Exam Preview for 34432: The ABCs of Managed Care: A Glossary March

The ABCs of Managed Care: A Glossary

Please note: exam questions are subject to change.

1. Allowable charge is the same as: Negotiated Rate Eligible Expense Fee schedule amount All of the above
2. Beneficiary is the same as the: Insured or member Medicare Monthly Medicare Advantage None of the above
3. Medicare Part C is also more commonly known as: Managed Medicare Medicare Monthly Medicare Advantage None of the above
4. Billed charges should be the same as the: Allowable Negotiated rate Usual and customary fee Eligible expense
5. Patients are typically financially responsible for: Unmet deductibles Co-insurance Non-covered services All of the above
6. Date of Service is: Date appointment is scheduled Date of hearing aid order Date service is performed or item is dispensed Date of hearing aid acceptance
7. Non-covered services are the same as: Allowed services Excluded services Contracted services None of the above
8. EMR means Employee medical record Electronic medical response Electronic medical record Electronic Medicare record
9. An order is: A request from a patient to his or her insurance company to pay for an item or service. A request from a patient to a healthcare provider to perform a specific procedure. A request from one healthcare provider to another healthcare provider requesting that they perform a specific item or service to a given patient. A request from an insurance company to a healthcare provider to perform a specific service.
10. Which part of Medicare covers inpatient hospitalization, skilled nursing and hospice care? Medicare Part A Medicare Part B Medicare Part C Medicare Part D