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Managing Medical Bills & Getting Financial Help Post-Test Retake

Thank you for completing the evaluation. If you are a nurse or social worker seeking continuing education credit, please complete the post-test and receive a passing grade of 80%. If you are not a healthcare professional or are not seeking continuing education credit, you are not required to take this post-test.

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* 1. True or False: Prior authorizations may only be required for hospital admissions, specialty-tier drugs, and tests or procedures that cost at least $750.

A. True

B. False

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* 2. The No Surprises Act

A. Is the law in all 50 states

B. Covers bills from out-of-network ground ambulances

C. Applies in situations where a patient had no choice but to use an out-of-network provider

D. A & C only

E. None of the above

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* 3. How can an individual lower their bills before care?

A. Negotiate with providers before care

B. Shop around for tests

C. Ensure that all providers are in-network

D. All of the above

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* 4. An individual should pay a medical bill

A. As soon as they receive it from their health care provider

B. Only once they receive the explanation of benefits (EOB) from their insurance company

C. After the due date

D. None of the above

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* 5. True or False: Nonprofit hospitals are required to offer charity care programs for eligible patients who are unable to pay their bills.

A. True

B. False

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* 6. Which of the following may be information requested by a private foundation in order to grant financial assistance to a patient?

A. Household size

B. Household income

C. Diagnosis

D. All of the above

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* 7. Which piece of information will not typically appear on an explanation of benefits?

A. Diagnosis

B. Date of service

C. Amount approved by insurance company

D. Name of insured

E. Amount applied to your deductible

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* 8. Which of the following statements about medical debt is correct?

A. Men are more likely to have medical debt than women

B. Having medical debt increases the likelihood that someone will cut back on other essentials such as food.

C. Medical debt is only an issue for the elderly and permanently disabled.

D. Medical debt is not a significant issue as long as someone has health insurance.

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* 9. Which of the following are reasons a claim could be denied?

A. Coordination of benefits

B. A mistake (i.e., incorrect patient information, billing mistake, missing or invalid codes)

C. Service is not considered medically necessary

D. Not a covered service or procedure

E. All of the above

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* 10. When gathering evidence for an appeal, one should gather

A. A letter of support from their health care provider

B. The results of tests/procedures related to the requested care

C. Notes from your health care provider on the medical care provided, including how you responded to treatment

D. Current medical literature or studies documenting the medical effectiveness of the requested services for experimental or investigational treatment

E. All of the above

100% of survey complete.