FBLA Health Care Administration Practice Questions with Explanations
Questions
A facility that provides inpatient care with overnight stays is a:
- Hospital
- Physician's office
- Urgent care clinic
- Pharmacy
Care that does not require the patient to be admitted overnight is:
- Outpatient care
- Inpatient care
- Long-term care
- Hospice care
A patient who is formally admitted to a hospital for at least one night is a(n):
- Inpatient
- Outpatient
- Ambulatory patient
- Walk-in patient
Care focused on comfort rather than cure for patients with a terminal illness is:
- Hospice care
- Acute care
- Rehabilitation
- Primary care
Care that relieves symptoms and stress of serious illness at any stage, alongside treatment, is:
- Palliative care
- Hospice care
- Emergency care
- Preventive care
A facility that provides 24-hour nursing care for people who cannot live independently is a:
- Skilled nursing facility
- Urgent care center
- Physician practice
- Ambulatory surgery center
Housing that offers help with daily activities but less medical care than a nursing home is:
- Assisted living
- Hospice
- Acute care hospital
- Rehabilitation hospital
The first point of contact with the health care system, usually a family doctor, provides:
- Primary care
- Tertiary care
- Quaternary care
- Emergency surgery
Specialized care provided by a specialist, such as a cardiologist, after a referral is:
- Secondary care
- Primary care
- Tertiary care
- Self-care
Highly specialized care, such as organ transplants or burn units, provided at major medical centers is:
- Tertiary care
- Primary care
- Secondary care
- Preventive care
A hospital owned by a government agency, such as a VA medical center, is a:
- Public hospital
- For-profit hospital
- Private nonprofit hospital
- Specialty clinic
A hospital owned by investors that distributes profits to shareholders is a:
- For-profit hospital
- Nonprofit hospital
- Government hospital
- Teaching hospital
A hospital that trains medical students and residents is a:
- Teaching hospital
- Critical access hospital
- Rehabilitation center
- Hospice
A small rural hospital with 25 or fewer beds that receives special Medicare payments is a:
- Critical access hospital
- Teaching hospital
- Trauma center
- Academic medical center
A facility for walk-in care of non-life-threatening illnesses and injuries is an:
- Urgent care center
- Emergency department
- Inpatient unit
- Hospice
The federal agency that leads U.S. public health efforts, including disease tracking, is the:
- Centers for Disease Control and Prevention
- Food and Drug Administration
- Centers for Medicare & Medicaid Services
- OSHA
The federal agency that approves prescription drugs and medical devices is the:
- Food and Drug Administration
- Centers for Disease Control and Prevention
- Centers for Medicare & Medicaid Services
- National Institutes of Health
The federal agency that administers Medicare and Medicaid is:
- CMS
- CDC
- FDA
- NIH
The federal agency that is the largest funder of biomedical research is the:
- National Institutes of Health
- Centers for Disease Control and Prevention
- Centers for Medicare & Medicaid Services
- Food and Drug Administration
The cabinet department that oversees the CDC, FDA, NIH, and CMS is the:
- Department of Health and Human Services
- Department of Labor
- Department of Veterans Affairs
- Department of Homeland Security
The independent organization that accredits most U.S. hospitals is:
- The Joint Commission
- OSHA
- The FDA
- The American Hospital Association
The international health agency of the United Nations is the:
- World Health Organization
- Centers for Disease Control and Prevention
- International Committee of the Red Cross
- UNICEF
A facility where patients undergo surgery and go home the same day is an:
- Ambulatory surgery center
- Inpatient rehabilitation hospital
- Skilled nursing facility
- Hospice house
A hospital equipped to provide comprehensive emergency care for severe injuries at all hours is a:
- Level I trauma center
- Critical access hospital
- Urgent care clinic
- Physician practice
Health care services provided in a patient's residence, such as nursing visits, are:
- Home health care
- Inpatient care
- Tertiary care
- Hospital outpatient care
The federal health insurance program for people 65 and older and some people with disabilities is:
- Medicare
- Medicaid
- CHIP
- TRICARE
The joint federal-state program that provides health coverage to people with low incomes is:
- Medicaid
- Medicare
- COBRA
- TRICARE
Medicare Part A primarily covers:
- Hospital inpatient care
- Doctor visits and outpatient therapy
- Prescription drugs
- Dental care
Medicare Part B primarily covers:
- Doctor visits and outpatient services
- Inpatient hospital stays and skilled nursing
- Prescription drugs
- Long-term custodial care
Medicare Part D covers:
- Prescription drugs
- Hospital stays
- Doctor visits
- Vision care
Medicare plans offered by private insurers that combine Parts A, B, and often D are:
- Medicare Advantage
- Medigap
- Medicaid
- Original Medicare
The program that provides health coverage to uninsured children in families that earn too much for Medicaid is:
- CHIP
- Medicare
- COBRA
- TRICARE
The health care program for active-duty military members, retirees, and their families is:
- TRICARE
- Medicare
- Medicaid
- CHIP
The law that allows workers to continue employer health coverage for a limited time after leaving a job is:
- COBRA
- HIPAA
- ACA
- ERISA
The 2010 law that expanded health insurance coverage and created health insurance marketplaces is the:
- Affordable Care Act
- HIPAA
- COBRA
- Social Security Act
A health plan that requires members to use a network of providers and get referrals from a primary care physician is an:
- HMO
- PPO
- Fee-for-service plan
- Indemnity plan
A health plan that lets members see out-of-network providers at a higher cost without referrals is a:
- PPO
- HMO
- EPO
- Medicaid managed care
A primary care doctor who coordinates care and provides referrals in an HMO is the:
- Gatekeeper
- Specialist
- Hospitalist
- Pharmacist
A payment system in which providers are paid a fixed amount per patient per month regardless of services used is:
- Capitation
- Fee-for-service
- Diagnosis-related groups
- Cost-based reimbursement
A payment system in which providers are paid for each service performed is:
- Fee-for-service
- Capitation
- Bundled payment
- Salary-based
Medicare's inpatient payment system that pays hospitals a fixed amount based on the patient's diagnosis is:
- Diagnosis-related groups
- Fee-for-service billing
- Capitation
- Per diem
Payment models that reward providers for quality and outcomes instead of volume are:
- Value-based care
- Fee-for-service
- Chargemaster pricing
- Cost-plus reimbursement
A group of providers who share responsibility for the quality and cost of care for a patient population is an:
- Accountable care organization
- Health maintenance organization
- Insurance broker
- Urgent care center
The amount a patient pays before insurance begins paying is the:
- Deductible
- Copayment
- Premium
- Coinsurance
A fixed fee a patient pays for a covered service, such as $30 for an office visit, is a:
- Copayment
- Deductible
- Coinsurance
- Premium
After a patient's deductible is met, a $1,000 bill is covered at 80%. The patient pays:
- $200
- $800
- $1,000
- $80
A request sent to an insurance company for payment for services provided is a:
- Claim
- Premium
- Referral
- Remittance
The standard paper claim form used by physicians and outpatient providers is the:
- CMS-1500
- UB-04
- W-2
- 1099
The insurer's statement to a patient explaining what was paid on a claim is the:
- Explanation of benefits
- Superbill from the provider
- Encounter form
- Medical record
Approval required from an insurer before certain services are performed is:
- Prior authorization
- A copayment
- Coordination of benefits
- A claim adjustment