HIM 130 Final Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
In the United States, what is healthcare insurance? - CORRECT ANSWER Reduction
of a person's or a group's exposure to risk for unknown healthcare costs by the assumption of
that risk by an entity
Today's managed care traces its origins to all of the following arrangements except: -
CORRECT ANSWER 1800, Congress awarding pensions for US naval personnel on
the basis of death or disability during active service
Why did Congress pass the Health Maintenance Organization Act of 1973? - CORRECT
ANSWER T encourage the delivery of affordable, quality healthcare
All of the following are characteristics of managed care organizations except: - CORRECT
ANSWER Freedom of choice and autonomous decision making
Access to mental or behavioral health or medical specialists is through referral. What is the
term for the individual who makes the referral? - CORRECT ANSWER All of the
above (Primary care provider,Gatekeeper, Primary care physician)
All of the following are characteristics of disease management except: - CORRECT
ANSWER Focus on single specialist for acute disease
What is the term for an explicit statement that directs clinical decision making? - CORRECT
ANSWER Evidence-based practice guideline
All of the following are tools managed care organizations use to promote quality care in their
healthcare plans except: - CORRECT ANSWER Incentive to meet fiscal targets
All of the following are purposes of the surveys that managed care organizations send their
patient/members except: - CORRECT ANSWER ...
QUESTIONS AND CORRECT ANSWERS
In the United States, what is healthcare insurance? - CORRECT ANSWER Reduction
of a person's or a group's exposure to risk for unknown healthcare costs by the assumption of
that risk by an entity
Today's managed care traces its origins to all of the following arrangements except: -
CORRECT ANSWER 1800, Congress awarding pensions for US naval personnel on
the basis of death or disability during active service
Why did Congress pass the Health Maintenance Organization Act of 1973? - CORRECT
ANSWER T encourage the delivery of affordable, quality healthcare
All of the following are characteristics of managed care organizations except: - CORRECT
ANSWER Freedom of choice and autonomous decision making
Access to mental or behavioral health or medical specialists is through referral. What is the
term for the individual who makes the referral? - CORRECT ANSWER All of the
above (Primary care provider,Gatekeeper, Primary care physician)
All of the following are characteristics of disease management except: - CORRECT
ANSWER Focus on single specialist for acute disease
What is the term for an explicit statement that directs clinical decision making? - CORRECT
ANSWER Evidence-based practice guideline
All of the following are tools managed care organizations use to promote quality care in their
healthcare plans except: - CORRECT ANSWER Incentive to meet fiscal targets
All of the following are purposes of the surveys that managed care organizations send their
patient/members except: - CORRECT ANSWER ...
