1. According to America's Health Insurance Plans, _____ percent of Americans now participate in some type of managed care plan.
a. 50 percent
b. 75 percent
c. 85 percent
d. 90 percent

2. Calculate chair cost and ____ to be sure plan exam fees are balanced well with material fees.
a. Staff cost
b. Management cost
c. Material cost
d. Advertising and marketing cost

3. Managed care falls under private health care rather than _____.
a. Government health care
b. Individual health care
c. Dependent health care
d. Company health care

4. One of the steps to getting paid on time by managed care is:
a. Appealing non-covered claims
b. Confirming patient eligibility
c. Informing patients of non-covered services
d. Evaluating administrative systems

5. One program that allows employees to enroll and bank non-taxable health care funds is:
a. America's Health Insurance Plans
b. Independent Practice Association
c. National Directory of Managed Care Organizations
d. Flexible Spending Arrangements

6. If payment is denied or delayed, one step to take is:
a. Call the managed care organization to review the claim step-by-step
b. Write off the denied or delayed payment
c. Make sure clean claims are defined in your provider agreements and documents
d. Seek the advice of other ECPs who work with the same plan

7. According to Jerry Hayes, OD, when a practice is 60 to 80 percent booked on a regular basis:
a. Decrease plan usage to only 10 percent
b. Eliminate all managed care plans
c. Accept only premier plans
d. Reassess the true net of your practice

8. One way ECPs can become more involved in educating patients on the health-related aspects of vision care is by:
a. Taking a blood pressure measurement
b. Featuring medical-related posters in the exam room
c. Making referrals to other medical practitioners
d. Holding roundtables for patient feedback

9. The HMO Act of 1973 requires employers with 25 or more employees to offer:
a. Federally funded health care counseling
b. Open network enrollment
c. Federally-certified HMO options
d. Conventional health insurance plans

10. A 2007 Prevent Blindness America report estimates the total annual financial burden of adult vision problems on the U.S. economy is:
a. $75.5 billion
b. $34.5 million
c. $75.5 million
d. $34.5 billion

11. Managed care requires that:
a. Patients schedule their own appointments
b. Care be authorized by a third party or gatekeeper
c. Doctors authorize payment with a patient
d. Care be authorized by a government organization

12. According to Maria Todd, MHA, PhD, every 5 percent of underpaid claims value is equal to:
a. Around one month's earnings each year
b. About a day's earnings each month
c. Approximately 10 hours of staff time per week
d. Around two percent of net earnings a year

13. When considering signing up for every managed care plan, the first step is:
a. Discussing the plan being considered with all staff members
b. Determining total practice overhead
c. Forecasting how many patients the practice may gain by taking a plan
d. Finding out how quickly services are paid from the date of claim submission

14. The market average of visit frequency to an eyecare provider over a five-year period is:
a. 3.6 times
b. 2.5 times
c. 2.1 times
d. 5.8 times

15. America's Health Insurance Plans is a:
a. Health Savings Account
b. Federal Employees Health Benefit Plan
c. Closed network provider
d. National HMO trade organization