Week 4 practice quiz

Question 1

Which came first in 1929?
a) Blue cross
b) Blue shield
c) United healthcare
d) Aetna

Answer 1

a) Blue cross

Question 2

Who was the first to bring up the idea of a Universal Health System?
a) David Truman (1945-53)
b) Harry Truman (1945-53)
c) President Johnson (1965)
d) Nixon (1960s-1970s)

Answer 2

b) Harry Truman (1945-53)

Question 3

Who helped pass Medicare and Medicaid?
a) David Truman (1945-53)
b) Harry Truman (1945-53)
c) President Johnson (1965)
d) Nixon (1960s-1970s)

Answer 3

c) President Johnson (1965)

Question 4

Who would be more likely to want a health insurance plan with a higher actuarial value? Select all that apply.
a) College students
b) Sick/ chronically ill people
c) Teenagers
d) Elderly
e) Working adults

Answer 4

b) Sick/ chronically ill people
d) Elderly

Question 5

True or false: Adults are less likely to be uninsured than children.

Answer 5

False (adults are more likely to be uninsured)

Question 6

True or false: Undocumented immigrants are ineligible for Medicaid or Marketplace coverage

Answer 6

True

Question 7

Medicare is available to which of the following groups? Select all that apply.
a) Age 60 and older
b) Age 65 and older
c) Disabled people
d) Poor people
e) ESRD (end-stage renal disease)

Answer 7

b) Age 65 and older
c) Disabled people
e) ESRD (end-stage renal disease)

Question 8

True or false: Non-low income pregnant and disabled people are eligible for Medicaid.

Answer 8

False

Question 9

True or false: Home health care is provided under Medicare Part B for individuals who are not covered under Medicare Part A.

Answer 9

True

Question 10

A patient needs physical therapy. Which part(s) of Medicare could pay for this? Select all that apply.
Part A
Part B
Part C
Part D

Answer 10

Part B
Part C

Question 11

A patient with Medicare needs to get a vaccine. Which of the following parts of Medicare could pay for this? Select all that apply
Part A
Part B
Part C
Part D

Answer 11

Part C
Part D

Question 12

Which of the following are run by private companies? Select all that apply.
Medicare part A
Medicare part B
Medicare part C
Medicare part D
Medigap insurance

Answer 12

Medicare part C
Medigap insurance

Question 13

True or false: Those with Medicare part C (Medicare Advantage) are eligible for Medigap insurance.

Answer 13

False

Question 14

True or false: You or your spouse MUST pay the FICA tax for at least 10 years to be eligible for Medicare.

Answer 14

True

Question 15

How many months long is the initial period to enroll in Medicare?
a) 3 months
b) 4 months
c) 6 months
d) 7 months
e) 8 months

Answer 15

d) 7 months

Question 16

Disability benefits commence the ______ full month after the date the disability begins; after which, you must wait another ______ months to enroll in Medicare.
a) 1st; 6
b) 3rd; 12
c) 6th; 12
d) 1st; 3
e) 3rd; 24
f) 6th; 24

Answer 16

f) 6th; 24

Question 17

The initial waiting period for [disability] Medicare is waived for individuals that suffer from which condition(s)?
a) ESRD
b) ALS
c) MS
d) All of the above

Answer 17

b) ALS

Question 18

Which of the following is a role/ are roles of health professionals in disability determination?
a) Provide medical evidence on behalf of their patients
b) As CE (consultative evaluation) sources who perform, for a fee, examinations or tests that are needed
c) As full-time or part-time medical or psychological consultants reviewing claims in a DDS, in one of SSA’s regional offices, or in SSA’s central office; or
d) As medical experts who testify at ALJ (administrative law judge) hearings or respond to written interrogatories from the ALJ.
e) All of the above

Answer 18

e) All of the above

Question 19

The 1997 Balanced Budget Act (BBA) liberalized ____________ coverage of physician assistant (PA) services.
a) Medicare
b) Medicaid
c) Medigap
d) Private insurance

Answer 19

a) Medicare

Question 20

Define “Incident to” billing.

Answer 20

A Medicare billing provision that allows services provided by PAs in an office or clinic to be reimbursed at 100% of the physician fee schedule, as opposed to the typical 85%, due to physician involvement in the appointment.

