Quiz: Finance for the Operations Manager
Due Mar 31 at 11:59pm Points 30 Questions 15 Time Limit 30 Minutes
Instructions
The quiz:
Covers the Learn material from Module 2: Week 2.
Contains 15 multiple-choice questions.
Is limited to 30 minutes.
Allows 1 attempt.
Is worth 30 points.
Submit this assignment by 11:59 p.m. (ET) on Sunday of Module 2: Week 2.
Attempt History
Attempt Time Score
LATEST Attempt 1 21 minutes 30 out of 30
Correct answers are hidden.
Score for this quiz: 30 out of 30
Question 1
2 / 2 pts
Which of the following is NOT a fee-for service payment type?
Ambulatory Payment Classification
Diagnosis Related Grop
Capitation
Case rate
Question 2
2 / 2 pts
Non-patient related financial activities include:
Contractual adjustments
Fundraising and donations
Depreciation
Employee benefits
Question 3
2 / 2 pts
Which of the following is not a form of debt used by health care organizations?
Bonds
Leases
Lines of credit
Discounts on patient accounts
Question 4
2 / 2 pts
Health insurers are required to pay for medical services to members, regardless of medical necessity.
True
False
Question 5
2 / 2 pts
Which of the following is an example of the interaction between Provider Management and Claims?
authorizations and continuing stay approvals
Patient data for coverage
premium data to establish bank balance for payments
Contracted fees and payment terms
Question 6
2 / 2 pts
Discounting fees in healthcare services is not a common practice, since the Charge Description Master
price determines the realizable revenue for an account.
True
False
Question 7
2 / 2 pts
The subscriber in a health plan is the party that pays the premium
True
False
Question 8
2 / 2 pts
Which of the following operational areas are NOT impacted by Network Management and Provider
Services?
Sales, Enrollment, and Member services
Claims
Pharmacy benefit managers
Medical Management
Question 9
2 / 2 pts
Capitation creates an incentive for the provider to render as many services as possible since revenues
have already been collected.
True
False
Question 10
2 / 2 pts
In some cases, health plans may be both a provider of care and act as an insurer.
True
False
Question 11
2 / 2 pts
Fee-for-service payment methods have an incentive for providers to minimize costs, increase efficiency,
and increase the number of patient encounters.
True
False
Question 12
2 / 2 pts
More than one-third of hospitals in the United States have a negative operating margin.
True
False
Question 13
2 / 2 pts
Which of the following is an example of a reason why a claim would get a denial by an insurer?
The patient was not eligible on the date of service
A prior authorization was obtained when not needed
The services were an emergency
Contracted fees and payment terms were excessive
Question 14
2 / 2 pts
Which of the following is not a financial statement used in management of healthcare organizations?
Income statement
Working capital ledger
