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QUESTION NO:1

The key factors that have contributed to the higher cost of health care include:

A. Technology, aging population, chronic disease and litigation

B. Aging population, chronic disease, performance payment and litigation

C. Technology, performance payment and litigation

D. All of the above

Answer: A

QUESTION NO:11

Stark law sates that:

A. Legislation enacted by HIPAA to guard against providers’ ordering self-referrals for

Medicare or Medicaid patients directly to any settings in which they have a vested

financial interest.

B. Legislation enacted by CMS to guard against providers’ ordering self-referrals for

Medicare or Medicaid patients directly to any settings in which they have a vested

financial interest.

C. Legislation enacted by CMS to guard against providers’ ordering self-referrals for

Medicare or Medicaid patients indirectly to any settings in which they have a vested

financial interest.

D. Legislation enacted by HIPAA to guard against providers’ ordering self-referrals for

Medicare or Medicaid patients indirectly to any settings in which they have a vested

financial interest.

Answer: B

QUESTION NO:2

What change the basis of payment for hospital outpatient services from a flat fee for

individual services to fixed reimbursement for bundled services?

A. Cost payment system

B. Ambulatory payment classifications

C. Cost compliance and litigation

D. None of the above

Answer: B

QUESTION NO:5

Prescription drug coverage for Medicare enrollees, which offsets some of the out-of-

pocket costs for medications, this covers:

A. Medicare Part A

B. Medicare Part B

C. Medicare Part D

D. Medicare Part F

Answer: C

QUESTION NO:4

The combination of age and technology has increased cost with the passage of time.

A. True

B. False

Answer: A

QUESTION NO:3

when providers try to get one payor to pay for costs that have not been covered by

another payor, this refers to:

A. Cost Capacity

B. Cost capitalization

C. Cost-shifting

D. Prospective cost

Answer: C

QUESTION NO:9

____________ is the tendency health care practitioners to do more testing and to provide

more care for patients than might otherwise be necessary to protect themselves against

potential litigation.

Answer:

Defensive medicine

QUESTION NO:7

that providers have to pay insurers to cover the cost of defending against

the lawsuits and paying large jury awards.

A. Ambulatory payment classifications

B. Reimbursement Insurance cost plan

C. Health proactive Insurance standard act

D. Increased insurance premiums

Answer: D

QUESTION NO:6

The need to abide by governmental regulations, whether they are for the provision of

care, billing, privacy accounting standards, security or the like refers to:

A. Compliance

B. Chronic Medicare

C. Health proactive standards

D. None of the above

Answer: A

QUESTION NO:12

Which one of the following is NOT the factor of Uninsured?

A. Health insurance premiums becoming too costly

B. Requiring patients to pay for the part of their own care-up

C. Individuals being screened out of insurance policies

D. Employers feeling they cannot afford to continue to provide health insurance as a

benefit

Answer: B

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