Question 21

True or false: Tennessee PAs currently receive direct reimbursement from Medicare

Answer 21

True

Question 22

A payment system where providers receive a fixed amount per patient for a specific period, regardless of the services rendered, is defined as what?
a) Cash pay
b) Capitation
c) Capacitation
d) Fee for service

Answer 22

b) Capitation

Question 23

Who expanded Medicare eligibility to include those with end stage renal disease and on dialysis?
a) David Truman (1945-53)
b) Harry Truman (1945-53)
c) President Johnson (1965)
d) Nixon (1960s-1970s)

Answer 23

d) Nixon (1960s-1970s)

Question 24

Which of the following are examples of quality measures? Select all that apply
a) Optimal asthma control
b) Diabetes long-term complications/ admission rate
c) Controlling high blood pressure
d) Operating on wrong limb

Answer 24

a) Optimal asthma control
b) Diabetes long-term complications/ admission rate
c) Controlling high blood pressure
d) Operating on wrong limb

Question 25

A patient dies due to being given the wrong blood type; which Quality Improvement/Risk Management category does this fall into? a) Surgical or Invasive Procedure Events b) Product or Device Events c) Patient Protection Events d) Care Management Events e) Environmental Events f) Radiologic Events g) Potential Criminal Events

Answer 25

d) Care Management Events

Question 26

A patient is admitted to your psych ward because of suicidal ideation. While under your ward’s care, they attempt suicide. Which Quality Improvement/Risk Management category does this fall into? a) Surgical or Invasive Procedure Events b) Product or Device Events c) Patient Protection Events d) Care Management Events e) Environmental Events f) Radiologic Events g) Potential Criminal Events

Answer 26

c) Patient Protection Events

Question 27

Any Stage 3, Stage 4, and unstageable pressure ulcers acquired after admission/presentation to a healthcare setting fall under which Quality Improvement/Risk Management category? a) Surgical or Invasive Procedure Events b) Product or Device Events c) Patient Protection Events d) Care Management Events e) Environmental Events f) Radiologic Events g) Potential Criminal Events

Answer 27

d) Care Management Events

Question 28

Patient death or serious injury associated with intravascular air embolism that occurs while being cared for in a healthcare setting falls under which Quality Improvement/Risk Management category? a) Surgical or Invasive Procedure Events b) Product or Device Events c) Patient Protection Events d) Care Management Events e) Environmental Events f) Radiologic Events g) Potential Criminal Events

Answer 28

b) Product or Device Events

Question 29

You discharge a 107 year old lady with dementia to her nephew, who was not an authorized person. Which Quality Improvement/Risk Management category does this fall into? a) Surgical or Invasive Procedure Events b) Product or Device Events c) Patient Protection Events d) Care Management Events e) Environmental Events f) Radiologic Events g) Potential Criminal Events

Answer 29

c) Patient Protection Events

Question 30

True or false: Medicare will not cover PA services billed by a PA who is not under the supervision of a doctor.

Answer 30

True

Question 31

Which of the following is NOT one of the 3 main forms of Telemed? a) Telehealth Appointments b) Interactive Medicine c) Store and Forward d) Remote Patient Monitoring

Answer 31

a) Telehealth Appointments

Question 32

Use of the telehealth ______________ (POS) Code ____ certifies that the service meets the telehealth requirements. a) Point of Care; 01 b) Place of Service; 02 c) Point of Care; 03 d) Place of Service; 04 e) Place of Service; 05

Answer 32

b) Place of Service; 02

Question 33

What did the Interstate Medical Licensure Compact do? Choose the best answer. a) Allow patients to participate in Telemedicine appointments from a different state than the provider. b) Allow PAs to gain licensure in multiple states at once. c) Allow patients to pay the same amount for services rendered in different states. d) Made it easier for insurance from a different state’s marketplace to bill providers.

Answer 33

b) Allow PAs to gain licensure in multiple states at once.

Question 34

Which one of the following is NOT one of the 50+ EMRs? a) EPIC b) CERNER c) ATHENA d) E-clinical e) AETNA

Answer 34

e) AETNA