HSA4109 Practice Quizzes 1-5 With Complete Questions And
Answers 100% Solved
What organization formed a council on medical education to set physician licensure
standards? - ANSWER American Medical Association
Which of the following is an example of an early prepaid group practice? - ANSWER
-Ross-Loos Clinic
-Farmers' cooperative health plan in Oklahoma
-Western Clinic in Tacoma
True or False: The American Medical Association preferred individual fee-for-service
payments rather than prepaid groups. - ANSWER True
Which of the following came first? - ANSWER First HMO (Ross-Loos Clinic)
Which of the following laws provided "Old Age" benefits? - ANSWER Social Security Act
Which of the following statements regarding the HMO Act is true? - ANSWER The law
provided funding for HMO development
Which of the following laws provided temporary insurance for people in-between jobs? -
ANSWER Consolidated Omnibus Budget Reconciliation Act (COBRA)
True or False: The American Medical Association supported the creation of Medicare
and Medicaid? - ANSWER False
True or False: The Employee Retirement Income Security Act (ERISA) requires
employers to offer employees health insurance. - ANSWER False
, True or False: Because Kylie is sick she is more likely than healthy Ben to buy health
insurance. This is known as adverse selection. - ANSWER True
If a risk pool has more unhealthy, rather than healthy individuals that experience
catastrophic health events enrolling each year, an insurance company may face: -
ANSWER A death spiral
Which of the following is a public payer?
-Employer
-Patient
-Provider - ANSWER None of the answers are correct
Which of the following employers will have to provide health insurance for its employees
due to the ACA employer mandate? - ANSWER Employer with 100 full-time employees
True or False: If you accept COBRA coverage and then decide 4 months later that you
would rather enroll in a health plan on the Health Insurance Exchange, you can do so
through a special enrollment period. - ANSWER False
Is the following scenario considered to be a preventive service where the patient cannot
be charged cost sharing? "A woman visits a doctor in her network for an annual
mammogram. Is the service considered preventive?" - ANSWER Preventive, patient
pays no cost sharing
Is the following scenario considered to be a preventive service where the patient cannot
be charged cost sharing? "A woman visits a doctor in her network for a mammogram,
but the results prompt the doctor to ask her to come back for a follow-up visit and a
follow-up mammogram. Is the follow-up service considered preventive?" - ANSWER Not
preventive, patient may pay cost sharing
Is the following scenario considered to be a preventive service where the patient cannot
be charged cost sharing? "A man receives a blood test to determine his blood
cholesterol level at his annual wellness exam. Is the service considered preventive?" -
Answers 100% Solved
What organization formed a council on medical education to set physician licensure
standards? - ANSWER American Medical Association
Which of the following is an example of an early prepaid group practice? - ANSWER
-Ross-Loos Clinic
-Farmers' cooperative health plan in Oklahoma
-Western Clinic in Tacoma
True or False: The American Medical Association preferred individual fee-for-service
payments rather than prepaid groups. - ANSWER True
Which of the following came first? - ANSWER First HMO (Ross-Loos Clinic)
Which of the following laws provided "Old Age" benefits? - ANSWER Social Security Act
Which of the following statements regarding the HMO Act is true? - ANSWER The law
provided funding for HMO development
Which of the following laws provided temporary insurance for people in-between jobs? -
ANSWER Consolidated Omnibus Budget Reconciliation Act (COBRA)
True or False: The American Medical Association supported the creation of Medicare
and Medicaid? - ANSWER False
True or False: The Employee Retirement Income Security Act (ERISA) requires
employers to offer employees health insurance. - ANSWER False
, True or False: Because Kylie is sick she is more likely than healthy Ben to buy health
insurance. This is known as adverse selection. - ANSWER True
If a risk pool has more unhealthy, rather than healthy individuals that experience
catastrophic health events enrolling each year, an insurance company may face: -
ANSWER A death spiral
Which of the following is a public payer?
-Employer
-Patient
-Provider - ANSWER None of the answers are correct
Which of the following employers will have to provide health insurance for its employees
due to the ACA employer mandate? - ANSWER Employer with 100 full-time employees
True or False: If you accept COBRA coverage and then decide 4 months later that you
would rather enroll in a health plan on the Health Insurance Exchange, you can do so
through a special enrollment period. - ANSWER False
Is the following scenario considered to be a preventive service where the patient cannot
be charged cost sharing? "A woman visits a doctor in her network for an annual
mammogram. Is the service considered preventive?" - ANSWER Preventive, patient
pays no cost sharing
Is the following scenario considered to be a preventive service where the patient cannot
be charged cost sharing? "A woman visits a doctor in her network for a mammogram,
but the results prompt the doctor to ask her to come back for a follow-up visit and a
follow-up mammogram. Is the follow-up service considered preventive?" - ANSWER Not
preventive, patient may pay cost sharing
Is the following scenario considered to be a preventive service where the patient cannot
be charged cost sharing? "A man receives a blood test to determine his blood
cholesterol level at his annual wellness exam. Is the service considered preventive?" -
