Board of Governors Examination Online Tutorial Healthcare Sample Test Questions

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Which of the following is true about a capitated Managed Care Organization (MCO) arrangement? a. The provider shifts financial risk to the MCO b. The provider can bill separately for each service pr... ovided c. The provider must wait to bill the MCO until services have been provided to a patient d. The provider is paid a set fee - ANSWER D. The costs of graduate medical education (GME) are of concern to government policy makers because: a. The number of residencies and residents are not centrally controlled b. The number of medical school graduates exceeds the number of residency positions c. Managed care organizations are relatively uninvolved in the payment of GME d. Many residency positions are filled by foreign medical graduates - ANSWER A. Which of the following is a unit of measure commonly used to determine physicians' clinical productivity? a. RVU b. CMS c. IPA d. CPU - ANSWER A. What population demographic factor is currently having the greatest impact on healthcare organizations? a. Ethnic composition b. Insurance coverage c. Geographic distribution d. Age cohort - ANSWER D. Public reporting of outcomes information has become a high priority for healthcare payers because: a. Measurements of performance have now become well-established, standardized and accepted by all parties b. Purchasers are pressuring for disclosure of meaningful performance information for use by buyers and consumers c. Consumers in healthcare are now well-organized and managed care organizations feel a need to satisfy them d. Physicians are increasingly encouraging their patients to evaluate insurance plans based on publicly-reported data - ANSWER B. [Show More]

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