Chapter 1 To 5 Exam

25 Questions | Total Attempts: 156

SettingsSettingsSettings
Insurance Quizzes & Trivia

Questions and Answers
  • 1. 
    Honesty and integrity are two traits required of the ambulatory health care professional
    • A. 

      True

    • B. 

      False

  • 2. 
    Ethics are sometimes defined as morals, values, and codes of behavior.
    • A. 

      True

    • B. 

      False

  • 3. 
    Co-payment” is the expense providers pay for insurance participation.
    • A. 

      True

    • B. 

      False

  • 4. 
    “Opt-out option” allows members to seek treatment outside their health care plan.
    • A. 

      True

    • B. 

      False

  • 5. 
    Registration, the strongest form of regulation, is a credential granted by state statutes to perform specific acts.
    • A. 

      True

    • B. 

      False

  • 6. 
    The nurse practitioner (NP) is a practical nurse who has successfully completed additional education and training.
    • A. 

      True

    • B. 

      False

  • 7. 
    Probate court simplifies and expedites the handling of small claims or debts.
    • A. 

      True

    • B. 

      False

  • 8. 
    An expert witness is a special trained person who can testify in a court of law as to what the professional standard of care is in the same or similar communities.
    • A. 

      True

    • B. 

      False

  • 9. 
    Implied contracts are the most common form of contracts occurring in ambulatory health care.
    • A. 

      True

    • B. 

      False

  • 10. 
    Physicians must keep clients' medical information confidential and physicians have the right to privacy.
    • A. 

      True

    • B. 

      False

  • 11. 
    Ethical and bioethical standards can be ______________, ______________, _______________, and ______________________.
    • A. 

      Personal, organizational, institutional, worldwide

    • B. 

      Organizational, institutional, linked, ritual

    • C. 

      Personal, organizational, traditional, conventional

    • D. 

      Merged, grouped, blended, linked

  • 12. 
    The three Codes of Ethics that apply to worldwide issues are ______________, _______________________, and ___________________________.
    • A. 

      Confederate Code, Engagement Code, Ethics of America Healthcare Workers

    • B. 

      Geneva Convention Code, Nuremberg Code, Declaration of Helsinki

    • C. 

      Declaration of Helsinki, AAMA Code of Morals, United Nations Code

    • D. 

      Nuremberg Code, Conduct Code of the Americas, Christopher Columbus Ethical Code

  • 13. 
    All but one of the following is an example of payment for medical services
    • A. 

      Pay for Performance (P4P)

    • B. 

      Co-payment

    • C. 

      Deductible

    • D. 

      Bonding

  • 14. 
    Physicians who practice in any integrated organization must remember:
    • A. 

      Antitrust laws will not apply to their decision.

    • B. 

      Medicare/Medicaid may not recognize some business arrangements.

    • C. 

      Medicare/Medicaid referrals cannot be made to any entity in which they have financial interest

    • D. 

      B and C

  • 15. 
    Professional coders:
    • A. 

      Determine how physicians will be paid for their services.

    • B. 

      Provide doctors personal identification codes for their business accounts.

    • C. 

      Correctly apply codes to procedures, supplies, etc., for billing purposes.

    • D. 

      Are not certified, registered, or licensed.

  • 16. 
    State statues may determine:
    • A. 

      Scope of practice for any and all health professionals.

    • B. 

      Will vary from state to state.

    • C. 

      Punishment for failure to comply.

    • D. 

      All the above are true

  • 17. 
    Physicians who dispense controlled substances must take inventory on their date of registration and every:
    • A. 

      Year thereafter.

    • B. 

      2 years thereafter.

    • C. 

      6 years thereafter.

    • D. 

      7 years thereafter.

  • 18. 
    To dispense a drug means to:
    • A. 

      Instill a drug into the body of a client.

    • B. 

      Deliver a drug in a container to a client.

    • C. 

      Issue a drug order for a client.

    • D. 

      Call in a prescription for a client.

  • 19. 
    The purpose of the statute of limitations is to fix:
    • A. 

      A maximum monetary award for clients to collect from physicians guilty of negligence.

    • B. 

      A period of time or a deadline for initiating legal action.

    • C. 

      Limitations on the practice of referrals by physicians.

    • D. 

      Limitations on the number of surgeries physicians can perform.

  • 20. 
    Respondent superioris a(n):
    • A. 

      Legal doctrine.

    • B. 

      Ethical term.

    • C. 

      Personal liability.

    • D. 

      Greek phrase.

  • 21. 
    A wrongful act or injury committed by one person against another person independent of a contract is a ________________.
  • 22. 
    A/an ____________ is a person appointed by a physician to perform authorized acts in the name, and under the control and direction, of the physician.
  • 23. 
    Identify the legislative branch of the federal government: ___________________
  • 24. 
    In a civil case, the party bringing the action is called the _________________.
  • 25. 
    ______________________ pays health care providers a fixed monthly fee for a range of services for each HMO member in their care.
Back to Top Back to top