HIIM 242 Study Guide
Fast practice, instant feedback. Timer auto-submits when time’s up.
Avg score: 63% • Most missed: “Which is a review of medical necessity for inpatient care prior to the patient's…”
HIIM 242 Study Guide
Time left 00:00
25 Questions

1. Which type of rider would cover 100 percent of nonsurgical care sought and rendered within 24 to 72 hours after an accidental injury?

2. Which was a demonstration project carried out in California and Hawaii that offered military families a choice of how their health care benefits could be used?

3. Which is an online CMS publication that contains information about regulations and major policies currently under development, regulations and major policies completed or cancelled, and new or revised manual instructions?

4. Which required Medicare administrative contractors (previously called carriers and fiscal intermediaries), as agents of the federal government, to attempt the collection of overpayments?

5. The original Medicare plan (or Medicare fee-for-service plan) includes...

6. Which program provides health care services to Americans over the age of 65?

7. Which is a type of single-payer system in which the government owns and operates health care facilities and providers receive salaries?

8. A method of controlling health care costs by reviewing the necessity of care, length of stay, and discharge planning is called...

9. If applicable, enter the Medicaid preauthorization number in Block ___ of the CMS-1500.

10. The primary purpose of the medical record is to ensure...

11. Privileged communication is information that is...

12. Which is an intentional deception or misrepresentation that is reported knowing that it is not correct?

13. The federal legislation enacted in 1981 that expanded the Medicare and Medicaid programs is called...

14. Deductibles, copayments, and coinsurance are covered by what type of plan?

15. Which contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control?

16. Which is a special project that tests improvements in Medicare coverage, payment, and quality of care?

17. Which were adopted by Medicare in 2008 to improve recognition of severity of illness and resource consumption and reduce cost variation among DRGs?

18. Coinsurance is the...

19. Up to what percentage of the plan's payment schedule are private fee-for-service (PFFS) plans authorized to charge enrollees?

20. A financial record source document that is used to record treated diagnoses and services rendered to an outpatient is called a(n)...

21. Which requires managed care plans that contract with Medicare or Medicaid to disclose information about physician incentive plans to CMS or state Medicaid agencies before a new or renewed contract receives final approval?

22. Which legislation allows employees to continue health care coverage beyond the benefit termination date by paying appropriate premiums?

23. When the ESRD composite payment rate system was implemented by Medicare in 1983, certain drugs and laboratory tests were separately billable from dialysis services. Which required Medicare to change the way it pays facilities for dialysis treatments and separately billable drugs?

24. In a direct contract model HMO, contracted health care services are...

25. Which gives covered entities permission to use specified protected health information (PHI) for specified purposes or to disclose PHI to a third party specified by the individual?

⚡ Recently practiced quizzes in this topic
Live quiz activity
CompTIA Security+ Certification Exam CompTIA Cybersecurity Analyst Plus CySA+ CS0-001 Questions CompTIA Security+ SY0-601 Certification Exam Terms To Know Hardening Pentest+ CySA+ (CS0-002) Review Questions Physical Security Cybersecurity Assessment Test Virtualization (And Security) Overview of Security
 
❤ If you liked Fatskills, consider supporting us by checking out The Life Manuals You Never Got.

🌈  Our mission is to help improve your scores in any subject and exam withonline quizzes, practice tests, study guides, & advice for students. Since 2018.
About | Explore | User Guide | Topics | Subjects | Doubt Solver | Career Aptitude Test | Answers | Free Tools | What Should We Know?
Privacy | Terms |
Without work one finishes nothing. - Ralph Waldo Emerson
© 2026 Fatskills.com

All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.