Question 1. 1. (TCO 7) Coordination of benefits refers to:) a penalty assessed f

Question

Question 1. 1. (TCO 7) Coordination of benefits refers to:)

       a penalty assessed for going out of network.
       assessing payment responsibility when multiple payers exist.
       benefit plan list of covered services.
       vertical integration of health plans.

Question 2. 2. (TCO 7) Which of the following is not a factor promoting the growth of Integrated Delivery Systems: (

       shift of services from inpatient to outpatient.
       consolidation of many health plans.
       integration of data across providers.
       declining importance of payer directed referrals.

Question 3. 3. (TCO 7) Employer premium costs for health care coverage are often lowest in which type of health plan: (

       HMO
       PPO.
       POS.
       High deductible health plans with savings options.

Question 4. 4. (TCO 7) Suppose that HCA and Tenet were to merge. Ignoring potential antitrust problems, this merger would be classified as a: (: )

       Cross-border merger
       Horizontal merger
       Conglomerate merger
       Vertical merger

      Question 6. 6. (TCO 7) An uninsured patient receives services with charges of $5,000 from a hospital. The hospital staff bills the patient $1,000 and records $4,000 as charity care. If the hospital's ratio of cost to charges is 50%, what amount would the hospital recognize as charity care in Schedule H of IRS Form 990?

Question 7. 7. (TCO 7) How do a high percentage of Medicaid patients influence a hospital's prices?
   

Question 1. 1. (TCO 7) Coordination of benefits refers to:)

       a penalty assessed for going out of network.
       assessing payment responsibility when multiple payers exist.
       benefit plan list of covered services.
       vertical integration of health plans.

Explanation / Answer

ans1. assessing payment responsibility when multiple payers exist.

ans2. declining importance of payer directed referrals.

ans3. HMO

ans 4  Horizontal merger

ans 6 $2000

ans7 As the health care options improves the chances of one getting a treatment more frequent than earlier thus the demand of hospital increases and thus the price will go up.

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