ALL IN ONE ATI FUNDAMENTAL CERTIFICATION
EVALUATION EXAMS 2026 QUESTIONS WITH
SOLUTIONS GUARANTEED PASS
◉ Function of State Licensing Boards. Answer: Ensure healthcare
providers and agencies comply with state regulations
◉ Function of Professional Standards Review Organizations.
Answer: Monitor health care services provided
◉ Function of Joint Commission. Answer: Sets quality standards for
accreditation of health care facilities
◉ Function of Utilization review committees. Answer: monitor for
appropriate dx and tx of hospitalized clients
◉ Medicare Part A. Answer: The part of the Medicare program that
pays for hospitalization, care in a skilled nursing facility, home
health care, and hospice care.
◉ Medicare Part B. Answer: The part of the Medicare program that
pays for physician services, outpatient hospital services, durable
,medical equipment, and other services and supplies. Also available
to those who have permanent disabliites
◉ Medicare. Answer: A federal program of health insurance for
persons 65 years of age and older
◉ Medicare Part D. Answer: Medicare prescription drug
reimbursement plans
◉ Medicare Part C. Answer: managed care health plans offered to
medicare beneficiaries under the medicare advantage program
◉ Medicaid. Answer: A federal and state assistance program that
pays for health care services for people who cannot afford them.
Amt. of care is determined by the states
◉ Patient Protection and Affordable Care Act (PPACA). Answer:
2010 federal legislation designed for comprehensive health reform,
with an intent to expand coverage, control health care costs, and
improve the health care delivery system
◉ State Children's Health Insurance Program (SCHIP). Answer: a
public health insurance program, jointly funded by the federal and
state governments, that provides health insurance coverage for
, children whose families meet income eligibility standards. Insures
up until age 19
◉ Private Plans. Answer: Traditional insurance reimburses for
services on a fee for service basis. Private plans include: MCOs, PPOs,
EPOs, and Long term care insurance
◉ MCOs (Managed Care Organizations). Answer: Primary care
providers oversee comprehensive care for enrolled clients and focus
on prevention and health promotion
◉ PPO's (Preferred Provider Org). Answer: Clients choose from a list
of contracted providers and hospitals.
◉ EPOs (exclusive provider organizations). Answer: Clients choose
from a list of providers and hospitals within a contracted
organization with no out of network coverage
◉ long-term care insurance. Answer: Not covered by medicare.
Provides long term care expenses
◉ Preventive Health Care. Answer: focuses on education and
equipping clients to reduce and control risk factors for disease
EVALUATION EXAMS 2026 QUESTIONS WITH
SOLUTIONS GUARANTEED PASS
◉ Function of State Licensing Boards. Answer: Ensure healthcare
providers and agencies comply with state regulations
◉ Function of Professional Standards Review Organizations.
Answer: Monitor health care services provided
◉ Function of Joint Commission. Answer: Sets quality standards for
accreditation of health care facilities
◉ Function of Utilization review committees. Answer: monitor for
appropriate dx and tx of hospitalized clients
◉ Medicare Part A. Answer: The part of the Medicare program that
pays for hospitalization, care in a skilled nursing facility, home
health care, and hospice care.
◉ Medicare Part B. Answer: The part of the Medicare program that
pays for physician services, outpatient hospital services, durable
,medical equipment, and other services and supplies. Also available
to those who have permanent disabliites
◉ Medicare. Answer: A federal program of health insurance for
persons 65 years of age and older
◉ Medicare Part D. Answer: Medicare prescription drug
reimbursement plans
◉ Medicare Part C. Answer: managed care health plans offered to
medicare beneficiaries under the medicare advantage program
◉ Medicaid. Answer: A federal and state assistance program that
pays for health care services for people who cannot afford them.
Amt. of care is determined by the states
◉ Patient Protection and Affordable Care Act (PPACA). Answer:
2010 federal legislation designed for comprehensive health reform,
with an intent to expand coverage, control health care costs, and
improve the health care delivery system
◉ State Children's Health Insurance Program (SCHIP). Answer: a
public health insurance program, jointly funded by the federal and
state governments, that provides health insurance coverage for
, children whose families meet income eligibility standards. Insures
up until age 19
◉ Private Plans. Answer: Traditional insurance reimburses for
services on a fee for service basis. Private plans include: MCOs, PPOs,
EPOs, and Long term care insurance
◉ MCOs (Managed Care Organizations). Answer: Primary care
providers oversee comprehensive care for enrolled clients and focus
on prevention and health promotion
◉ PPO's (Preferred Provider Org). Answer: Clients choose from a list
of contracted providers and hospitals.
◉ EPOs (exclusive provider organizations). Answer: Clients choose
from a list of providers and hospitals within a contracted
organization with no out of network coverage
◉ long-term care insurance. Answer: Not covered by medicare.
Provides long term care expenses
◉ Preventive Health Care. Answer: focuses on education and
equipping clients to reduce and control risk factors for disease
