Managed Care

 

Insurance Test Answers

MANAGED CARE October 1997. © MediMedia USA

Insurance Test Answers

MANAGED CARE October 1997. ©1997 Stezzi Communications

INSURANCE WRITTEN TEST ANSWERS

1.A nonparticipating provider for Medicare may charge:

c)his/her limiting fee

2.If a physician is a participating provider for Medicare, he/she may collect :

e)C & D [20% of allowed fees & amount applied to deductible]

3.If a physician is a nonparticipating provider for Medicare, assignment must be accepted on:

c)all lab charges

4.When a physician belongs to a PPO, he/she:

d)none of the above

5.For billing private insurance plans, "accept assignment" means:

b)payment comes to the office, but the balance can be billed to the patient

6.You may never collect money from a Medicaid patient.

        False

7. Medicare is requiring all physicians to accept assignment.

        False

8. An HMO insurance plan often utilizes a gatekeeper. Which definition most closely describes the gatekeeper?

b)the primary care physician

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2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
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Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
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6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
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Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
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HealthIMPACT Southeast Tampa, FL January 23, 2015