Insurance and Coding - HC21: Quiz: Insurance Questions And Answers With Verified Solutions
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Module
Insurance and Coding - HC21: Insurance
Institution
Insurance And Coding - HC21: Insurance
When a patient signs an Assignment of Benefits form, who is the patient authorizing to
receive the reimbursement?
A) The physician.
B) A third-party accountant.
C) The patient.
D) The beneficiary. - ️️The physician.
An individual health insurance contract is between a(n) _______________ a...
Insurance and Coding - HC21: Quiz:
Insurance
When a patient signs an Assignment of Benefits form, who is the patient authorizing to
receive the reimbursement?
A) The physician.
B) A third-party accountant.
C) The patient.
D) The beneficiary. - ✔️✔️The physician.
An individual health insurance contract is between a(n) _______________ and a(n)
_______________.
A) health insurance carrier : government agencies
B) patient : employer
C) employer : health insurance carrier
D) patient : health insurance carrier - ✔️✔️patient : health insurance carrier
.
What is an insurance carrier?
A) A person who has insurance coverage
B) A hospital that accepts patients with insurance
C) A contract between a patient and an insurance company
D) A company that provides insurance plans - ✔️✔️A company that provides insurance
plans
Which type of managed care plan requires that patients use an in-network provider?
A) Health Maintenance Organization (HMO)
B) Preferred Provider Organization (PPO)
C) Point of Service Plan (POS) - ✔️✔️Health Maintenance Organization (HMO)
A regular referral can take ___________________ for approval.
A) 24 hours
B) 3 to 10 working days
C) 14 business days
D) 30 minutes - ✔️✔️3 to 10 working days
How often must a patient meet the deductible?
A) Each month
B) Only once
C) Each year
D) Every two years - ✔️✔️Each year
, What is the goal of managed care insurance?
A) To reduce medical expenses
B) To promote alternative medical treatments
C) To increase medical care options for all patients
D) To create more medical facilities - ✔️✔️To reduce medical expenses
If an individual is enrolled in an insurance plan through a benefits package at work, what
kind of enrollment is this?
A) Individual
B) Group - ✔️✔️Group
Preventive care is:
A) a service or procedure performed with the goal of avoiding future injury or illness.
B) a set schedule of visits to the doctor for early detection of illness.
C) maintaining a healthy lifestyle to avoid injury or illness.
D) a surgery to remove the risk of a particular disease. - ✔️✔️a service or procedure
performed with the goal of avoiding future injury or illness
Which of the following is an advantage of choosing a fee-for-service plan?
A) The premiums are lower than for managed care plans.
B) The patient can receive care from any provider.
C) The patient does not have to pay a deductible.
D) A coinsurance payment is not required. - ✔️✔️The patient can receive care from
any provider.
Which of the following represents the health insurance carrier's agreement to provide
benefits for covered services and will pay for those services based on guidelines?
A) A health exam
B) An insurance policy
C) An insurance contract
D) An employment agreement - ✔️✔️An insurance policy
With fee-for-service plans, patients are reimbursed for healthcare expenses after out-of-
pocket payments are made.
Responses
A) True
B) False - ✔️✔️True
Which type of managed care plan generally reimburses physicians using capitation?
A) Preferred Provider Organization (PPO)
B) Health Maintenance Organization (HMO)
C) Point of Service Plan (POS) - ✔️✔️Health Maintenance Organization (HMO)
Who grants preauthorization for treatments?
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