Summary of Benefits Coverage

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Reference no: EM133878232

Questions

1. In 1965, Medicare and Medicaid were established as federally funded programs to provide

A. Healthcare access to the mentally ill.
B. Healthcare care access to the homeless.
C. Health care access to the elderly and the poor respectively.
D. Healthcare access to military personnel and veterans and their dependents.

2. What is the purpose of the Summary of Benefits Coverage (SBC)?

A. Provides information to physicians about health insurance coverage.
B. Provides health insurance benefits information which enables consumers to compare different insurance plans.
C. A and B
D. None are correct statements

3. _____________ is one of the fastest growing components of the healthcare industry as a form of employment.

A. None are correct
B. Certified nursing assistants
C. Home healthcare services
D. Respite care givers

4. Which statement(s) is(are) correct about healthcare access in the U.S?

A. The Affordable Care Act was designed to help increase healthcare access.
B. Health insurance is a major reason for healthcare access.
C. Healthcare access varies across the country.
D. All are correct

5. Why is it important to have hospitals certified?

A. It enables hospitals to provide services to all individuals regardless of ability to pay.
B. Certification enables hospitals to obtain Medicare and Medicaid reimbursement.
C. Accreditation is important because it focuses on building codes, sanitation, equipment and personnel.
D. It is a private standard developed by accepted organizations as a way to meet standards.

6. Respite care or temporary care programs were established in the 1970s to:

A. Provide systematic relief to those caregivers of chronically ill who need a break.
B. Establish medical care for adults in day programs.
C. Funded by state and local governments, they provide an array of services to the older population.
D. Care for those who have a life threatening illness

7. Urgent/emergent care centers were established in the 1970s because:

A. They provided an opportunity for healthcare consumers who need medical care but the situation is not life threatening.
B. They established an opportunity to provide alternative care treatment such as yoga and alternative vitamin therapy.
C. They provided an opportunity for healthcare consumers to make appointments to receive ongoing care in their neighborhood.
D. All of these statements are true.

8. The advantage of having hospitalists in the care of inpatients include:

A. Their expertise in caring for complicated hospitalized patients on a daily basis.
B. They have a past relationship and familiarity with the patient.
C. They are available to see the patient more than once a day if necessary.
D. A & C are both correct.

9. What is (are) the primary responsibility(ies) of pharmacy technicians?

A. All are correct
B. Compound or mix medications, such as preparing ointments
C. Take from customers or health professionals the information needed to fill a prescription.
D. Count tablets and measure amounts of other medication for prescriptions

10. The Independent Practice Association (IPA) is a type of Health Maintenance Organization (HMO) model that:

A. Negotiates with a group of physicians exclusively to perform services.
B. Contracts with a group of physicians who are in private practice to see managed care members at a prepaid rate per visit.
C. Hires physicians to work at a physical location.

11. The stewardship model of public health focuses on:

A. If there is a natural disaster, physicians must treat those affected by the event.
B. Individual freedom must restrict for the sake of public health interventions.
C. Public health officials should achieve the stated health outcomes for the population while minimizing restrictions on people's choices.
D. The doctor will make the best decisions for the patient's health.

12. Major stakeholder(s) that has an interest in the healthcare industry include:

A. Insurance Companies
B. Pharmaceutical Companies
C. Government
D. All are correct answers.

13. The general term of health or medical informatics refers to:

A. The systems that store, transmit, collect and retrieve data.
B. The science of computer application that supports clinical and research data in different areas of healthcare.
C. The science of computer application to data in different industries.
D. The application of computer technology to organs and tissue imaging

14. _________is a new model for delivering health care - it moves information electronically to consumers without a patient physically seeing a healthcare provider.

A. Telehealth
B. Telemarketing
C. Social media
D. Telemedicine

15. The concept of defensive medicine has occurred which states that:

A. Nurses are defensive about their work because patients are always complaining about them.
B. Physicians order more tests and provides more services than needed to patients to protect themselves from medical malpractice lawsuits.
C. Physicians are defensive about their practices because they are paid such high salaries.
D. Physicians who specialize in certain areas of medicine are becoming defensive because the U.S. needs more primary care physicians.

16. The American Medical Association recommends which step(s) to a physician on how to terminate a relationship with a patient?

A. Giving the patient written notice
B. Provide a specific reason for the termination
C. Provide assistance to the patient to find another physician
D. All are correct

17. Which statement(s) is (are) describe local health department services?

A. Nearly all provide immunizations to adults and children
B. Nearly all provide surveillance of infectious/communicable diseases
C. A and B
D. Immunizations are provided for children only

18. The "graying" of the U.S. population as it relates to healthcare means that

A. We are becoming healthier as a nation because older people are now exercising more.
B. Although our population is older, healthcare costs are reduced because we are healthier as we age.
C. The U.S. will be confronted with more chronic health issues because as we age, more chronic health conditions develop. This will result in more stress on the U.S. healthcare system.
D. None of the above

19. Which statement(s) is (are) correct about 'Pay for Performance' in health care?

A. Payments systems that reward healthcare providers for their efficiency in treating patients
B. All are correct statements
C. Higher quality care for less cost is the goal of "Pay for Performance"
D. Value-based purchasing is the same concept.

20. What is (are) example(s) of complementary and alternative medicine (CAM)?

A. Inpatient Hospital Care
B. Spiritual Healing
C. Prescription Drugs
D. Yoga
E. B and D are both correct.

 

Reference no: EM133878232

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