Exam (elaborations)
(ME2550) Healthcare Settings, Claim Cycle, and Claims Processing Week_1_Chapter_2_Practice_Multiple_Choice
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(ME2550) Healthcare Settings, Claim Cycle, and Claims Processing
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1. Which was the first commercial insurance company in the United States to provide privatehealth care coverage for injuries not resulting in death?
a. Baylor University Health Plan
b. BlueCross and BlueShield Association
c. Office of Workers’ Compensation Program
d. Franklin Health Assurance Company
2. Which legislation provides civilian employees of the federal government with medical care,
survivors’ benefits, and compensation for lost wage?
a. Office of Workers’ Compensation Programs
b. Federal Employees’ Compensation Act
c. Longshore and Harbor Workers’ Compensation Act
d. Black Lung Benefits Reform Act
3. The Blue Shield concept grew out of the lumber and mining camps of the _____ region at the
turn of the century.
a. Pacific Northwest
b. New England
c. Southwest
d. Great Plains
4. The Hill-Burton Act provided federal grants for modernizing hospitals that had become obsolete
because of a lack of capital investment during the Great Depression and World War II (1929 to
1945). In return for federal funds,
a. national coordinating agencies for physician-sponsored health insurance plans were created
b. universal health insurance was provided to those who could not afford private insurance
c. medical group practices were formed to allow providers to share equipment, supplies, and
personnel
d. facilities were required to provide services free or at reduced rates to patients unable to pay
for care
5. Major medical insurance provides coverage for ______ illnesses and injuries, incorporating large
deductibles and lifetime maximum amounts.
a. catastrophic or prolonged
b. recently diagnosed
c. acute care (short-term care)
d. work-related
6. The government health plan that provides health care services to Americans over the age of 65
is called
a. Medicare
b. TRICARE
c. CHAMPUS
d. Medicaid
7. The percentage of costs a patient shares with the health plan (e.g., plan pays 80 percent of costs
and patient pays 20 percent) is called
a. deductible
b. maximum
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