HSM 241 Quiz || with Faultless Solutions.
American Medical Association (AMA) correct answers founded in 1847 the professional
organization for physicians that initially opposed medicare in the 1960s comparing it to
socialized medicine when it seemed that passage was inevitable the AMA lobbied for the
program to cover only the poor elderly
Balanced Budget Act of 1997 correct answers Medicaid was expanded to cover additional
children; however it also resulted in reduced reimbursement to hospitals, physicians, and nurse
practitioners
Centers for Medicare and Medicaid Services (CMS) correct answers created in 1965 by Lyndon
Johnson division of the department of health and human services that administers the medicare
medicaid service plan previously known as Health Care Financing Administration
Children's Health Insurance Reauthorization Act of 2009 (CHIPRA) correct answers Sign by
Obama increased funding by 32.8 billion dollars to expand children's health insurance program
Donut Hole correct answers the part of medicare part D reimbursement between basic services
and full coverage that is the medicare beneficiaries responsibility to pay
Dual Eligibles correct answers Medicare part A or B recipients who would qualify for either
medicare savings program or medicaid benefits
Great Society correct answers Phrase coined by Lyndon Johnson describes effort by Johnson to
end poverty promote equality improve education rejuvenate cities and protect the environment
lead to passage of civil rights act and economic opportunity act
the launching of medicare and medicaid
Joint Commission correct answers umbrella organization that evaluates and accredits health care
organizations
Medical Savings Accounts correct answers Taxed deferred account that allow money to be saved
for medical expenses
Medicare Part A correct answers A hospital insurance program covers inpatient hospital, skilled
nursing facility, hospice, and home health care.
Medicare Part B correct answers Supplementary medical insurance covers physician and
outpatient hospital care, lab tests, medical supplies, and home health
Medicare Part C correct answers Managed care plans provide Part A and Part B benefits, called
Medicare Advantage (MA).
, Medicare Part D correct answers An outpatient prescription drug benefit was implemented in
2006 and enacted under the Medicare Prescription Drug, Improvement, and Modernization Act
of 2003.
Medicare Prescription Drug, Improvement and Modernization act of 2003 (MMA) correct
answers made sweeping changes to Medicare by affording Medicare beneficiaries a prescription
drug benefit.
Medigap correct answers Insurance purchased by medicare beneficiaries to fill gaps in their
health insurance coverage by enrolling in health maintenance organizations
Omnibus Budget Reconciliation Act of 1989 (OBRA) correct answers established a new method
of Medicare physician reimbursement, effective in 1992, using a resource-based relative value
scale (RBRVS).
Point of Service Organization (PSO) correct answers Type of managed care plan with
characteristics of both a health maintenance organizations and a preferred provider organizations.
Physician selection/ Referral= in network
out of network selection the patient is responsible for the payment
Preferred Provider Plans (PPO) correct answers Plan where different types of providers
physicians hospitals and clinics contract with a preferred provider organization to provide care to
its members
insurance members pay a co-payment and a yearly deductible before insurance pays a percentage
of the medical fees for in network provider
President George W. Bush correct answers supported and signed MMA
President Harry S. Truman correct answers part of the fair deal 1949 he proposed a
comprehensive prepaid medical insurance plan for all people through the social security system
National Health Insurance
President JFK correct answers delivered a message to Congress, calling for health insurance for
the elderly
President Lyndon B Johnson correct answers with significant help from organized labor, was
able to push Medicare and other Great Society legislation through Congress. The results of his
efforts were the establishment of two programs, Medicare for the elderly and Medicaid for the
poor of all ages
Resource Base Relative Value Scale (RBRVS) correct answers method of standardized physician
payment schedule that attempts to contain costs by instituting the same pay for similar services
Social Security Act of 1935 correct answers enacted to provide retirement security for retired
american workers it created a pension system funded by taxes on employers and employees
and health benefits through the medicaid medicare programs
American Medical Association (AMA) correct answers founded in 1847 the professional
organization for physicians that initially opposed medicare in the 1960s comparing it to
socialized medicine when it seemed that passage was inevitable the AMA lobbied for the
program to cover only the poor elderly
Balanced Budget Act of 1997 correct answers Medicaid was expanded to cover additional
children; however it also resulted in reduced reimbursement to hospitals, physicians, and nurse
practitioners
Centers for Medicare and Medicaid Services (CMS) correct answers created in 1965 by Lyndon
Johnson division of the department of health and human services that administers the medicare
medicaid service plan previously known as Health Care Financing Administration
Children's Health Insurance Reauthorization Act of 2009 (CHIPRA) correct answers Sign by
Obama increased funding by 32.8 billion dollars to expand children's health insurance program
Donut Hole correct answers the part of medicare part D reimbursement between basic services
and full coverage that is the medicare beneficiaries responsibility to pay
Dual Eligibles correct answers Medicare part A or B recipients who would qualify for either
medicare savings program or medicaid benefits
Great Society correct answers Phrase coined by Lyndon Johnson describes effort by Johnson to
end poverty promote equality improve education rejuvenate cities and protect the environment
lead to passage of civil rights act and economic opportunity act
the launching of medicare and medicaid
Joint Commission correct answers umbrella organization that evaluates and accredits health care
organizations
Medical Savings Accounts correct answers Taxed deferred account that allow money to be saved
for medical expenses
Medicare Part A correct answers A hospital insurance program covers inpatient hospital, skilled
nursing facility, hospice, and home health care.
Medicare Part B correct answers Supplementary medical insurance covers physician and
outpatient hospital care, lab tests, medical supplies, and home health
Medicare Part C correct answers Managed care plans provide Part A and Part B benefits, called
Medicare Advantage (MA).
, Medicare Part D correct answers An outpatient prescription drug benefit was implemented in
2006 and enacted under the Medicare Prescription Drug, Improvement, and Modernization Act
of 2003.
Medicare Prescription Drug, Improvement and Modernization act of 2003 (MMA) correct
answers made sweeping changes to Medicare by affording Medicare beneficiaries a prescription
drug benefit.
Medigap correct answers Insurance purchased by medicare beneficiaries to fill gaps in their
health insurance coverage by enrolling in health maintenance organizations
Omnibus Budget Reconciliation Act of 1989 (OBRA) correct answers established a new method
of Medicare physician reimbursement, effective in 1992, using a resource-based relative value
scale (RBRVS).
Point of Service Organization (PSO) correct answers Type of managed care plan with
characteristics of both a health maintenance organizations and a preferred provider organizations.
Physician selection/ Referral= in network
out of network selection the patient is responsible for the payment
Preferred Provider Plans (PPO) correct answers Plan where different types of providers
physicians hospitals and clinics contract with a preferred provider organization to provide care to
its members
insurance members pay a co-payment and a yearly deductible before insurance pays a percentage
of the medical fees for in network provider
President George W. Bush correct answers supported and signed MMA
President Harry S. Truman correct answers part of the fair deal 1949 he proposed a
comprehensive prepaid medical insurance plan for all people through the social security system
National Health Insurance
President JFK correct answers delivered a message to Congress, calling for health insurance for
the elderly
President Lyndon B Johnson correct answers with significant help from organized labor, was
able to push Medicare and other Great Society legislation through Congress. The results of his
efforts were the establishment of two programs, Medicare for the elderly and Medicaid for the
poor of all ages
Resource Base Relative Value Scale (RBRVS) correct answers method of standardized physician
payment schedule that attempts to contain costs by instituting the same pay for similar services
Social Security Act of 1935 correct answers enacted to provide retirement security for retired
american workers it created a pension system funded by taxes on employers and employees
and health benefits through the medicaid medicare programs
