NCCT INTERACTIVE REVIEW MEDICAL INSURANCE EXAM
QUESTIONS AND ANSWERS
Ambulatory Surgical Centers
Facility billing includes charging for medical services provided by:
The actual money available to a medical practice
What Is "cash flow" in a medical practice?
Text Speak
Shortening words and using abbreviations that do not follow standard grammar, spelling
and punctuation when writing electronic mail communications.
Code of Hammurabi
The earliest written code of ethical principles for the medical profession
Illegal
Reporting incorrect information to government-funded programs is:
5 Titles
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is an important
piece of legislation made up of:
To require information access controls such as passwords
Which of the following is NOT a main objective of the HIPAA Privacy Rule?
Nonprivileged Information
Ordinary facts unrelated to treatment of the patient, including the patient's name, city of
residence, dates of admission and discharge are referred to as:
city of residence
Nonprivileged information about a patient consists of the patient's
Abuse
Incidents or practices by healthcare organizations that conflict with accepted sound
medical business or fiscal practices is considered to be:
Relator
Private individuals who act as an informant and reports suspected fraud on behalf of the
federal government
OIG Federal Register
, The penalties for violating the health care fraud laws are updated regularly and
published in the:
There was a growing number of individuals who were uninsured
In the 1990's a major restructuring of the healthcare system in the U.S. was necessary
because:
Healthcare organization and the patient
When a patient does not have health insurance, the contract for treatment exists
between the:
Healthcare organization and the insurance company
The contract in a worker's compensation case exists between the:
Medicaid
A federal, state and local government program which provides assistance with
healthcare expenses to individuals who meet certain financial requirements.
If they have more than 25 full-time employees
Under HIPAA guidelines, healthcare organizations must send all claims electronically if:
Triple-option health plan
A plan which incorporates cost containment measures but allows members to select
from HMO's, PPOS or traditional indemnity insurance.
Concurrent Review
A utilization management technique that is used during active management of a
patient's condition is referred to as:
Federal health insurance program
Medicare is a:
Social Security Administration
The office which controls the medicare eligibility process is the:
80% of the Medicare-approved charge.
A participating physician with the Medicare plan agrees to accept:
Pre-established rates for each type of illness treated based on diagnosis
Under the prospective payment system (PPS), hospitals treating Medicare patients are
reimbursed according to:
QUESTIONS AND ANSWERS
Ambulatory Surgical Centers
Facility billing includes charging for medical services provided by:
The actual money available to a medical practice
What Is "cash flow" in a medical practice?
Text Speak
Shortening words and using abbreviations that do not follow standard grammar, spelling
and punctuation when writing electronic mail communications.
Code of Hammurabi
The earliest written code of ethical principles for the medical profession
Illegal
Reporting incorrect information to government-funded programs is:
5 Titles
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is an important
piece of legislation made up of:
To require information access controls such as passwords
Which of the following is NOT a main objective of the HIPAA Privacy Rule?
Nonprivileged Information
Ordinary facts unrelated to treatment of the patient, including the patient's name, city of
residence, dates of admission and discharge are referred to as:
city of residence
Nonprivileged information about a patient consists of the patient's
Abuse
Incidents or practices by healthcare organizations that conflict with accepted sound
medical business or fiscal practices is considered to be:
Relator
Private individuals who act as an informant and reports suspected fraud on behalf of the
federal government
OIG Federal Register
, The penalties for violating the health care fraud laws are updated regularly and
published in the:
There was a growing number of individuals who were uninsured
In the 1990's a major restructuring of the healthcare system in the U.S. was necessary
because:
Healthcare organization and the patient
When a patient does not have health insurance, the contract for treatment exists
between the:
Healthcare organization and the insurance company
The contract in a worker's compensation case exists between the:
Medicaid
A federal, state and local government program which provides assistance with
healthcare expenses to individuals who meet certain financial requirements.
If they have more than 25 full-time employees
Under HIPAA guidelines, healthcare organizations must send all claims electronically if:
Triple-option health plan
A plan which incorporates cost containment measures but allows members to select
from HMO's, PPOS or traditional indemnity insurance.
Concurrent Review
A utilization management technique that is used during active management of a
patient's condition is referred to as:
Federal health insurance program
Medicare is a:
Social Security Administration
The office which controls the medicare eligibility process is the:
80% of the Medicare-approved charge.
A participating physician with the Medicare plan agrees to accept:
Pre-established rates for each type of illness treated based on diagnosis
Under the prospective payment system (PPS), hospitals treating Medicare patients are
reimbursed according to:
