What Do You Know About Medicare And Medicaid? Trivia Quiz

30 Questions | Total Attempts: 86

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What Do You Know About Medicare And Medicaid? Trivia Quiz - Quiz

What do you know about Medicare And Medicaid? In the world today, people are having a hard time paying their medical bills, and Medicaid is a program set to help those with low income, whereas Medicare is designed for those above 65 years. What else do you know about the programs? Take up this trivia quiz to find out!


Questions and Answers
  • 1. 
    This is the United States program for U.S. citizens or legal permanent residents, including low-income adults, their children, and people with certain disabilities.  It is jointly funded by the state and federal governments and is managed by the states.  It is also the largest source of funding for medical and health-related services for people with limited income.
    • A. 

      Medicare

    • B. 

      Medicaid

    • C. 

      WIC

    • D. 

      CSFP

  • 2. 
    HIPAA stands for the Health Insurance Privacy and Accountability Act.
    • A. 

      True

    • B. 

      False

  • 3. 
    Insurance provided through either a for-profit or not-for-profit company rather than by the federal or state government.
  • 4. 
    Any information that may be used to identify a patient, including but not limited to name, date of birth, address, phone number or account number.
    • A. 

      HIPAA

    • B. 

      PIN

    • C. 

      NIH

    • D. 

      PHI

  • 5. 
    The federal health insurance program for people 65 years of age or older, certain younger people with disabilities, and people with End-Stage Renal Disease.
    • A. 

      Medicare

    • B. 

      Medicaid

    • C. 

      HMO

    • D. 

      PPO

  • 6. 
    The responsible physician to oversee all aspects of care for a patient.  Refers patient to the specialist as necessary.
    • A. 

      Health Care Provider

    • B. 

      On-call Physician

    • C. 

      Primary Care Physician

    • D. 

      Nephrologist

  • 7. 
    A whistleblower is a person who reveals wrongdoing within an organization to the public or to those in the position of authority.
    • A. 

      True

    • B. 

      False

  • 8. 
    A doctor, hospital, health care professional or health care facility.
    • A. 

      Provider or Health Care Provider

    • B. 

      Primary Care Physician

    • C. 

      Specialist

    • D. 

      Hospitalist

  • 9. 
    A form or document sent by Medicare to explain healthcare service that was paid by your Medicare benefit.
    • A. 

      Medicare Explanation of Benefits (EOMB)

    • B. 

      Medicare Form 855R

    • C. 

      Medicare Form 855I

    • D. 

      UB-04

  • 10. 
    A universal number assigned to a provider that identifies them as the provider of service to the patient.  A unique, government issued, standard identifier mandated by HIPAA.
    • A. 

      PHI

    • B. 

      PIN

    • C. 

      NPI

    • D. 

      NIH

  • 11. 
    A professional provider who has not signed a participating provider agreement with a third party payer and is considered out-of-network.
  • 12. 
    A professional provider, who has entered into a contractual agreement with a third party payer for the provision of services to members on an agreed-upon basis, has satisfied credentialing criteria and has been accepted as such by the third party payer.
  • 13. 
    Which of the following provides health coverage to nearly 8 million children in families with incomes too high to qualify for Medicaid, but who can't afford private coverage?
    • A. 

      WIC

    • B. 

      Centers for Medicare & Medicaid Services

    • C. 

      Children's Health Insurance Program

    • D. 

      Department of Health

  • 14. 
    A comprehensive, descriptive list of terms and numeric codes used for reporting diagnostic and therapeutic procedures and other medical services performed by dietitians and other healthcare providers; published and updated annually by the American Medical Association.
    • A. 

      CPT Code

    • B. 

      ICD-9-CM

    • C. 

      ICD-10-CM

  • 15. 
    ________ is a federal agency within the US Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children's Health Insurance Program, and health insurance portability standards.
  • 16. 
    A revised classification system by the World Health Organization used to report morbidity and mortality information.  It is projected to be implemented in the US by October 1, 2014.  The codes are specific for diseases, injuries, and signs and symptoms.
    • A. 

      ICD-9-CM

    • B. 

      ICD-10-CM

    • C. 

      SNOMED

  • 17. 
    A type of managed care plan that generally covers only the care from providers in the network.  Members must choose a primary care physician who coordinates their care.
    • A. 

      PPO

    • B. 

      PCP

    • C. 

      HMO

    • D. 

      HSA

  • 18. 
    A health savings account (HSA) is an account available to employees where they have made monetary contributions, usually through payroll deduction, to help offset future healthcare costs. 
    • A. 

      True

    • B. 

      False

  • 19. 
    ________ is a patient classification system used by hospitals to bill and be paid by third-party payers.
  • 20. 
    _________ is a term used to refer to any company that acts as the payer under coverage provided by a health care plan.  Any organization is other than the patient or health care provider involved in the financing of personal health services.
  • 21. 
    A group of health care providers who give coordinated care and chronic disease management, and thereby improve the quality of care patients get.  The organization's payment is tied to achieving health care quality goals and outcomes that result in cost savings.
    • A. 

      Accountable Care Organization

    • B. 

      Council for Affordable Quality Healthcare

    • C. 

      National Committee for Quality Assurance

    • D. 

      Preferred Provider Organization

  • 22. 
    _________ is described as a "middle ground" between fee for service reimbursement (in which providers are paid for each service rendered to a patient) ad capitation (in which providers are paid a "lump sum" per patient regardless of how many services the patient receives.)
  • 23. 
    _______ is a model for care provided by physician practices that seek to strengthen the physician-patient relationship by replacing episodic care based on illnesses and patient complaints with coordinated care and a long-term healing relationship.  The physician-led care team is responsible for providing all the patient's health care needs and, when needed, arranges for appropriate care with other qualified physicians.
  • 24. 
    A type of managed care plan.  Insured receive full coverage at minimal cost when they use in-network providers in their health care plan, but can opt to receive services from out-of-network providers at a higher cost.
    • A. 

      HMO

    • B. 

      PPO

    • C. 

      PQRS

    • D. 

      PCP

  • 25. 
    A restriction plan placed on coverage by private health plans and Medicare private drug plans.  If a service or medication is covered with __________, the doctor or provider must get special permission from the plan to prescribe the service or medication before it will be covered.
    • A. 

      Primary Insurance Coverage

    • B. 

      Prospective Payment System

    • C. 

      Private Insurance

    • D. 

      Prior Authorization or Preauthorization

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