Chapter 22 (Intro to HC) Exam with
Questions and Correct Answers 2025
The ,goal ,of ,managed ,care ,is ,to ,provide ,good ,care ,while ,controlling ,costs. ,-
,CORRECT ,ANSWER-True
Insurance ,companies ,can ,legally ,refuse ,to ,pay ,for ,certain ,services ,if ,they ,are
,not ,preauthorized. ,- ,CORRECT ,ANSWER-True
Medicare ,will ,pay ,for ,all ,medications ,that ,are ,prescribed ,by ,the ,patient's
,primary ,physician. ,- ,CORRECT ,ANSWER-False
Poor ,work ,habits, ,such ,as ,arriving ,late, ,can ,contribute ,to ,an ,increase ,in
,malpractice ,lawsuits ,filed ,by ,patients. ,- ,CORRECT ,ANSWER-True
HC ,costs ,are ,evenly ,distributed ,among ,all ,patients. ,- ,CORRECT ,ANSWER-False
Which ,of ,the ,following ,is ,an ,example ,co-pay?
A) ,Patient ,pays ,$10 ,every ,time ,they ,see ,the ,physician ,
B) ,Patient ,is ,denied ,a ,referral ,to ,a ,specialist ,
C) ,Patient ,pays ,a ,set ,amount ,every ,month
D) ,Patient ,pay ,20% ,of ,the ,charges ,of ,health ,care ,services ,- ,CORRECT
,ANSWER-A) ,Patient ,pays ,$10 ,every ,time ,they ,see ,a ,physician
Which ,of ,the ,following ,is ,true ,about ,prepaid ,plans?
A) ,Fees ,are ,negotiated ,at ,time ,of ,service ,
B) ,Providers ,are ,paid ,b4 ,rather ,than ,after ,services ,are ,performed
C) ,Preauthorization ,is ,required ,
D) ,Providers ,are ,paid ,after ,rather ,than ,b4 ,services ,are ,performed ,- ,CORRECT
,ANSWER-B) ,Providers ,are ,paid ,before ,rather ,than ,after ,services ,are ,performed
What ,is ,the ,MOST ,serious ,consequence ,for ,a ,facility ,if ,treatments ,administered
,to ,patients ,are ,frequently ,reported ,and ,coded ,correctly?
A) ,Accusations ,of ,fraud
B) ,Lower ,profits ,than ,expected
C) ,Failure ,to ,obtain ,reimbursement ,from ,insurance ,companies
D) ,Low ,staff ,efficiency ,- ,CORRECT ,ANSWER-A) ,Accusations ,of ,fraud
Questions and Correct Answers 2025
The ,goal ,of ,managed ,care ,is ,to ,provide ,good ,care ,while ,controlling ,costs. ,-
,CORRECT ,ANSWER-True
Insurance ,companies ,can ,legally ,refuse ,to ,pay ,for ,certain ,services ,if ,they ,are
,not ,preauthorized. ,- ,CORRECT ,ANSWER-True
Medicare ,will ,pay ,for ,all ,medications ,that ,are ,prescribed ,by ,the ,patient's
,primary ,physician. ,- ,CORRECT ,ANSWER-False
Poor ,work ,habits, ,such ,as ,arriving ,late, ,can ,contribute ,to ,an ,increase ,in
,malpractice ,lawsuits ,filed ,by ,patients. ,- ,CORRECT ,ANSWER-True
HC ,costs ,are ,evenly ,distributed ,among ,all ,patients. ,- ,CORRECT ,ANSWER-False
Which ,of ,the ,following ,is ,an ,example ,co-pay?
A) ,Patient ,pays ,$10 ,every ,time ,they ,see ,the ,physician ,
B) ,Patient ,is ,denied ,a ,referral ,to ,a ,specialist ,
C) ,Patient ,pays ,a ,set ,amount ,every ,month
D) ,Patient ,pay ,20% ,of ,the ,charges ,of ,health ,care ,services ,- ,CORRECT
,ANSWER-A) ,Patient ,pays ,$10 ,every ,time ,they ,see ,a ,physician
Which ,of ,the ,following ,is ,true ,about ,prepaid ,plans?
A) ,Fees ,are ,negotiated ,at ,time ,of ,service ,
B) ,Providers ,are ,paid ,b4 ,rather ,than ,after ,services ,are ,performed
C) ,Preauthorization ,is ,required ,
D) ,Providers ,are ,paid ,after ,rather ,than ,b4 ,services ,are ,performed ,- ,CORRECT
,ANSWER-B) ,Providers ,are ,paid ,before ,rather ,than ,after ,services ,are ,performed
What ,is ,the ,MOST ,serious ,consequence ,for ,a ,facility ,if ,treatments ,administered
,to ,patients ,are ,frequently ,reported ,and ,coded ,correctly?
A) ,Accusations ,of ,fraud
B) ,Lower ,profits ,than ,expected
C) ,Failure ,to ,obtain ,reimbursement ,from ,insurance ,companies
D) ,Low ,staff ,efficiency ,- ,CORRECT ,ANSWER-A) ,Accusations ,of ,fraud
