HSA4109 Exam Questions with Correct Answers
Health insurers and Blue Cross and Blue Shield plans can act as third-party
administrators. TPAs
true
Identify, which of the following comes the closest to describing a rental PPO also called a
leased Network.
A provider Network that contracts with various payers to provide access and claims repricing.
The term moral hazard refers to which of the following.
A change in Behavior caused by being at least partially insulated from the full Economic
Consequences of an action.
in the agent principal problem as understood in the context of moral hazard the agent
refers to
the physician
The pooling of unequal risk means happens when healthy and sick people are in the same
risk pool.
true
the term asymmetric knowledge as understood in the context of moral hazard refers to
when either the insured or the insurer knows something that the other one doesn't.
Inherent Vice may or may not include real Vice.
, true
induced demand does not refer to
A patient has a sudden craving for ice cream induced by receiving a mild electrical stimulation to
the hypothalamus.
key common characteristics of ppos do not include
benefits limited to in network care
The GPWW requires the participation of a hospital and the formation of a group practice.
false
commonly, recognized types of hmos include all but
Phos
Most ancillary services are broadly divided into the following two categories.
therapeutic and diagnostic
A flex saving account is the same as a medical savings account.
false
Which organizations may not conduct primary verification of a physician's credentials?
URAC
the balanced budget Act of 1997 resulted in major increase in HMO enrollment
false
Ipas are intermediaries Between appear such as an HMO and its Network Physicians.
Health insurers and Blue Cross and Blue Shield plans can act as third-party
administrators. TPAs
true
Identify, which of the following comes the closest to describing a rental PPO also called a
leased Network.
A provider Network that contracts with various payers to provide access and claims repricing.
The term moral hazard refers to which of the following.
A change in Behavior caused by being at least partially insulated from the full Economic
Consequences of an action.
in the agent principal problem as understood in the context of moral hazard the agent
refers to
the physician
The pooling of unequal risk means happens when healthy and sick people are in the same
risk pool.
true
the term asymmetric knowledge as understood in the context of moral hazard refers to
when either the insured or the insurer knows something that the other one doesn't.
Inherent Vice may or may not include real Vice.
, true
induced demand does not refer to
A patient has a sudden craving for ice cream induced by receiving a mild electrical stimulation to
the hypothalamus.
key common characteristics of ppos do not include
benefits limited to in network care
The GPWW requires the participation of a hospital and the formation of a group practice.
false
commonly, recognized types of hmos include all but
Phos
Most ancillary services are broadly divided into the following two categories.
therapeutic and diagnostic
A flex saving account is the same as a medical savings account.
false
Which organizations may not conduct primary verification of a physician's credentials?
URAC
the balanced budget Act of 1997 resulted in major increase in HMO enrollment
false
Ipas are intermediaries Between appear such as an HMO and its Network Physicians.
