ACHE BOARD OF GOVERNORS PRACTICE
SOLUTION 2026 STUDY GUIDE GRADED A+
●● Morbidity. Answer: The incidence and severity of illness and
accidents in a population
●● Medigap. Answer: Health insurance sold by private insurance
companies to fill the "gaps" in original Medicare plan coverage
●● Medicare recovery audit program. Answer: A program to identify
and correct improper payments from Medicare to providers, with the aim
of preventing future improper payments by Medicare; a common
improper payment is for surgical services provided in the wrong setting
(inpatient instead of outpatient).
●● Magnet Recognition Program. Answer: A program developed by the
American Nurses Credentialing Center that recognizes healthcare
organizations for quality patient care, nursing excellence and
innovations in professional nursing practice; Magnet designation is the
ultimate credential for high-quality nursing
●● Long-term care. Answer: A continuum of maintenance, custodial,
and health services provided to the chronically ill, disabled or mentally
handicapped.
, ●● Joint Commission. Answer: The independent, not-for-profit
organization that evaluiates and monitors the quality of care provided in
hospitals
●● Interdisciplinary plan of care. Answer: A documented process that
includes the patient, the family, and all clinical disciplines involved in
planning and providing care to a patient from system point of entry,
throuhgout the entire acute care episode, and to the next level of care
●● Independent Practice Association. Answer: A legal entity that
contracts with a group of independent physicians to provide services to
managed care organizations at a negotiated per capita rate; the
arrangement is usually not exclusive, so the physicians may sign
contracts with other managed care companies
●● Indemnity Plans. Answer: Traditional fee-for-service health plans
●● Hospitalist. Answer: A physician who manages broad categories of
hospitalized patients
●● Hospital preauthorization. Answer: A managed care technique in
which the insured obtains permission from a managed care organization
before entering the hospital for nonemergency care.
●● Palliative Care. Answer: Interdisciplinary care provided to a patient
with a serious, life-threatening, or life-limiting illness that aims not to
SOLUTION 2026 STUDY GUIDE GRADED A+
●● Morbidity. Answer: The incidence and severity of illness and
accidents in a population
●● Medigap. Answer: Health insurance sold by private insurance
companies to fill the "gaps" in original Medicare plan coverage
●● Medicare recovery audit program. Answer: A program to identify
and correct improper payments from Medicare to providers, with the aim
of preventing future improper payments by Medicare; a common
improper payment is for surgical services provided in the wrong setting
(inpatient instead of outpatient).
●● Magnet Recognition Program. Answer: A program developed by the
American Nurses Credentialing Center that recognizes healthcare
organizations for quality patient care, nursing excellence and
innovations in professional nursing practice; Magnet designation is the
ultimate credential for high-quality nursing
●● Long-term care. Answer: A continuum of maintenance, custodial,
and health services provided to the chronically ill, disabled or mentally
handicapped.
, ●● Joint Commission. Answer: The independent, not-for-profit
organization that evaluiates and monitors the quality of care provided in
hospitals
●● Interdisciplinary plan of care. Answer: A documented process that
includes the patient, the family, and all clinical disciplines involved in
planning and providing care to a patient from system point of entry,
throuhgout the entire acute care episode, and to the next level of care
●● Independent Practice Association. Answer: A legal entity that
contracts with a group of independent physicians to provide services to
managed care organizations at a negotiated per capita rate; the
arrangement is usually not exclusive, so the physicians may sign
contracts with other managed care companies
●● Indemnity Plans. Answer: Traditional fee-for-service health plans
●● Hospitalist. Answer: A physician who manages broad categories of
hospitalized patients
●● Hospital preauthorization. Answer: A managed care technique in
which the insured obtains permission from a managed care organization
before entering the hospital for nonemergency care.
●● Palliative Care. Answer: Interdisciplinary care provided to a patient
with a serious, life-threatening, or life-limiting illness that aims not to
