HPA 332 Exam #3 With Complete Solutions
Leaders have a ___ focus:
Managers have a ___ focus: - ---ANSWER--- Strategy/Vision
Organization
Tasks related to organizational mission: - ---ANSWER--- Leaders: establish the mission
Managers: Hire staff to meet the mission
Tasks related to organization strategy: ----ANSWER--- Leaders: motivate stakeholders to
approve strategy
Managers: maintain resources to carry out strategy
Tasks related to spokesperson function: - ---ANSWER--- Leaders: organization
spokesperson for all employees
Managers: spokesperson for the department & counseling of employees to reach organization's
goals
---ANSWER--- Leaders: develops strategies
Tasks related to future strategies: -
Managers: follows regulations required to test strategies
Tasks related to change: - ---ANSWER--- Leaders: transforms organization when needed
to meet future goals established by strategic plan
Managers: services employee and leader needs when creating change to meet strategic goals
5 Leader/Manager skills (behavioral & technical) - ---ANSWER--- Behavioral: establishing
and maintaining working relationships & adapting actions and styles to needs and circumstances,
work life balance
Technical: removing obstacles and completing a task
Leadership styles: - ---ANSWER--- Coercive
Participative
, Pacesetting
Coaching
Coercive style: ----ANSWER--- Power: elicit a behavior by being forceful & demanding
-effective with problematic employees
-ineffective with self motivated employees
Participative style: ----ANSWER--- Team oriented: solicits input, supportive, holds
meetings where employees share
-effective in healthcare settings
-ineffective with teams that don't want so support eachother
Pacesetting style: - ---ANSWER--- Manager sets high performance standards
-effective with self motivated employees
-ineffective with employees not self confident
Coaching style: - ---ANSWER--- Manager focused on employee's professional
development
-effective with top level employees highly motivated
-ineffective with groups of employees that will remain in their role
Fraud: - ---ANSWER--- intentional act of deceiving
Abuse: - ---ANSWER--- unintentional act that is inconsistent with standard practice
Up-coding & under-coding: - ---ANSWER--- -purposefully charging more than what is
allowable or what was performed
-charging less than should be charged for a procedure
False Claims Act: - ---ANSWER--- allows whistleblowers not to be prosecuted
Recovery Audit Contractors (RAC): - ---ANSWER--- program 2003-2007 with CMS
auditors matches payments to clinical notes to find fraud
Healthcare Fraud Prevention and Enforcement Action Team (HEAT): - ---ANSWER---
created after RAC to continue the work
-HEAT team digs deeper to find patterns of behavior
Criminal Disclosure Provision: ----ANSWER--- any provider/person in the organization
that possesses or fails to disclose information about fraud can be convicted of a felony, charged
fines, and sentenced to prison
Leaders have a ___ focus:
Managers have a ___ focus: - ---ANSWER--- Strategy/Vision
Organization
Tasks related to organizational mission: - ---ANSWER--- Leaders: establish the mission
Managers: Hire staff to meet the mission
Tasks related to organization strategy: ----ANSWER--- Leaders: motivate stakeholders to
approve strategy
Managers: maintain resources to carry out strategy
Tasks related to spokesperson function: - ---ANSWER--- Leaders: organization
spokesperson for all employees
Managers: spokesperson for the department & counseling of employees to reach organization's
goals
---ANSWER--- Leaders: develops strategies
Tasks related to future strategies: -
Managers: follows regulations required to test strategies
Tasks related to change: - ---ANSWER--- Leaders: transforms organization when needed
to meet future goals established by strategic plan
Managers: services employee and leader needs when creating change to meet strategic goals
5 Leader/Manager skills (behavioral & technical) - ---ANSWER--- Behavioral: establishing
and maintaining working relationships & adapting actions and styles to needs and circumstances,
work life balance
Technical: removing obstacles and completing a task
Leadership styles: - ---ANSWER--- Coercive
Participative
, Pacesetting
Coaching
Coercive style: ----ANSWER--- Power: elicit a behavior by being forceful & demanding
-effective with problematic employees
-ineffective with self motivated employees
Participative style: ----ANSWER--- Team oriented: solicits input, supportive, holds
meetings where employees share
-effective in healthcare settings
-ineffective with teams that don't want so support eachother
Pacesetting style: - ---ANSWER--- Manager sets high performance standards
-effective with self motivated employees
-ineffective with employees not self confident
Coaching style: - ---ANSWER--- Manager focused on employee's professional
development
-effective with top level employees highly motivated
-ineffective with groups of employees that will remain in their role
Fraud: - ---ANSWER--- intentional act of deceiving
Abuse: - ---ANSWER--- unintentional act that is inconsistent with standard practice
Up-coding & under-coding: - ---ANSWER--- -purposefully charging more than what is
allowable or what was performed
-charging less than should be charged for a procedure
False Claims Act: - ---ANSWER--- allows whistleblowers not to be prosecuted
Recovery Audit Contractors (RAC): - ---ANSWER--- program 2003-2007 with CMS
auditors matches payments to clinical notes to find fraud
Healthcare Fraud Prevention and Enforcement Action Team (HEAT): - ---ANSWER---
created after RAC to continue the work
-HEAT team digs deeper to find patterns of behavior
Criminal Disclosure Provision: ----ANSWER--- any provider/person in the organization
that possesses or fails to disclose information about fraud can be convicted of a felony, charged
fines, and sentenced to prison
