{"id":26315,"date":"2021-01-15T07:21:08","date_gmt":"2021-01-15T07:21:08","guid":{"rendered":"http:\/\/onlineclassesguru.com\/?p=26315"},"modified":"2021-01-15T07:21:08","modified_gmt":"2021-01-15T07:21:08","slug":"complete-correct-answers-for-questions-11-20","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2021\/01\/15\/complete-correct-answers-for-questions-11-20\/","title":{"rendered":"COMPLETE CORRECT ANSWERS FOR QUESTIONS 11-20"},"content":{"rendered":"<style type=\"text\/css\"><\/style><table>\n<tbody>\n<tr>\n<td>\n<div>COMPLETE CORRECT ANSWERS FOR QUESTIONS 11-20<\/div>\n<div><\/div>\n<div><\/div>\n<div>11. \u00a0\u00a0People who receive Medicare<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>are never eligible to receive Medicaid.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>may be eligible to receive Medicaid if they meet the age requirement.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>may be eligible to receive Medicaid coverage.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>can combine Medicare with TRICARE.&nbsp;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table>\n<tbody>\n<tr>\n<td>12. \u00a0\u00a0Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New Mexico, who has hypertension and end-stage renal disease. Would this patient qualify for Medicare?<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>Yes, because the patient has end-stage renal disease<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>No, because the patient resides in New Mexico<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>No, because the patient is under age 65<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>Yes, because the patient has hypertension&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"10\"><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>13. \u00a0\u00a0The\u00a0<em>first<\/em>\u00a0prepaid health insurance plans in the United States were<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>TRICARE and workers\u2019 compensation.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>CHAMPUS and CHAMPVA.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>Blue Cross and Blue Shield.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>Medicare and Medicaid.&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"10\"><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>14. \u00a0\u00a0Which of the following is the largest privately underwritten health insurance contract in the world?<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>Harless program<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>SCHIP<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>Federal Employee Program (FEP)<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>CHAMPVA program&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"10\"><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>15. \u00a0\u00a0A provider is classified as a\/an<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>biller who submits claims to insurance carriers.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>coder who provides medical record data.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>individual or group of individuals that provide a health care service.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>beneficiary that provides information for insurance coverage.&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"10\"><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>16. \u00a0\u00a0Tom is billing an emergency room visit for a Medicaid patient who\u2019s being seen for a wellness visit. Which one of the following statements is\u00a0<em>true<\/em>\u00a0as a result of the Balanced Budget Act?<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>There are new surgical treatments available.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>No new applications are required for TAFT recipients.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>Patients have expanded preventive-care benefits.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>There are new standards for TRICARE.&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td>17. \u00a0\u00a0Dr. Singer is working within a reimbursement system in which the insurance is billed after all the treatment has been given to the patients. What is the\u00a0<em>main\u00a0<\/em>reason that the doctor orders more tests, exams, and procedures under this system?<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>Fear of being sued<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>To increase resource utilization<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>To make a profit<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>Because no one has to pay for it&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"10\"><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>18. \u00a0\u00a0With a PPO, the beneficiary has the ability to<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>choose a hospital within a 50-mile radius only.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>choose a physician or hospital from the designated provider list.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>select a dentist within a 10-mile radius.<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>select an add-on policy for supplemental unemployment benefits<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"10\"><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>19. \u00a0\u00a0Physician-hospital organizations (PHOs) are also called _______ organizations.<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>medical staff-hospital<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>health management<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>individual provider<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>preferred provider&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"10\"><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>20. \u00a0\u00a0Mrs. Fang is a 72-year-old retired school teacher who has been hospitalized for pneumonia. What type of insurance is\u00a0<em>most<\/em>\u00a0likely being used to pay for her hospital stay?<\/td>\n<\/tr>\n<tr>\n<td>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>A.\u00a0<\/strong>Medicare Part D<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>B.\u00a0<\/strong>Medicare Part B<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>C.\u00a0<\/strong>Medicare Part A<\/td>\n<\/tr>\n<tr>\n<td>\u00a0\u00a0\u00a0<strong>D.\u00a0<\/strong>Medicare Part C<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>COMPLETE CORRECT ANSWERS FOR QUESTIONS 11-20 11. \u00a0\u00a0People who receive Medicare \u00a0\u00a0\u00a0A.\u00a0are never eligible to receive Medicaid. \u00a0\u00a0\u00a0B.\u00a0may be eligible to receive Medicaid if they meet the age requirement. \u00a0\u00a0\u00a0C.\u00a0may be eligible to receive Medicaid coverage. \u00a0\u00a0\u00a0D.\u00a0can combine Medicare with TRICARE.&nbsp; 12. \u00a0\u00a0Ralph is assigning diagnosis and procedure codes for a 35-year-old patient from New&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-26315","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - 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