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In The Third Party Payment System The Provider Is The

Dwayne Morise

Question: 16. In the third-party payment system, the patient is the

  1. first party

  2. B. second party

  3. C. third party

  4. D. service

  5. Answer: A. first party

  6. Question: 17. In the third-party payment system, the provider is the

  7. A. first party

  8. B. second party

  9. C. third party

  10. D. none of the above

  11. Answer: B. second party

  12. Question: 23. A written agreement between a private insurance company and an individual or group of individuals to pay for certain health care costs during a certain time period in return for regular, periodic payments is a health insurance

  13. A. policy

  14. B. co-insurance

  15. C. copayment

  16. D. deductible

  17. Answer: A. policy

  18. Question: 18. Managed care is a system of health care delivery that focuses on

  19. A. efficiency

  20. B. control over utilization

  21. C. the price of services

  22. D. all of the above

  23. Answer: D. all of the above

  24. Question: 9. The type of health care practice that incorporates interventions aimed at disease prevention and health promotion is

  25. A. population-based public health practice

  26. B. medical practice

  27. C. long-term practice

  28. D. end-of-life practice

  29. Answer: A. population-based public health practice

  30. Question: 20. Restorative care is a component of

  31. A. population-based public health practice

  32. B. medical practice

  33. C. long-term practice

  34. D. end-of-life practice

  35. Answer: C. long-term practice

  36. Question: 24. A negotiated set amount that a patient pays for certain services is a

  37. A. premium

  38. B. copayment

  39. C. fixed indemnity

  40. D. deductible

  41. Answer: B. copayment

  42. Question: 21. An example of an allied health care professional is a

  43. A. physician

  44. B. nurse

  45. C. dietician

  46. D. naturopath

  47. Answer: C. dietician

  48. Question: 22. Those lacking the financial ability to pay for their own medical care are referred to as

  49. A. the working poor

  50. B. medically indigent

  51. C. exclusions

  52. D. CHIP recipients

  53. Answer: B. medically indigent

  54. Question: 25. The amount of expenses that the beneficiary must incur before the insurance company begins to pay for covered services is the

  55. A. deductible

  56. B. copayment

  57. C. exclusion

  58. D. fixed indemnity

  59. Answer: A. deductible