SOLVED

MULTIPLE CHOICE. 1)Hospitalization for a 70-year-old woman is likely covered by: A)Medicaid Part B. B)Medicaid Part A. C)Medicare Part A. D)Medicare Part B. 2)A physician office visit for a 9-year-old whose mother makes minimum wage and can’t afford to pay her portion of her employer’s health insurance plan may be covered by: A)Medicare Part B. B)SCHIP. C)Medicaid. D)Medicare Part A. 3)Medicare _______________ adopted(ing) managed care strategies. A)is considering B)was the most recent of the large insurers that C)will not be D)was the first insurer that 4)Medicaid is a: A)state-funded, state-administered program. B)federally funded, federally administered program. C)state-funded, federally administered program. D)federally funded, state-administered program. 5)The typical Medicaid recipient is a: A)greater than 65-year-old white person. B)less than 65-year-old ethnic minority person. C)less than 18-year-old white person. D)greater than 18 but less than 65-year-old white person. 6)Which of the following people is most likely medically needy? A)35-year-old healthy mother of one B)70-year-old nursing home resident C)66-year-old retired corporate executive with controlled hypertension D)2-year-old child with a genetic disorder who has two gainfully employed parents 7)All of the following are eligible for SCHIP except: A)a 2-year-old child. B)an 18-year-old person. C)a 19-year-old person. D)an unborn child. 8)Susie Coder is a hospital inpatient coder. She is coding a complex Medicare record. She has to choose between two codes for the bill. Code A pays $3,400. Code B pays $9,700. The coding rules indicate that Susie should use code A. Susie uses code B. Susie is guilty of: A)miscoding. B)hospital coding. C)DRG coding. D)upcoding. 9)Coding a service so that it is paid for even though it was not done is an example of: A)an abusive activity. B)an untrained coder. C)a fraudulent activity. D)a sympathetic physician. 10)Dr. Kay is a major stockholder in Clinilabs. Because she is familiar with the lab, she sends all of her specimens to them. She can: A)bill Medicare and another insurance. B)bill Medicare for payment. C)continue this practice; it demonstrates her commitment to quality health care. D)not bill Medicare for payment.