Patient Access Services

83 Questions | Total Attempts: 1529

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CPAT Quizzes & Trivia

CPAT Patient Access Services for PFS


Questions and Answers
  • 1. 
    The two main governing bodies effecting healthcare change are:
    • A. 

      CMS and AHCA

    • B. 

      CMS and FDA

    • C. 

      CMS and DHHS

    • D. 

      DHHS and CDC

  • 2. 
    The DHHS include all of the programs listed below except:
    • A. 

      Medicare

    • B. 

      CMS

    • C. 

      Child Support Enforcement

    • D. 

      AFDC

  • 3. 
    CMS is the acronym for:
    • A. 

      Centers for Medicaid and Medicare Services

    • B. 

      Center for Medicaid and State Operations

    • C. 

      Center for Medicare Services

    • D. 

      Centers for Medicare and Medicaid Services

  • 4. 
    Medicare is also know as:
    • A. 

      Title XVIII

    • B. 

      Itle XVII

    • C. 

      Title XIII

    • D. 

      Title XIX

  • 5. 
    Medicare has how many parts:
    • A. 

      1

    • B. 

      2

    • C. 

      3

    • D. 

      4

  • 6. 
    Medicare provides insurance to:
    • A. 

      People with end stage renal disease (ESRD requiring dialysis or a kidney transplant)

    • B. 

      People who are 65 years or older

    • C. 

      People who are disabled

    • D. 

      All of the above

  • 7. 
    Medicare Part B pays for all of the following except:
    • A. 

      Physician services

    • B. 

      Hospice care

    • C. 

      Outpatient hospital services

    • D. 

      Medical equipment and supplies

  • 8. 
    Medicare Part A provides coverage for which services except:
    • A. 

      Home health services

    • B. 

      Skilled nursing facilities

    • C. 

      Preventative care

    • D. 

      Inpatient hospital services

  • 9. 
    Medicaid is also known as:
    • A. 

      Title XVIII

    • B. 

      Title XVII

    • C. 

      Title XIII

    • D. 

      Title XIX

  • 10. 
    Medicaid is a health insurance program that covers which people:
    • A. 

      People who are 65 years and older

    • B. 

      Certain low-income people

    • C. 

      People who are disabled

    • D. 

      People with ESRD that requiring dialysis or a kidney transplant

  • 11. 
    Medicaid is funded and administered through:
    • A. 

      State and federal funding

    • B. 

      Federal funding

    • C. 

      State funding

    • D. 

      Self funded

  • 12. 
    The State Children’s Health Insurance Program (SCHIP) is also known as:
    • A. 

      Title XXI

    • B. 

      Title XVII

    • C. 

      Title XIII

    • D. 

      Title XIX

  • 13. 
    All states must cover the services listed below except:
    • A. 

      Inpatient and outpatient hospital services

    • B. 

      Laboratory and X-ray services

    • C. 

      Dental care

    • D. 

      Well baby/child care

  • 14. 
    Which legislation enacted the most significant changes to the Medicare an Medicaid Programs since their inception?
    • A. 

      TEFRA

    • B. 

      BBA

    • C. 

      COBRA

    • D. 

      DEFRA

  • 15. 
    Which act removed the age limit previously imposed on a spouse for health plan coverage?
    • A. 

      TEFRA

    • B. 

      BBA

    • C. 

      COBRA

    • D. 

      DEFRA

  • 16. 
    The Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 required what:
    • A. 

      Required EGHP with 50 or more employees to be primary to Medicare

    • B. 

      Required EGHP with 15 or more employees to be primary to Medicare

    • C. 

      Required EGHP with 40 or more employees to be primary to Medicare

    • D. 

      Required EGHP with 20 or more employees to be primary to Medicare

  • 17. 
    Which act provided for the Resource Based Relative Value Scale?
    • A. 

      OBRA of 1986

    • B. 

      COBRA of 1985

    • C. 

      OBRA of 1989

    • D. 

      DEFRA of 1984

  • 18. 
    The RBRVS consist of which major elements?
    • A. 

      RVU

    • B. 

      MVPS

    • C. 

      Limiting charge

    • D. 

      All of the above

  • 19. 
    The Relative Value Unit (RVU) is comprised of all of the following except:
    • A. 

      Work required

    • B. 

      Limiting charge

    • C. 

      Practice expense

    • D. 

      Malpractice insurance

  • 20. 
    The limiting charge is what percentage of the fee schedule amount?
    • A. 

      120%

    • B. 

      150%

    • C. 

      115%

    • D. 

      125%

  • 21. 
    HIPAA is the acronym for:
    • A. 

      Health Information Portable and Accountable Act

    • B. 

      Health Insurance Portable and Accountable Act

    • C. 

      Health Insurance Portability and Accountability Act

    • D. 

      Health Information Portability and Accountability Act

  • 22. 
    HIPAA’s key provisions include:
    • A. 

      Guaranteed access to health insurance for small businesses

    • B. 

      Guaranteed renewal of insurance regardless of health status

    • C. 

      Limitations on pre-existing conditions

    • D. 

      All of the above

  • 23. 
    All of the following are parts to HIPAA’s Administrative Simplification except:
    • A. 

      NPI

    • B. 

      Health savings accounts

    • C. 

      Security requirements

    • D. 

      Electronic transactions and code set standards

  • 24. 
    The National Provider Identifier (NPI) consists of how many digits?
    • A. 

      10

    • B. 

      6

    • C. 

      5

    • D. 

      8

  • 25. 
    ANSI X12 837I is the transaction standard for which of the following:
    • A. 

      Healthcare claims status

    • B. 

      Eligibility for a health plan

    • C. 

      Institutional claim

    • D. 

      None of the above