QUESTION: 21

Arthur Moyer is covered under his employer's group health plan, which must comply with the Consolidated Omnibus Budget Reconciliation Act (COBRA). Mr. Moyer is terminating his employment. He has elected to continue his coverage under his employer's group

18 months, but his coverage under COBRA will cease if he obtains group health coverage through another employer.
18 months, even if he obtains group health coverage through another employer.
36 months, but his coverage under COBRA will cease if he obtains group health coverage through another employer.
36 months, even if he obtains group health coverage through another employer.

Answer(s): A

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QUESTION: 22

As part of its quality management program, the Lyric Health Plan regularly compares its practices and services with those of its most successful competitor.
When Lyric concludes that its competitor's practices or services are better than its own, Lyric im

Benchmarking.
Standard of care.
An adverse event.
Case-mix adjustment.

Answer(s): A

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QUESTION: 23

As part of its utilization management (UM) system, the Creole Health Plan uses a process known as case management. The following individuals are members of the Creole Health Plan:
-Jill Novacek, who has a chronic respiratory condition. -Abraham Rashad.

Ms. Novacek, Mr. Rashad, and Mr. Devereaux
Ms. Novacek and Mr. Rashad only
Ms. Novacek and Mr. Devereaux only
None of these members

Answer(s): A

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QUESTION: 24

As part of its utilization management (UM) system, the Poplar MCO uses a process known as case management. The following statements describe individuals who are Poplar plan members:
-Brad Van Note, age 28, is taking many different, costly medications for

Mr. Van Note, Mr. Albrecht, and Ms. Cromartie
Mr. Van Note and Ms. Cromartie only
Mr. Van Note and Mr. Albrecht only
Mr. Albrecht and Ms. Cromartie only

Answer(s): C

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QUESTION: 21

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QUESTION: 24