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A mass of unnaturally distended veins in the anal canal that lie just inside or outside the rectum is called
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A disorder of carbohydrate metabolism that is characterized by high concentrations of sugar in the blood and results from insufficient production or utilization of insulin is called
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Week 6 TEST
Test
| Question | Answer |
|---|---|
| A mass of unnaturally distended veins in the anal canal that lie just inside or outside the rectum is called | Hemorrhoids |
| A disorder of carbohydrate metabolism that is characterized by high concentrations of sugar in the blood and results from insufficient production or utilization of insulin is called | Diabetes mellitus |
| Gastroscopy is: | Examination of the stomach with an endoscope |
| Abnormally low blood sugar is called | Hypoglycemia |
| A hiatal hernia is: | A type of gastrocele |
| Anorexia means: | Loss of appetite for food |
| Excision of the vermiform appendix | appendectomy |
| The term renal pertains to | The kidney |
| Blood in the urine is called: | Hematuria |
| A term that means destructive to kidney tissue is: | Neprhotoxic |
| A term for tumor found on mucosal surfaces such as the inner lining of the bladder is: | Polyp |
| Urinary incontinence is: | Inability to hold urine in the bladder |
| Urinary retention is: | Inability to empty the bladder |
| Using ultrasound to study the kidney is called: | Nephrosonography |
| Filtering blood to maintain proper balance | Hemodialysis |
| Inflammation of the kidney | Nephritis |
| Medicare-eligible patients are not involved with HMOs or prepaid health plans | False |
| Exclusive provider organizations (EPOs) are regulated by the federal government | False |
| In a point of service (POS) program members nay choose to use a nonprogram provider at any time | True |
| Managed care plans allow laboratory tests to be performed at any facility the patient chooses | False |
| Usually there are no deductibles for managed care plans | True |
| A copayment in a managed care plan is usually a fixed dollar amount (predetermined fee) | True |
| A significant contribution to HMO development was the | Health maintenance Organization Act of 1973 |
| When an HMO is paid a fixed amount for each patient served without considering the actual number or nature of services provided to each person this is known as | Capitation |
| In an independent practice association (IPA) physicians are | Not employees and are not paid salaries |
| An organization that gives members freedom of choice among physicians and hospitals and provided a higher level of benefits if the providers listed on the plan are used is called | Preferred provider organization (PPO) |
| A program that offers a combination of HMO-style cost management and PPO-style freedom of choice is | Point of Service (POS) |
| The abbreviation MCO stands for | Managed Care Organizations |
| An evaluation of the quality and efficiency of services rendered by a practicing physician or physicians within a specialty group | Peer Review |
| UR is the abbreviation for | Utilization review |
| When a managed care plan requires the primary care physician to seek approval before referring a patient to a specialist it is called obtaining | Prior Approval |
| When a capitated patient’s services go over a certain amount and the physician can begin asking the patients to pay (fee for service) this arrangement is provided in a | Stop-loss |
| All persons age 65 who meet eligibility requirements for Medicare receive Medicare Part B | False |
| Medicare provides insurance for disable workers of any age | True |
| Employee and employer contributions help pay for Medicare Part A health services | True |
| Medicare Part A is called supplementary medical insurance (SMI) | False |
| A Medicare patient with an HMO does not need supplemental insurance policy | True |
| When a Medicare recipient chooses a Medicare senior plan he or she forfeits the Medicare card | False |
| the assignment on a patient with Medicare-Medicaid must always be accepted or Medicaid will not pick up the residual | True |
| Medicare Part A is run by: | The Centers for Medicare and Medicaid Services |
| Medicare is a | Federal Health Insurance Program |
| The letter preceding the number on the patient’s Medicare identification card indicate | Railroad retiree |
| A participating physician with the Medicare plan agrees to accept | 80% of the Medicare-approved charges |
| The time limit for submitting a Medicare claim is | The end of the calendar year following the fiscal year in which services were performed |
| When a Medicare carrier transmits a Medigap claim electronically to the Medigap carrier it is referred to as | Crossover claim |
| Medicare outpatient coverage is referred to as part | B |
| The Civil Monetary Penalties Law carries a sanction for penalty of up to | $2,500 for each item |
| An NPI number issued to a provider by CMS is the acronym for | National Provider Identifier |
| HMO: | Health Maintenance Organization |
| POS: | Point of Service |
| PPO: | Preferred provider Organization |
Created by:
c.vallejo