XCEL Chapter 12 Final Exam Questions & Answers.
All of the following doctors provide primary care to health insuring corporation (HIC) members EXCEPT?
A. Internists
B. Surgeons
C. General practitioners
D. Pediatricians - CORRECT ANSWER Surgeons
Donna and Mary were racing bicycles in a s...
XCEL Chapter 12 Final Exam Questions & Answers.
All of the following doctors provide primary care to health insuring corporation (HIC) members EXCEPT?
A. Internists
B. Surgeons
C. General practitioners
D. Pediatricians - CORRECT ANSWER Surgeons
Donna and Mary were racing bicycles in a store parking lot while being cheered on by fellow employees. Mary ran into John, another employee, who happened to be taking out the garbage. Both Mary and John are injured. Who would most likely be covered under Workers' Compensation? A. John
B. Mary
C. John and Mary
D. Neither of them - CORRECT ANSWER John
Under Ohio law, an HIC may release a subscriber's confidential medical information for any of the following reasons EXCEPT?
A. Consent of the subscriber
B. A court order
C. Public interest
D. Litigation between the enrollee and the HIC - CORRECT ANSWER Public interest
Which of the following is a legal entity created for the sole purpose of providing affordable group health coverage to its participants? A. Multiple Employer Welfare Arrangement (MEWA)
B. Multiple Trust Arrangement (MTA)
C. Multiple Purchasing Groups (MPG) D. Fraternal Benefit Society - CORRECT ANSWER Multiple Employer Welfare Arrangement (MEWA)
Which payment method for a health claim settlement is typically made directly to the provider of the services?
A. Settlement
B. Fee-for-service
C. Premium payment
D. Prepaid - CORRECT ANSWER Prepaid
Medicare Part B covers?
A. long-term care
B. hospital room and board
C. doctor's charges
D. prescription drugs - CORRECT ANSWER doctor's charges
Which of the following is a health insuring corporation (HIC) provider of specialty care?
A. A neurologist
B. The admissions nurse at a designated HIC provider hospital
C. An HIC medical director
D. A preferred provider organization (PPO) director - CORRECT ANSWER A neurologist
Which of the following is NOT taken into consideration when determining eligibility for Medicare benefits?
A. Chronic kidney disease
B. Income
C. Age
D. Social Security disability - CORRECT ANSWER Income
A 70-year old insured individual has suffered from kidney failure for the past 24 months. She is covered by her spouse's large-group employer plan. How will Medicare be utilized in this situation?
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