NWCA Exam Questions + Verified
Answers 100% correct, Update 2026
Managed Care Organization (MCO) -
correct answer ✅Combines functions of health insurance, delivery
of care and administration
Exclusive Provider Organization (EPO) -
correct answer ✅Services covered only if use doctors, specialists
or hospitals in plans network (except in hospitals)
Health Maintenance Organization (HMO) -
correct answer ✅Limits coverage to care from doctors who work
for or contract with the HMO, generally won't cover out of network
care except in emergency. May require to live or work in its service
area.
Point of Service (POS) -
correct answer ✅Pay less if you use doctors, and other health care
providers that belong to the plans network, required to get a
referral from primary care doctor in order to see specialist
Quality Improvement Organization (QIO) -
correct answer ✅Physician can hose whether or not accept
Medicare patients, who are seeking non medical services, signs an
agreement and May sign a participating provider agreement(PAR)
, NWCA Exam Questions + Verified
Answers 100% correct, Update 2026
Preferred Provider Organization (PPO) -
correct answer ✅Pay less if use providers in plans network. Can
use providers outside of network without a referral for N additional
cost.
DHHS stands for -
correct answer ✅Department of health and human services
Medicare Administrative Contractor (MAC) is -
correct answer ✅A private health care insurer awarded geographic
jurisdiction to process medicare A y B
Medicare A covers -
correct answer ✅Hospital care, skilled nursing facility care, nursing
home, ( as long as custodial care isn't the only type of care needed),
hospice, o e health services
Part b covers -
correct answer ✅Medically necessary services, preventative
services
Answers 100% correct, Update 2026
Managed Care Organization (MCO) -
correct answer ✅Combines functions of health insurance, delivery
of care and administration
Exclusive Provider Organization (EPO) -
correct answer ✅Services covered only if use doctors, specialists
or hospitals in plans network (except in hospitals)
Health Maintenance Organization (HMO) -
correct answer ✅Limits coverage to care from doctors who work
for or contract with the HMO, generally won't cover out of network
care except in emergency. May require to live or work in its service
area.
Point of Service (POS) -
correct answer ✅Pay less if you use doctors, and other health care
providers that belong to the plans network, required to get a
referral from primary care doctor in order to see specialist
Quality Improvement Organization (QIO) -
correct answer ✅Physician can hose whether or not accept
Medicare patients, who are seeking non medical services, signs an
agreement and May sign a participating provider agreement(PAR)
, NWCA Exam Questions + Verified
Answers 100% correct, Update 2026
Preferred Provider Organization (PPO) -
correct answer ✅Pay less if use providers in plans network. Can
use providers outside of network without a referral for N additional
cost.
DHHS stands for -
correct answer ✅Department of health and human services
Medicare Administrative Contractor (MAC) is -
correct answer ✅A private health care insurer awarded geographic
jurisdiction to process medicare A y B
Medicare A covers -
correct answer ✅Hospital care, skilled nursing facility care, nursing
home, ( as long as custodial care isn't the only type of care needed),
hospice, o e health services
Part b covers -
correct answer ✅Medically necessary services, preventative
services
