OCC OCC Practice Management & Healthcare Systems 1

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

Medicare is the federal health insurance program for people 65 or older and certain younger people with disabilities.

Question 2

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

Accepted Answer

Fully de-identified health data

Answer

HIPAA only protects individually identifiable health information; fully de-identified data that cannot be linked to a specific individual is not PHI.

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

Pay-for-performance models tie reimbursement to quality metrics and efficiency outcomes rather than the number of services provided.

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

The ACA mandates that recommended preventive services (A/B grade USPSTF recommendations) be covered without any cost-sharing in most plans.

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

ACOs are groups of providers who voluntarily coordinate care for Medicare patients to deliver high-quality, cost-effective care.

OCC - Osteopathic Continuous Certification Practice Test