Analyzing concepts of an hmo and ppo


Assignment:

Question 1. What specialist uses inaudible sound waves to outline shapes of tissues and organs?

  • electrocardiograph technologist
  • X-ray technologist
  • phlebotomist
  • ultrasound technologist

Question 2. Which of the following describes an occurrence of fee splitting?

  • When a hospital is paid in proportion to business received for holders of the franchise.
  • When one physician offers to pay another physician for the referral of patients.
  • When income in a group practice is shared.
  • When a physician receives payment from both the insurance company and the patient.

Question 3. What does the "prudent person" rule refer to?

  • The needs of a medical assistant.
  • The information that a reasonable person would need.
  • The type of employee that a physician would wish to hire in his or her office.
  • The credentials of a malpractice attorney.

Question 4. The practice of one state granting a license to a physician who is already licensed in another state is known as what?

  • registration
  • reciprocity
  • endorsement
  • examination

Question 5. What is a civil injury or wrongful act committed against another person or property that results in harm and is compensated by money damages called?

  • civil law
  • tort law
  • contract law
  • administrative law

Question 6. What is it called when a company insures its employees who handle financial statements, records, and cash?

  • chain of command
  • respondeat superior
  • bonding
  • malpractice

Question 7. What type of managed care system combines the concepts of an HMO and PPO?

  • modified health maintenance organization
  • health maintenance-provider organization
  • preferred provider association
  • exclusive provider organization

Question 8.Under which of the following plans is a healthcare provider paid for a set amount based on the category of care provided to the patient?

  • AMA
  • DRG
  • ANA
  • HHS

Question 9. Medical expense reimbursement, profit-sharing, pension plans, and disability insurance are examples of tax-deductible benefits that can be offered by what type of organization?

  • professional corporation
  • solo practice
  • group practice
  • associate practice

Question 10. When does the statute of limitations start running?

  • When the problem is discovered or should have been discovered.
  • One to three years after the treatment, depending on the state.
  • On a case-by-case basis.
  • At the time of treatment

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