Affordable Care Act
They are a category of illness for which an insurance company may not deny or charge more for coverage.
What are...
a) Sexually transmitted infections?
b) Pre-existing conditions?
c) Malignancies?
d) Mental illnesses?
What are Pre-existing Conditions?
*Including being a woman
It is a set number of dollars that the patient pays for every healthcare encounter.
What is a…
a) Deductible?
b) Co-pay?
c) Co-insurance?
d) Premium?
What is a Co-pay?
It is a law that requires clinicians to keep patients' health care information private (among other things).
a) the Privacy Act of 1974?
b) the Health Insurance Portability and Accountability Act?
c) the HITECH Act?
What is HIPAA?
It is the Medicare program that covers hospital stays.
What is…
a) Medicate Part A?
b) Medicare Part B?
c) Medicare Part C?
d) Medicare Part D?
What is Medicare Part A?
This is where uninsured patients can shop for private insurance plans.
What is…
a) the Marketplace?
b) the Individual Mandate?
c) the National Cooperative Insurance Pool?
What is The Marketplace?
It is your and/or your employer's monthly payment to the insurance company.
What is a…
a) Deductible?
b) Co-pay?
c) Co-insurance?
d) Premium?
What is a Premium?
It is a law that requires emergency departments to evaluate and stabilize a patient or patient in labor without regard to the patient's ability to pay.
What is…
a) HIPAA?
b) COBRA?
c) EMTALA?
What is EMTALA?
It is the Medicare program that covers outpatient services and physician fees.
What is…
a) Medicate Part A?
b) Medicare Part B?
c) Medicare Part C?
d) Medicare Part D?
What is Medicare Part B?
It allows young adults to remain covered as dependents on their parents' health insurance policies until a specific age.
a) COBRA
b) the age 26 extension?
c) the Age 21 Graduation Grace Period?
What is the Age 26 Extension?
It is a set number of dollars that the patient must pay for healthcare services before the insurance company will begin paying.
What is a…
a) Deductible?
b) Co-pay?
c) Co-insurance?
d) Premium?
What is a Deductible?
It prohibits billing patients for out-of-network services provided in an otherwise in-network facility.
What is…
a) COBRA?
b) the In-Network Facility Shield?
c) the No Surprises Act?
What is the No Surprises Act?
It is the Medicare program that covers prescription drugs.
What is…
a) Medicate Part A?
b) Medicare Part B?
c) Medicare Part C?
d) Medicare Part D?
What is Medicare Part D?
It is a class of services that insurers must cover with no out-of-pocket costs for the patient.
What are…
a) Preventive Care Services?
b) Essential Health Benefits?
c) Diagnostic services?
What are Preventive Care Services?
It is a set percentage of the cost of the healthcare encounter that the patient pays.
What is a…
a) Deductible?
b) Co-pay?
c) Co-insurance?
d) Premium?
What is Co-insurance?
It is a law that imposes civil liabilities on those who knowingly submit false claims to the federal government for reimbursement, e.g. Medicare/Medicaid Fraud
What is…
a) the False Claims Act?
b) the Civil Monetary Penalties Law?
c) the Criminal Health Care Fraud Statute?
What is the False Claims Act?
It is a Medicare program that pays a commercial insurance company to administer a patient's Medicare insurance benefits.
What is…
a) a Managed Care Organization?
b) Medicare Part E?
c) Medigap?
d) Medicare Advantage?
What is Medicare Advantage?
(Medicare Part C)