100% Correct Answers
AtAwhichAlevelAofAtheAMedicareAPartAAAorABAappealsAprocessAisAtheAappealArec
onsideredAbyAaAqualifiedAindependentAcontractor?
a.AfirstAlevelAappeal
b.AsecondAlevelAappeal
c.AthirdAlevelAappeal
d.AfourthAlevelAappealA-AAnswerAb.AsecondAlevelAappeal
ThereAareAfiveAlevelsAofAappeal.
FirstAlevelAentailsAaAredeterminationAofAclaim;AsecondAlevelAinvolvesAreconsiderat
ionAbyAaAqualifiedAindependentAcontractor;AthirdAlevelAincludesAaAhearingAoverse
enAbyAadminAlawAjudge;AfourthAlevelAisAaAreviewAofAMedicareAReviewACouncil;A
andAfifthAlevelAisAaAjudicialAreviewAinAfederalAcourt.
IfAanAat-
riskApatientAisAleftAunattendedAandAhasAanAadverseAresponseAtoAmedication,Athi
sAisAknownAas:
a.AsentinelAevent
b.Ainitiator
c.AlatentAoutcome
d.AslipA-AAnswerAa.AsentinelAevent
SentinelAeventAisAanAadverseAoccurrenceAthatAisAnotAinAtheAnormalAprogression
AofAaApatient'sAillness.AInAthisAscenario,AanAadverseAdrugAeventAisAconsideredAa
AsentinelAevent.AANDAwheneverAaAsentinelAeventsAisAconfirmed,AtheAfacilityAshou
ldAperformAaARootACauseAAnalysisA(RCA).
AALatentAOutcomeA-
AlessAapparentAfailuresAofAorganizationAorAdesignAthatAcontributedAtoAtheAerror/
patientAharm.
AASlipA-AcanAbeAaAfallAorAanAeverydayAriskAatAhospitals.
,AAbehavioralAhealthAspecialistAnoticesAaAparticularlyAhighAnumberAofArestraintAde
athsAatAaAfacility.AAnAanalysisAofAtheArootAcausesAofAtheseAeventsAisAmostAlikel
yAtoAindicateAproblemsAwith:
a.AEquipment
b.AStaffAorientationAandAtraining
c.AStaffingAlevels
d.AAlarmAsystemsA-AAnswerAb.AStaffAorientationAandAtraining
Equipment,AstaffingAlevels,AandAalarmAsystemAcanAalsoAbeAculpableAinArestraint
Adeaths,AbutAproblemsAwithAorientationAandAtrainingAareAmuchAmoreAlikely.
WhichApieceAofAlegislationAestablishedAaAnewAsetAofAstandardsAforAcorporateAre
sponsibility?
a.Asarbanes-oxleyAact
b.AunitedAstatesApatriotAact
c.AforeignAcorruptApracticesAact
d.AstarkAlawA-AAnswerAa.Asarbanes-oxleyAact
Sarbanes-oxleyAactAwasApassedAafterAaAseriesAofAhigh-
profileAfinancialAscandalsAinAearlyA2000sAtoAprotectAshareholders,AimprovingAcor
porateAgovernanceAandAaccountabilityAsettingAnewAsetAofAstandardsAforAcorporat
eAresponsibility.
AccordingAtoAtheAFederalASentencingAGuidelines,AwhichAofAtheAfollowingAfactorsA
couldAincreaseAtheApunishmentAofAanAorganization?
a.AobstructionAofAjustice
b.AviolationAofAdirectAcourtAorder
c.ApriorAhistoryAofAviolations
d.AallAofAtheAaboveA-AAnswerAd.AallAofAtheAabove
TheseAareAaggravatingAfactorsAthatAincreaseAtheAculpabilityAscoreAunderAtheAFSG
.
SeeAFSGAchapterA8-C2.5Ahttps://guidelines.ussc.gov/gl/%C2%A78C2.5
, WhenAaAhospitalAofficialAnotesAthatAmostAerrorsAareAoccurringAatAtheA"sharpAen
d"AsheAmeansAthat:
a.AtheyAinvolveAsurgicalAtoolsAorAknives
b.AtheyAoccurAinAclusters
c.AtheyAoccurAduringAtheAinteractionsAbetweenAcaregiversAandApatients
d.AtheyAareAmostAlikelyAtoAoccurAduringAbusyAperiodsA-
AAnswerAc.AtheyAoccurAduringAtheAinteractionsAbetweenAcaregiversAandApatients.
TheA"sharpAend"AandA"bluntAend"AareAusedAbyAqualityAmanagementAprofessional
sAtoAdescribeAareasAofApractice.A
"SharpAend"AisAallAofAtheAoperationsAthatAinvolveAdirectAcontactAwithApatient/cli
ent/customer.
"BluntAend"AisAallAactionsAthatAtakeAplaceAoutsideAawarenessAofApatient/client/c
ustomer.
TheAmajorityAofAfraudAandAabuseAviolationsArelateAtoAirregularitiesAin:
a.Atreatment
b.Adiagnosis
c.Abilling
d.AschedulingA-AAnswerAc.Abilling
WhichAofAtheAfollowingAwordsAbestAdescribeAtheAapproachAtoApunishmentAofAth
eAFederalASentencingAGuidelines:
a.Acase-specific
b.Adraconian
c.Aconsistent
d.AremedialA-AAnswerAa.Acase-specific
FSGAtakesAnumerousAfactorsAintoAaccountAwhenAdeterminingApunishment.ATheAr
angeAofApenaltiesAthatAmayAbeAappliedAtoAaAgivenAviolationAisAbroad,AandAorga
nizationsAmayAaffectAtheAseverityAofAtheirApunishmentAwithAtheirAactionsAsubseq
uentAtoAtheAviolation