Get Answer: Question Health Maintenance Question Guide

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Original Question

Question 1 Health maintenance organizations (HMOS) are the oldest type of managed care. Members must see their primary care provider first in order to see a specialist. True False Question 2 Preferred Provider Organizations have a gatekeeper like an HMO so a member needs a referral to see a specialist. True False Question 3 Medical loss ratio is the maximum amount of dollars a health care plan spends on providing care rather than administration. True False Question 4 The Patient Bill of Rights states that the patient has the right to all information. True False Question 5 True or False? The health care industry is one of the most heavily regulated industries in the United States. True False Question 6 According to the American Medical Association (AMA), once a patient and physician relationship has started, the physician is not legally but is ethically obligated to continue the relationship until the patient no longer requires their care. True False Question 7 True or False? Implied contracts in the healthcare industry are contracts that resulting from a physician’s actions such as giving advice regarding medical treatment. True False Question 8 In the health care industry, intentional torts such as assault and battery would not include a surgeon performing surgery on a patient without their consent. True False Question 9 True or False? Failing to hire an applicant because she is a transgender woman or firing an employee because he is planning to make a gender transition are considered lawful acts under the EEOC. True False Question 10 The Patient Bill of Rights states that the patient has the right to all information from this provider regarding any testing, diagnoses, and treatments. This information must be provided to the patient in terms that the patient will be able to understand. True False Question 11 Group insurance is a type of private insurance that anticipates that a large group of individuals will purchase insurance through their employer and the risk is spread among those paying individuals. True False Question 12 Voluntary health insurance (VHI) is a type of private health insurance that is provided by not for profit and for profit health plans such as BlueCross Blue Shield. True False Question 13 The most common type of prospective reimbursement is a service benefit plan which is used primarily by managed care organizations. True False Question 14 Very few insurance policies require a contribution from the covered individual which may be a copayment, deductible or coinsurance which is called cost sharing. True False Question 15 Electronic clinical decision support systems are a form of artificial intelligence designed to integrate medical information, patient information, and a decision making tool to generate information to assist with cases. True False Question 16 Another term for Medicare Part C is Medicare Supplemental Plan. True False Question 17 The two largest government health insurance programs in the U.S. are Medicare and CHIP. True False Question 18 A new focus of EHR data collection will be focusing on social determinants of health. True False Question 19 Drug-drug interactions (DDIs) are a common issue in prescribing, which has resulted in software programs to alert pharmacists and clinicians about potential medication interactions. True False Question 20 Patient Portals are secure online websites that are linked to the healthcare provider’s website that enable patients to securely access their health care information at any time. True False

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