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Chapter Quiz
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1
Elective surgery is usually performed on an emergency basis.
A)True
B)False
2
The monthly enrollment list refers to policyholders under an indemnity plan.
A)True
B)False
3
Precertification is required for most office visits under capitated plans.
A)True
B)False
4
TPA is the abbreviation for third-party claims administrator.
A)True
B)False
5
Utilization review organizations are hired by payers to review the appropriateness of planned medical services.
A)True
B)False
6
Private payers must observe the same regulations as those that control government-sponsored programs such as Medicare.
A)True
B)False
7
It is important for a medical insurance specialist to be aware of the rules and terms used by the payers to which the practice submits most of its claims.
A)True
B)False
8
The BlueCard program under Blue Cross and Blue Shield provides benefits for plan members who are away from their local areas.
A)True
B)False
9
An open enrollment period is the time during which an employee can choose a plan for the coming benefit period.
A)True
B)False
10
A cafeteria plan refers to the employee benefit of an on-site food facility.
A)True
B)False





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