 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
Reduction of a person's or group's exposure to risk for unknown healthcare costs by the
assumption of that risk by an entity
Successful RCM programs use this type of approach, which promotes collaboration
amount various clinical departments and emphasizes and education strategy for all
members:
,Multidisciplinary model
Silo model
Single-minded model
Disintegrated model
Multidisciplinary model
The US healthcare sector represents a significant portion of the US economy. The trend
of _________ spending on healthcare has been consistent for more than a decade.
Steady
Decreased
Increased
Increased
The goal of revenue integrity is to produce a claim that is __________.
Clean, complete and compliant
Complete, accurate and timely
Clean, timely and includes modifiers
Compliant, clean and includes diagnosis
Clean, complete and compliant
Which of the following is not a component of the revenue cycle?
Patient engagement
Resource tracking
, Revenue calculation
Claims production and revenue collection
Revenue calculation
Why do health insurers pool premium payments for all the insureds in a group and use
actuarial data to calculate the group's premiums?
To increase premium payments for insurance plan payers
To simplify accounting for the group's plan
To assure that the pool is large enough to pay losses for the entire group
To complicate accounting for the group's plan
To assure that the pool is large enough to pay losses for the entire group
In this healthcare delivery model, the government is the only payer that funds universal
healthcare coverage through taxes:
Social insurance model
National health service model
Private health insurance model
Cash model
National health service model
An employee paying for 40 percent of the insurance premium through payroll
processing is an example of a transaction between ________ and ________.
Patient; provider
Employer; third party payer
Verified Correct Answers
A physician office submitting an invoice (claim) for payment when the patient has
health insurance is an example of a transaction between ________ and ________.
Provider; third-party payer
Employer; third party payer
Patient; third party payer
Patient; employer
Provider; third-party payer
In the US, what is health insurance?
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 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
Reduction of a person's or group's exposure to risk for unknown healthcare costs by the
assumption of that risk by an entity
Successful RCM programs use this type of approach, which promotes collaboration
amount various clinical departments and emphasizes and education strategy for all
members:
,Multidisciplinary model
Silo model
Single-minded model
Disintegrated model
Multidisciplinary model
The US healthcare sector represents a significant portion of the US economy. The trend
of _________ spending on healthcare has been consistent for more than a decade.
Steady
Decreased
Increased
Increased
The goal of revenue integrity is to produce a claim that is __________.
Clean, complete and compliant
Complete, accurate and timely
Clean, timely and includes modifiers
Compliant, clean and includes diagnosis
Clean, complete and compliant
Which of the following is not a component of the revenue cycle?
Patient engagement
Resource tracking
, Revenue calculation
Claims production and revenue collection
Revenue calculation
Why do health insurers pool premium payments for all the insureds in a group and use
actuarial data to calculate the group's premiums?
To increase premium payments for insurance plan payers
To simplify accounting for the group's plan
To assure that the pool is large enough to pay losses for the entire group
To complicate accounting for the group's plan
To assure that the pool is large enough to pay losses for the entire group
In this healthcare delivery model, the government is the only payer that funds universal
healthcare coverage through taxes:
Social insurance model
National health service model
Private health insurance model
Cash model
National health service model
An employee paying for 40 percent of the insurance premium through payroll
processing is an example of a transaction between ________ and ________.
Patient; provider
Employer; third party payer
