Compliance, HIPAA, Security, Fraud and Abuse Flashcards
What is the first step in verifying insurance?
a. Interpret the insurance care
b. Gather information for the provider
c. Call the insurance company
d. Gain access to the insurance card
Gather information for the provider
TRUE/FALSE: pregnant women may be eligible for Medicaid only if they qualify financially.
a. False
b. True
True
Which of the following Medicare plans is associated with outpatient coverage?
a. Medicare Part B
b. Medicare Part C
c. Medicare Part A
d. Medicare Part D
Med Part B
Which o the following Medicare plans is associated with prescription drug coverage?
a. Medicare Part B
b. Medicare Part A
c. Medicare Part C
d. Medicare Part D
Med Part D
Which of the following services could be covered by Med Part A?
a. Hospice and skilled nursing facilities
b. Medications
c. Occupational therapy
d. Outpatient care
Hospice and skilled nursing facilities
Which of these health insurance programs is provided specifically for uniformed service men and women?
a. TRICARE
b. Service Insured
c. Kaiser Permanente
d. Blue Cross
TRICARE
Which of the following events is NOT considered a qualifying event for eligibility in enrolling into COBRA?
a. Death
b. New birth
c. Job loss
d. Divorce
New Birth
Which of the following is NOT included on the EOB document that is sent from the insurance company to the patient?
a. Name of the HCP who provided the care
b. CPT codes
c. Total cost paid by the health plan
d. Cost of care received (the cost billed by the provider)
CPT Codes
Mr. Smith is covered under his employer’s chosen insurance coverage. Mr. Smith also listed his wife, Mrs. Smith, and their only child, Alexis, as dependents on the plan. As a dependent, what would Alexis’s subscriber number be?
a. 002
b. 004
c. 003
d. 001
003
What types of medications are covered under Medicare Part D?
a. Over-the-counter meds
b. Only drug formulary meds
c. Weight loss pills
d. Vitamins
Only drug formulary meds
