Medical Billing : CPB Chapter 2 Exam Questions And Answers 100% Pass.

Medical Billing : CPB Chapter 2 Exam Questions And Answers 100% Pass. Which of the following statements is true regarding the key provisions of coverage under the Affordable Care Act (ACA)? a. Lifetime limits are not banned on any health plans issued. b. There are 30 covered preventive services for women. c. Children under the age of 21 may be eligible to be covered under their parent's health plan if they are in college. d. Patients have the right to appeal a health plan's decision to deny payment for a claim or termination of health coverage. - answerd. Patients have the right to appeal a health plan's decision to deny payment for a claim or termination of health coverage. A Medicare patient is seen in the Internist's office for a check-up. The office bills Medicare, but the patient receives the payment, and the office must collect their fee from the patient. The office, by state law, can charge the patient a limiting charge that is 10 percent above the Medicare fee schedule amount. What type of Medicare provider is this physician? a. ©BRIGHTSTARS EXAM SOLUTIONS 10/21/2024 9:24 PM Participating b. Non-participating c. Non-limiting d. Opt-out - answerb. Non-participating A patient is age 65 and Medicare eligible. The patient signs up for a Medicare Managed Care plan. When the patient presents for care, where are claims sent? a. The patient b. The Medicare Administrative Contractor c. Both the Managed Care Plan and Medicare Administrative Contractor d. The Managed Care Plan - answerd. The Managed Care Plan The Protecting Patients and Affordable Care Act (PPACA) is a federal mandate which establishes that coverage can no longer be denied for what reason? a. Having other coverage b. Being unemployed c. Having high medical costs ©BRIGHTSTARS EXAM SOLUTIONS 10/21/2024 9:24 PM d. Pre-existing conditions - answerd. Pre-existing conditions Medicaid coverage is provided for low-income individuals and families. Individual states decide the coverage benefits for their plans. However, some benefits are mandated by the Federal government. Which of these is not a federal mandate? a. Nurse mid-wife services b. Vaccines for children c. Family planning d. Optometry services - answerd. Optometry services What type of plan allows an insurer to administer straight indemnity insurance, an HMO, or a PPO insurance plans to its members? a. Management service organization b. Integrated provider plan c. Triple option plan d. Full option plan - answerc. Triple option plan Which option is not considered an MCO? a. Health Savings Account (HSA) b. Preferred Provider Organizations (PPOs) c. Health Maintenance Organizations (HMOs) d. Exclusive Provider Organizations (EPOs) - answera. Health Savings Account (HSA)