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Regulatory Environments for Benefits Programs Questions and Answers

Questions 1

Internal process metrics are most useful in which of the following situations?

Options:

A.

Assessing how well the business is running

B.

Determining employee satisfaction levels

C.

Measuring the financial success of the business

D.

Evaluating customer perceptions of products or services

Questions 2

What are usual, customary and reasonable charges (UCR)?

Options:

A.

The charges that an insurance carrier determines are normal for a particular medical procedure within a specific geographical area

B.

The charges that are published annually in the Global Insurers' Medical Cost Comparison Guide

C.

The charges that are allowable for any given medical procedure with no pre-treatment authorization

D.

The charges that are typically paid up front by a plan participant for services rendered.   

Questions 3

Which of the following is appropriate when an employee is required by the employer to attend training as a condition of employment?

Options:

A.

Appropriate study time does not count as hours worked regardless of the educational level of the training program.

B.

No training time is considered hours worked even if it is a condition of employment, since the employee is free to leave the company.

C.

Only educational programs focused on remedial education (up to eighth grade) can be excluded from the 40-hr criteria for time and a half.

D.

Even when the training is required, as long as the classes are outside working time and not on company property, they are not hours worked.

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