Health Systems Quiz
Preview:
You have reached your $5000 out-of-pocket limit. You need to go to the emergency room and it cost $1700. How much will your insurance pay?
A. $1,700
B. $0
C. $1,360
Provide care for terminally ill persons
A. Mental health facilities
B. Medical offices
C. Emergency care clinics
D. Hospice agencies
When is it acceptable to be dishonest in a professional setting?
A. When it benefits the employee
B. When it benefits the client
C. When it benefits the supervisor
D. It is never acceptable to be dishonest.
A(n) _________ is the amount of money you must pay each year before your insurance company starts paying
A. life
B. beneficiary
C. deductible
D. health
Medicare is regulated by the federal government.
A. TRUE
B. FALSE
Punctuality means which?
A. On task
B. Proffesional
C. Happy
D. On time
What is in section 2 of the CMS -1500 form
A. the insurance provider information
B. the information of the organization providing the services
C. information about the patient and the insured
D. dates of service
A 30 year woman broke her arm and went to the ER for treatment. Her health insurance plan has a $1,500 deductible. What does this mean
A. She can deduct $1,500 from the hospital bill, but must pay the rest
B. The hospital will only charge her $1,500
C. She is resoponsible for paying, $1,500 of her medical expenses before her insurance starts to pay
D. Her insurance company will only pay $1,500 and she must pay the rest
An “Orthopedist” specializes in what area?
A. Heart and Lungs
B. Brain and CNS
C. Bones and Muscles
D. Glands and Hormones
Lydia works at a medical facility in which all employees are required to wear white shoes. Lydia does not agree with the rule. What should Lydia do?
A. Comply with the rule and wear appropriate shoes.
B. Start a petition
C. Wear shoes of any color she desires
D. Quit her job
Members of a healthcare team may include:
A. Nurses
B. Therapists
C. Social workers
D. All of the above
most expensive managed care plan
A. HMO
B. PPO
C. BOTH
D. NONE
Your health insurance has a $2000 deductible and a $100 per day co-payment for hospital stays. You get sick and are hospitalized for 2 days. The bill comes to $4000. How much of this bill do you have to pay?
A. $2,000
B. $4,000
C. $2,200
D. $1,800
Medicare Part B covers doctor visits, ambulance services, and outpatients services
A. TRUE
B. FALSE
Which of the following demonstrates responsibility?
A. Admitting to a mistake
B. Lying about an error
C. Procrastinating
D. Taking extended lunch breaks
___________ requires you to pay either a set amount or a certain percent of medical expenses
A. co-insurance
B. co-payment
C. life term
D. term life
requires patients to get referrals to see specialists
A. HMO
B. PPO
C. BOTH
D. NONE
A “Gerontologist” specializes in what/who?
A. Elderly people
B. Children
C. The heart
D. Putting people to sleep
An important aspect of the Patient Centered Medical Home includes:
A. Physicians are responsible for all decision making.
B. Patient-centered decision making is the core component.
C. Healthcare teams should not include family members.
D. Healthcare teams should be cost saving and, if not, disbanded.
Provide a variety of services in a patient’s home
A. Long-term care facilities
B. Home health care
C. Hospice care
D. Hospitals
Valerie had to go to the doctor 3 times with the co-payments being $25 each time she went. Her premium is $200. What was her medical bill for the month?
A. $275
B. $200
C. $25
D. $225
Health Maintenance Organization (HMO)
A. Health insurance plan that allows you to see any doctor, anytime. Usually has a copayment and is cheaper if you use in-network doctors.
B. Health insurance plan that requires you to work with a primary care physician to manage you care. Also require you to use in-network services.
C. Health insurance plan that combines elements of HMO and PPO. You can use a Primary Care Physician or direct your own care.
cost of your insurance that you pay each month
A. co-pay
B. deductible
C. premium
D. co-insurance
An “Endocrinologist” specializes in what area?
A. The Glands and Hormones
B. The Heart
C. Elderly people
D. The skin
What is ethics?
A. Honesty of a person’s actions
B. Good citizenship
C. Actions to promote prosperity without regard to social, environmental, or economic issues
D. Moral principles or beliefs that direct a person’s behavior
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