Managed care aims to provide good care while practicing efficiency and controlling costs.

Insurance companies can legally refuse to pay for certain services if they are not preauthorized.

Medicare will pay for all medications that are prescribed by the patient’s primary physician.

Health care costs are evenly distributed among all patients.

The youth of this nation are showing an alarming increase in obesity, poor diet, and lack of physical fitness, which is resulting in the onset of chronic conditions at a very young age.

Medicare Part A applies to costs incurred during inpatient care.

One response to rising costs has been the development of managed care plans, which contain specific built-in cost controls.

Why is it argued that the fee-for-service method of determining medical expenses has contributed to rising health care costs?

When a health care provider is paid a set amount for each person covered by an insurance plan, regardless of how many services each person requires, this is called:

Before the Patient Protection and Affordable Care Act, if a person had a preexisting health problem, this often meant that he or she:

What is meant by “spreading the risk” among enrollees in a health insurance plan?

Which of the following conditions may qualify an individual for insurance coverage through Medicare?

Why is it a good business practice to keep accounts receivable as low as possible?

Which category of expenses is often the highest for a health care organization?

What is the MOST serious consequence for a facility if treatments administered to patients are frequently reported and coded incorrectly?

If healthcare professionals are cross-trained, this means that they:

Which of the following allows members to choose to receive a service from a participating or nonparticipating provider?

Which of the following is an example of co-pay?

The code used to describe the condition or disease being treated, also known as the diagnosis is ______________. 

A group of health care providers who offer medical care benefit packages is a: 

The amount that patients who are covered by insurance must pay themselves for health care services is known as ___________. 

A state-administered program to help pay costs of health care for low-income and disabled individuals is known as ____________. 

An amount a customer pays an insurance company in exchange for coverage of certain health care expenses is known as a _____________. 

The amount required to be paid by the insured before benefits become payable is the _____________.