Health Insurance Chap 8 & 11

54 Questions  I  By Coofoogirl555
health insurance chap 8 & 11
Review week 1 mod 6

  
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1.  A combination federal/state medical assistance program that provides comprehensive and quality medical care for certain categories of low income and qualifying elderly people is
A.
B.
C.
D.
2.  The acronym for the medicaid program that was formerly referred to as AFDC is
A.
B.
C.
D.
3.  To qualify for supplemental security income (SSI) individuals must meet certain financial guidelines set by
A.
B.
C.
D.
4.  The amount of the SSI payment is the difference between the federal benefit rate (FBR) and the persons
A.
B.
C.
D.
5.  The medicaid program is administered by the
A.
B.
C.
D.
6.  In order to receive federal matching funds in its medicaid program title XIX of the social security act requires that states offer certain basic services called
A.
B.
C.
D.
7.  Medically need individuals can reduce their assets to the medicaid eligibility level by deducting medical expenses this is called a/an
A.
B.
C.
D.
8.  A commercial insurer contracted by the department of health and human services (HHS) for the purpose of processing and administering medicaid claims is a
A.
B.
C.
D.
9.  Individuals who receive medical assistance because their income falls within the poverty or FPL guidelines or as a result of SSI eligibility are considered
A.
B.
C.
D.
10.  The acronym for the program that provides comprehensive alternative care for non institutionalized elderly who otherwise would be in a nursing home is
A.
B.
C.
D.
11.  As a general rule medicaid pays only for services that are
A.
B.
C.
D.
12.  Before providing services to patients claiming to be on medicaid the health insurance professional should
A.
B.
C.
D.
13.  An individual who is eligible for both medicare and medicaid programs is said to be a/an
A.
B.
C.
D.
14.  When an individual is covered under both medicaid and medicare and/or a private healthcare policy the payer of last resort is always
A.
B.
C.
D.
15.  When one state allows medicaid beneficiaries to be treated in an adjacent state it is referred to as
A.
B.
C.
D.
16.  When a medicaid beneficiary has no other healthcare coverage the type of claim to be submitted is called a
A.
B.
C.
D.
17.  Congress established the medicaid program under title XIX of the social security act in 1965
A.
B.
18.  Every state has the medicaid benefits
A.
B.
19.  There is a medicaid program in all 50 states the district of columbia and u.s. territories
A.
B.
20.  CMS determines eligibility criteria for SSI
A.
B.
21.  The federal government establishes broad national guidelines for medicaid eligibility and each state establishes its own eligibility standards within federal guidelines
A.
B.
22.  States must cover categorically needy individuals but are free to define this category
A.
B.
23.  States must participate in the state childrens health insurance program (SCHIP)
A.
B.
24.  Individuals meeting family medical criteria fall into the medically needy category
A.
B.
25.  Hospitals that receive additional payments to ensure that communities have access to certain high cost services are called disproportional share hospitals
A.
B.
26.  All healthcare providers in all states must accept medicaid patients
A.
B.
27.  Medicaid recipients who qualify for benefits in January will qualify for the remainder of the year
A.
B.
28.  One method of verifying medicaid eligibility is the automated voice response system
A.
B.
29.  In order to qualify for medicaid the individual must be at least 65 years of age
A.
B.
30.  Most states have their own specific for to use for medicaid claims
A.
B.
31.  Every time a medicaid claim is submitted a document is generated called a remittance advice (RA)
A.
B.
32.  Medicaid payments are normally sent directly to the provider and balance billing is not allowed
A.
B.
33.  The legal obligation of other insurance policies/programs to pay all or part of the expenditures for medical assistance furnished under a state plan is referred to as ___________ __________ _______________.
34.  Because of certain side effects of atomoxetine (strattera) children taking this medication should be monitored for
A.
B.
C.
D.
35.  Hypnotic and sedative agents can become lethal when taken in combination with which of the following?
A.
B.
C.
D.
36.  Because of a common side effect of narcotic analgesic agents such as morphine patients who are taking them on a regular basis should most likely be taking which of the following in addition
A.
B.
C.
D.
37.  Atropine is given preoperatively with narcotic medications for which of the following reasons
A.
B.
C.
D.
38.  One advantage of fentanyl (duragesic) for analgesia is which of the following
A.
B.
C.
D.
39.  Reversal of overdoses of narcotic and opioid agents is managed with which of the following
A.
B.
C.
D.
40.  Risk of reyes syndrome can be avoided in children with fever by using which of the following antipyretic agents
A.
B.
C.
D.
41.  The side effects of sumatriptan (imitrex) may produce which of the following
A.
B.
C.
D.
42.  To improve appetite and digestion in a nursing home client which of the following might be prescribed
A.
B.
C.
D.
43.  Which of the following is used to control the pain of trigeminal neuralgia in addition to seizures
A.
B.
C.
D.
44.  Which of the following is a combination product used in the treatment of parkinsons disease
A.
B.
C.
D.
45.  Which of the following drugs stimulate the central nervous system (CNS)
A.
B.
C.
D.
46.  Which of the following can be used in transdermal patches to treat pain
A.
B.
C.
D.
47.  Naloxone (narcan) is given for the treatment of which of the following
A.
B.
C.
D.
48.  Which synthetic opioid agent is preferred over morphine in obstetrics
A.
B.
C.
D.
49.  Which medication is effective in the control of tonic-clonic seizures
A.
B.
C.
D.
50.  Long term use of opioid analgesic agents often leads to which of the following conditions
A.
B.
C.
D.
51.  Which of the following characterizes absence seizures
A.
B.
C.
D.
52.  The mechanism of action of local anesthetic agents is which of the following
A.
B.
C.
D.
53.  Which drug is prescribed for the treatment of restless leg syndrome
A.
B.
C.
D.
54.  Methylphenidate (daytrana) differs from methylphenidate (ritalin) in what way
A.
B.
C.
D.
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