OCC OCC Practice Management & Healthcare Systems

Question 1

Which federal program provides health insurance primarily to individuals aged 65 and older and certain disabled persons in the US?

Accepted Answer

Medicare

Answer

Medicaid

Answer

CHIP

Answer

TRICARE

Question 2

Under HIPAA, which of the following is NOT considered Protected Health Information (PHI)?

Accepted Answer

Fully de-identified health data

Answer

Patient name combined with diagnosis

Answer

Date of birth with medical record number

Answer

ZIP code with treatment information

Question 3

Which value-based payment model rewards healthcare providers for efficiency and quality rather than the volume of services rendered?

Accepted Answer

Pay-for-performance (P4P)

Answer

Fee-for-service (FFS)

Answer

Capitation only

Answer

Cost-plus reimbursement

Question 4

The Affordable Care Act (ACA) requires that employer-sponsored health insurance plans cover preventive services with what patient cost-sharing?

Accepted Answer

No cost-sharing (zero copay or deductible)

Answer

10% copay only

Answer

Standard deductible applies

Answer

State-determined cost-sharing

Question 5

An osteopathic physician joins an Accountable Care Organization (ACO). What is the primary goal of an ACO?

Accepted Answer

Coordinate care to improve quality and reduce costs

Answer

Increase specialist referrals for complex cases

Answer

Maximize procedure volume for revenue

Answer

Focus exclusively on inpatient hospital care

Question 6

Which coding system is primarily used in the US for diagnosis coding in outpatient medical records?

Accepted Answer

ICD-10-CM

Answer

CPT-4

Answer

HCPCS Level II

Answer

DRG system