If an insurance policy has exclusions related to substance abuse treatment and the insured obtains new insurance, the new insurance:
a. can also exclude substance abuse treatment for a period of time.
b. cannot exclude substance abuse treatment.
c. can insist on a substance abuse treatment evaluation.
d. can insist on a urine drug screen prior to initiating coverage.
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Q. 2) In what year(s) did the Patient Protection and Affordable Care Act take effect?
a. 20092014
b. 2005
c. 20062007
d. 20082010
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Q. 3) Which health carerelated act was established in 1996?
a. Affordable Healthcare Act
b. Insurance Fraud Act
c. HIPAA
d. Insurance Benefit Act
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Q. 4) What is the main difference between a preauthorization and a predetermination?
a. The treatment plan is included in a preauthorization.
b. The treatment plan is included in a predetermination.
c. One is for procedures, and the other is for hospitalization.
d. One is required, and the other is not.
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Q. 5) The codes for procedures and diagnoses will be required for which of the following forms?
a. Preauthorization
b. Precertification
c. Health insurance claim
d. All of the above
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Q. 6) To determine if a patient qualifies for insurance-paid substance abuse treatment, the medical biller would need to consult:
a. the physician.
b. the insurance plan administrator.
c. the substance abuse treatment provider.
d. the patient.
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Q. 7) Benefits for mental health services:
a. may be different from benefits for other medical services.
b. are the same as benefits for any other medical services.
c. are charged at twice the rate of physician office visits.
d. are not an insurance benefit.
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Q. 8) Carryover provisions relate to:
a. prepaid premiums.
b. copayments due.
c. deductible.
d. coinsurance.
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Q. 9) The advantage to depositing money into an HSA is that:
a. the deposit is pretax dollars.
b. the balance can be rolled over to the next year.
c. it acts as a savings account for known medical expenses.
d. All of the above
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Q. 10) The components of an insurance contract usually DO NOT include:
a. basic benefit descriptions.
b. physician responsibilities.
c. major medical benefits.
d. accident coverage.
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