HCMT 4400 Test 2 Questions with

HCMT 4400 Test 2 Questions with Complete Solutions (Latest 2025)

Coordination of benefits refers to: - Correct Answers

✅Assessing payment responsibility when multiple payers exist.which of the following measures is not used directly as one of the means of determining the reasonableness of a hospital's charges?

• Return on Investment (ROI)
• Costs
• Investment level
• Prices of peer hospitals - Correct Answers ✅Prices of

peer hospitals Which of the following statements is false?

• HMO plans usually have physician gatekeepers who serve

to direct and manage patient care.

• Traditional indemnity plans restrict which physicians can

be seen.

• A PPO usually reduces payments for patients who go out of

network.

• A point-of-service plan is a hybrid form of an HMO. -

Correct Answers ✅B. Traditional indemnity plans restrict which physicians can be seen.Which of the following statements regarding a Staff model HMO is true: The choices were: 1 / 2

HCMT 4400 Test 2 Questions with Complete Solutions (Latest 2025)

• do not use physician gatekeepers,
• require cost sharing on non-network care,
• hire and employ their own physicians,
• are also known as independent practice associations. -

Correct Answers ✅C) hire and employ their own physicians A High Deductible Health Plan with a Savings Option does not include the following?

• First dollar payment for health services
• A bank administered medical savings account.
• Links to traditional health plans such as HMOs and PPOs
• High deductibles - Correct Answers ✅A. First dollar

payment for health services Employee covered health plans are most likely to be? - Correct Answers ✅PPOs A withhold is a feature for payment to health care provider

that : - Correct Answers ✅Provides a mechanism for

reducing risk to the payer.Which of the following is not a factor promoting the growth of

Integrated Delivery Systems:

• shift of services from inpatient to outpatient
• consolidation of many health plans.
• / 2