Health Systems Quiz


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Punctuality means which? 
A. On task 
B. Proffesional
C. Happy
D. On time


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.


Provide a variety of services in a patient’s home

A. Long-term care facilities

B. Home health care

C. Hospice care

D. Hospitals


Which of the following demonstrates responsibility?
A. Admitting to a mistake 
B. Lying about an error 
C. Procrastinating
D. Taking extended lunch breaks


Medicaid
A. Federal health insurance program administered by the state for people with income below the poverty level
B. Federal health insurance for the elderly
C. Fee paid for services rendered
D. Health insurance for members of the military and their families


Members of a healthcare team may include:

A. Nurses

B. Therapists

C. Social workers

D. All of the above


Provide care for terminally ill persons

A. Mental health facilities

B. Medical offices

C. Emergency care clinics

D. Hospice agencies


An “Endocrinologist” specializes in what area?
A. The Glands and Hormones
B. The Heart
C. Elderly people
D. The skin


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


Medicare Part A covers Inpatient care.

A. TRUE

B. FALSE


Medicare Part B covers doctor visits, ambulance services, and outpatients services

A. TRUE

B. FALSE


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


Preferred Provider Organization (PPO)
A. Plan that requires you to work with a primary care physician who will direct your care.  Requires you to use in-network providers.
B. Plan that combines elements of PPO and HMO.  You can use a primary care physician or direct your own care.
C. Plan allows you to see any doctor at anytime.  Usually has a co-payment and is cheaper if you use in-network providers.


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.


___________ 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


most expensive managed care plan
A. HMO
B. PPO
C. BOTH
D. NONE


requires patients to get referrals to see specialists
A. HMO
B. PPO
C. BOTH
D. NONE


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


What is NOT involved in the process of exchanging messages?
A. Listening 
B. Sharing information
C. Receiving feedback
D. Being persuasive


Medicare is regulated by the federal government.

A. TRUE

B. FALSE


cost of your insurance that you pay each month
A. co-pay
B. deductible
C. premium
D. co-insurance


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


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.


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


A “Gerontologist” specializes in what/who?
A. Elderly people
B. Children
C. The heart
D. Putting people to sleep




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