Instructions   Complete this example Exam consisting of 40...

Instructions

Complete this example Exam consisting of 40 Questions - Multiple Choice and True/False, covering Units 1-4.

Flag question: Question 1Question 12.5 pts

MDs are also known as

Group of answer choices

Allopathic doctor

Osteopathic doctor

Physicians Assistant

Nurse Practitioner

Flag question: Question 2Question 22.5 pts

The Office of the Inspector General was established in 1976 and injunction with Health and Human Services (HHS) protects

Group of answer choices

Medicare, Medicaid, and other federal healthcare programs

Medicare

Medicaid

Federal Healthcare programs

Flag question: Question 3Question 32.5 pts

The most common types of fraud and abuse include (select all that apply)

Group of answer choices

Documenting a service that was never rendered and billing for that service

Billing for more expensive services or procedures that were provided or performed.

Performing medically unnecessary services solely for generating insurance reimbursement

Falsifying a patient's diagnosis to justify tests or procedure to generate insurance reimbursement

Flag question: Question 4Question 42.5 pts

Appropriate documentation begins when nurses, physicians, and other healthcare professional begin gathering clinical information.

Group of answer choices

True

False

Flag question: Question 5Question 52.5 pts

Billing a patient for services after receiving full payment for services rendered by their insurance carrier is considered

Group of answer choices

Use & Disclosure

Minimum Necessary

Fraud & Abuse

HIPAA

Flag question: Question 6Question 62.5 pts

The Affordable Care Act was enacted in

Group of answer choices

2019

1996

2010

1847

Flag question: Question 7Question 72.5 pts

The False Claims Act protects the federal government from

Group of answer choices

Financial loss due to fraud against them by individuals and business

Another healthcare entity

Physical therapy services

The Office of Inspector General

Flag question: Question 8Question 82.5 pts

The Fair Debt Collection Practices Act is enforced by

Group of answer choices

HIPAA

Stark Law

False Claims Act

The Federal Trade Commission (FTC)

Flag question: Question 9Question 92.5 pts

Mandatory exclusions occur when an individual or entity commits the following types of criminal offenses except for

Group of answer choices

Patient abuse or neglect

Defaulting on a health education loan or scholarship obligations

Felony convictions for other healthcare-related fraud, theft, or other financial misconduct

Felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances

Flag question: Question 10Question 102.5 pts

PHI stands for

Group of answer choices

Protected Health Information

Protected Human Identification

Positive Health Information

Positive Human Identification

Flag question: Question 11Question 112.5 pts

States have the option to operate their CHIP program as ... (check all that apply)

Group of answer choices

An expansion to Medicaid

A separate program

A combination of the expansion to Medicaid and a separate program

They do not have options

Flag question: Question 12Question 122.5 pts

TRICARE for Life covers cost as a

Group of answer choices

Primary plan

Supplemental plan

It does not cover any cost.

HMO plan

Flag question: Question 13Question 132.5 pts

There are four types of "metal" categories in the Marketplace: Bronze, Silver, Gold, and Platinum

Group of answer choices

True

False

Flag question: Question 14Question 142.5 pts

Medicaid is jointly funded by

Group of answer choices

Federal and State governments

Patients and Physician

Medicare

Private Insurance Companies

Flag question: Question 15Question 152.5 pts

The difference between a participating provider and a non-participating provider is:

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12pt

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Flag question: Question 16Question 162.5 pts

What is the Federal program that provides healthcare to individuals over age 65?

Group of answer choices

Medicare

Medicaid

COBRA

CHAMPVA

Flag question: Question 17Question 172.5 pts

Which "metal" category is also known as the Cadillac plan?

Group of answer choices

Bronze

Silver

Gold

Platinum

Flag question: Question 18Question 182.5 pts

The difference between Medicare and Medicaid is:

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Flag question: Question 19Question 192.5 pts

Veteran's who have been dishonorably discharged are eligible for VA health care benefits?

Group of answer choices

True

False

Flag question: Question 20Question 202.5 pts

Medicaid provides a list of mandatory benefits that states are required to provide under federal law.

