HOM 5307 Practice Exam Questions Answered 100%
What safety net providers were developed in the last 40 years to bridge and close the access
gap for Medicaid beneficiaries?
A.
FQHCs
B.
RHCs
C.
Community clinics, mental health clinics and outpatient clinics
D.
All of the above
All of ther above
Which of the following groups represent the largest expenditures for the Medicaid program?
Persons receiving long term care in nursing homes
Which of the following is NOT a reason for the growing interest in Medicaid programs
developing plans to serve dually eligible beneficiaries who also have Medicare coverage?
Dually eligible persons are eager to enroll in prepaid health plans
Which of the following represents the largest group of individuals in the Medicaid program?
Persons who are low income with dependents
Which statement is not true regarding why specialized plans are more successful in
Medicaid managed care?
Medicaid focused plans are only owned by health systems.
, True or False? ERISA applies only to self-funded health plans
False
True or False? ERISA preempts all state laws.
False
True or False? ERISA requires expedited review for claims involving urgent care.
True
True or False? HIPAA mandates that federal confidentiality regulations overrule state laws
regardless of whether or not state laws impose more stringent requirements or standards.
False
True or False? State mandated benefits laws apply to insured employee benefits plans.
True
True or False? State mandated benefits laws apply to self-funded employee benefits plans.
False
Which of the following does HIPAA regulate?
A.
Electronic communications between payers and providers
B.
Portability and access standards
C.
Guaranteed renewability of group coverage
D.
All of the above
All of the above
Which of the following electronic transactions does HIPAA NOT standardize?
What safety net providers were developed in the last 40 years to bridge and close the access
gap for Medicaid beneficiaries?
A.
FQHCs
B.
RHCs
C.
Community clinics, mental health clinics and outpatient clinics
D.
All of the above
All of ther above
Which of the following groups represent the largest expenditures for the Medicaid program?
Persons receiving long term care in nursing homes
Which of the following is NOT a reason for the growing interest in Medicaid programs
developing plans to serve dually eligible beneficiaries who also have Medicare coverage?
Dually eligible persons are eager to enroll in prepaid health plans
Which of the following represents the largest group of individuals in the Medicaid program?
Persons who are low income with dependents
Which statement is not true regarding why specialized plans are more successful in
Medicaid managed care?
Medicaid focused plans are only owned by health systems.
, True or False? ERISA applies only to self-funded health plans
False
True or False? ERISA preempts all state laws.
False
True or False? ERISA requires expedited review for claims involving urgent care.
True
True or False? HIPAA mandates that federal confidentiality regulations overrule state laws
regardless of whether or not state laws impose more stringent requirements or standards.
False
True or False? State mandated benefits laws apply to insured employee benefits plans.
True
True or False? State mandated benefits laws apply to self-funded employee benefits plans.
False
Which of the following does HIPAA regulate?
A.
Electronic communications between payers and providers
B.
Portability and access standards
C.
Guaranteed renewability of group coverage
D.
All of the above
All of the above
Which of the following electronic transactions does HIPAA NOT standardize?
