Managed care Training Test

21 Questions

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Medical Quizzes & Trivia

This post-training quiz is designed to measure your understanding of Managed Care Basics. Please take a few minutes to answer the questions that follow.


Questions and Answers
  • 1. 
    HMOs account for the majority of the Medicare Advantage enrollment in 2010.
    • A. 

      True

    • B. 

      False

  • 2. 
    Medicare Advantage plans only provide Medicare Part A services.
    • A. 

      True

    • B. 

      False

  • 3. 
    RUG reimbursements are the most common reiumbursement mechanism utilized by managed care plans.
    • A. 

      True

    • B. 

      False

  • 4. 
    Managed care per diem reimbursements are the second highest payer next to Medicare.
    • A. 

      True

    • B. 

      False

  • 5. 
    A quarter of all Medicare beneficiaries are enrolled in a Medicare Advantage plan.
    • A. 

      True

    • B. 

      False

  • 6. 
    Medicare Advantage Plans must offer at a minimum the same benefits as Medicare.
    • A. 

      True

    • B. 

      False

  • 7. 
    A Special Needs Plan (SNP) is not a Medicare Advantage plan.
    • A. 

      True

    • B. 

      False

  • 8. 
    Medicare Advantage plans are not allowed to offer any additional benefits than Medicare.
    • A. 

      True

    • B. 

      False

  • 9. 
    Individuals must have Medicare Part A and Part B to be eligible to join a Medicare Advantage plan.
    • A. 

      True

    • B. 

      False

  • 10. 
    A facility must pass a managed care organization’s credentialing process before they can be considered a contracted provider.
    • A. 

      True

    • B. 

      False

  • 11. 
    Managed Care contract summaries can be found on the company portal.
    • A. 

      True

    • B. 

      False

  • 12. 
    Accessibility of a provider’s services is important to a managed care organization.
    • A. 

      True

    • B. 

      False

  • 13. 
    Health plans monitor its members’ length of stay in a SNF.
    • A. 

      True

    • B. 

      False

  • 14. 
    Plan provider directories can be downloaded from the Internet.
    • A. 

      True

    • B. 

      False

  • 15. 
    Managed Care is a broad term that refers to a system that manages the quality of health care, access to care and the cost of that care.
    • A. 

      True

    • B. 

      False

  • 16. 
    Medicare contracts with private insurers to deliver Medicare benefits through Medicare Advantage products.
    • A. 

      True

    • B. 

      False

  • 17. 
    Medicare Advantage plans typically offer additional benefits such as gym memberships, vision and hearing benefits than those offered by Medicare.
    • A. 

      True

    • B. 

      False

  • 18. 
    Medicare Advantage plans are sometimes referred to as “Part C” plans.
    • A. 

      True

    • B. 

      False

  • 19. 
     A Medicare beneficiary can join or switch a Medicare Advantage plan at any time during the year.
    • A. 

      True

    • B. 

      False

  • 20. 
    Medicare Advantage plans are concerned with the clinical outcomes of its contracted providers.
    • A. 

      True

    • B. 

      False

  • 21. 
    Please provide your name and mailing address so we can mail your certificate.