Group of answer choices

True

False

Flag question: Question 21Question 212.5 pts

With employer-based plans, the premium cost is shared between the employer and employee?

Group of answer choices

True

False

Flag question: Question 22Question 222.5 pts

Private insurance plans are also known as

Group of answer choices

Workers' Compensation

Employer-Based Plans

Individual plans

Liability Insurance Plans

Flag question: Question 23Question 232.5 pts

In order to reduce financial burden, an employee can utilize the balance of their sick leave and vacation days?

Group of answer choices

True

False

Flag question: Question 24Question 242.5 pts

What does PPO stand for?

Group of answer choices

Preferred Provider Organization

Physician Preferred Organization

Perfect Physicians Only

Preferred People Organization

Flag question: Question 25Question 252.5 pts

The Federal Department of Labor managers workers' compensation for

Group of answer choices

Costco employees

Hospital Employees

Federal Employees

Small Business Employees

Flag question: Question 26Question 262.5 pts

Which employers are required to abide by FMLA?

Group of answer choices

If they employ 50 or more employees for at least 20 workweeks during either the current or previous year

If they employ less than 20 employees for at least 20 workweeks during either the current or previous year

All employers are required to abide by FMLA

Employers are not required to abide by FMLA

Flag question: Question 27Question 272.5 pts

Which circumstance qualifies a patient to file a workers' compensation claim?

Group of answer choices

The patient is at work and falls from a ladder breaking his/her wrist

The patient is off-duty at home and falls from a ladder breaking his/her wrist

The patient is on a required lunch break, at Chili's Restaurant, has been drinking alcohol and falls breaking his/her wrist

The patient is off-duty at a neighbors house and falls from a ladder breaking his/her wrist

Flag question: Question 28Question 282.5 pts

Employer-Based plans are also known as

Group of answer choices

Workers' Compensation

Liability Insurance Plans

Individual Insurance Plans

Group Plans

Flag question: Question 29Question 292.5 pts

A primary differentiating factor between HMOs and PPOs is that an HMO requires a referral from a primary care physician in order for a patient to see a specialist, whereas, no referral is needed for a PPO.

Group of answer choices

True

False

Flag question: Question 30Question 302.5 pts

What does FMLA stand for?

Group of answer choices

First Medical Leave Act

Family Medical Leave Act

Forever Medical Leave Absence

Finally My Leave Act

Flag question: Question 31Question 312.5 pts

CPT is divided into how many categories?

Group of answer choices

Four

Three

Ten

Nine

Flag question: Question 32Question 322.5 pts

ICD-10-CM codes consist of seven alphanumeric characters?

Group of answer choices

True

False

Flag question: Question 33Question 332.5 pts

Which modifier would be added to an Evaluation and Management CPT code when the decision for surgery was made the day before or on the day of the surgery?

Group of answer choices

25

80

59

57

Flag question: Question 34Question 342.5 pts

HCPCS Level II codes are all numbers?

Group of answer choices

True

False

Flag question: Question 35Question 352.5 pts

What is the modifier for Increased Procedural Services?

Group of answer choices

32

26

25

22

Flag question: Question 36Question 362.5 pts

If a physician orders a chest x-ray, what Category I section would you look in to find the proper CPT code for the service?

Group of answer choices

Anesthesia

Pathology and Laboratory

Radiology

Surgery

Flag question: Question 37Question 372.5 pts

What is the code range for Evaluation and Management Services in CPT?

Group of answer choices

99201-99499

80047-89398

70010-79999

10021-69990

Flag question: Question 38Question 382.5 pts

ICD-10-CM contains two sections, what are the sections?

Group of answer choices

Alphabetic Index & Diseases of the Nervous Systems

Alphabetic Index & Tabular List of Diseases and Injuries

Tabular List of Diseases and Injuries & External Causes

Tabular List of Diseases and Injuries & Neoplasms

Flag question: Question 39Question 392.5 pts

How many chapters are in ICD-10-CM?

Group of answer choices

21

19

13

100

Flag question: Question 40Question 402.5 pts

In ICD-10-CM, what letter is used as the 7th character for a Subsequent Encounter?

Group of answer choices

A

S

D

B