HCQM; PRACTICE TEST QUESTIONS
AND VERIFIED ANSWERS; 100%
CORRECT; GRADE A
A patient has end-stage lung disease and is not a
candidate to surgical repair. The care team recommends
hospice care. How is hospice reimbursed for Medicare
patients?
a. Medicare Part A
b. Medicare Part B
c. Medicare Part C
d. Medicare does not pay for hospice care. - correct
answer- Medicare Part A
A patient safety officer realizes that there is an increase in
post-operative infections when the procedure takes place
on a Friday. How should the patient safety professional
proceed to address the issue with the hospital?
a. Participate in Friday grand rounds to investigate
b. Mandate all surgical staff attends inservice training
c. Implement an investigate program like Six Sigma
,d. Change the surgical schedule to not include Friday
procedures - correct answer- Implement an
investigate program like Six Sigma
Six Sigma is a quality approach to improve performance
and reduce variation in process across the system and
would be an appropriate first step to improve overall
performance.
A repository of stored information that includes
documentation of fraudulent activities of practitioners is
called:
a. American Medical Association (AMA) profile.
b. The National Practitioner Data Bank (NPDB).
c. The Federation of State Medical Boards.
d. All of the above. - correct answer- The
National Practitioner Data Bank (NPDB)
The Data Bank, an integrated site between the National
Practitioner Data Bank and Healthcare Integrity and
Protection Data Bank, is a repository of negative
,information regarding licensure, registration, peer review,
and malpractice claims indicating fraudulent activities.
The Federation of State Medical Boards and AMA profile
provide primary source verification and licensure
information.
According to the Institute of Medicine's "To Err is Human"
report, which of the following causes the most deaths?
a. Breast cancer
b. Acquired Immune Deficiency Syndrome (AIDS)
c. Motor vehicle accidents
d. Medical Errors
e. Diabetes mellitus - correct answer- Medical
Errors
According to the IOM, more people die in a given year as
a result of medical errors than motor vehicle accidents,
AIDS, diabetes, or breast cancer
Accountable Care Organizations (ACOs) agreed to manage
all of the health care needs of a minimum of 5,000
, Medicare beneficiaries for at least five years and would
bring together which of the following components to
provide health care to the patient?
a. Primary care physicians
b. Home health care
c. Hospital care
d. All of the above - correct answer- All of the
above
The Medicare Shared Savings Program (MSSP) provision
of the Affordable Care Act (ACA) creates an ACO to ensure
that all of the parts work together to provide care to the
patient.
All of the following patients are appropriate for palliative
care, EXCEPT:
a. End-stage cancer patients.
b. Late-stage congestive heart failure patients with
frequent hospital readmissions.
c. Patients with recurrent diabetic ketoacidosis.
AND VERIFIED ANSWERS; 100%
CORRECT; GRADE A
A patient has end-stage lung disease and is not a
candidate to surgical repair. The care team recommends
hospice care. How is hospice reimbursed for Medicare
patients?
a. Medicare Part A
b. Medicare Part B
c. Medicare Part C
d. Medicare does not pay for hospice care. - correct
answer- Medicare Part A
A patient safety officer realizes that there is an increase in
post-operative infections when the procedure takes place
on a Friday. How should the patient safety professional
proceed to address the issue with the hospital?
a. Participate in Friday grand rounds to investigate
b. Mandate all surgical staff attends inservice training
c. Implement an investigate program like Six Sigma
,d. Change the surgical schedule to not include Friday
procedures - correct answer- Implement an
investigate program like Six Sigma
Six Sigma is a quality approach to improve performance
and reduce variation in process across the system and
would be an appropriate first step to improve overall
performance.
A repository of stored information that includes
documentation of fraudulent activities of practitioners is
called:
a. American Medical Association (AMA) profile.
b. The National Practitioner Data Bank (NPDB).
c. The Federation of State Medical Boards.
d. All of the above. - correct answer- The
National Practitioner Data Bank (NPDB)
The Data Bank, an integrated site between the National
Practitioner Data Bank and Healthcare Integrity and
Protection Data Bank, is a repository of negative
,information regarding licensure, registration, peer review,
and malpractice claims indicating fraudulent activities.
The Federation of State Medical Boards and AMA profile
provide primary source verification and licensure
information.
According to the Institute of Medicine's "To Err is Human"
report, which of the following causes the most deaths?
a. Breast cancer
b. Acquired Immune Deficiency Syndrome (AIDS)
c. Motor vehicle accidents
d. Medical Errors
e. Diabetes mellitus - correct answer- Medical
Errors
According to the IOM, more people die in a given year as
a result of medical errors than motor vehicle accidents,
AIDS, diabetes, or breast cancer
Accountable Care Organizations (ACOs) agreed to manage
all of the health care needs of a minimum of 5,000
, Medicare beneficiaries for at least five years and would
bring together which of the following components to
provide health care to the patient?
a. Primary care physicians
b. Home health care
c. Hospital care
d. All of the above - correct answer- All of the
above
The Medicare Shared Savings Program (MSSP) provision
of the Affordable Care Act (ACA) creates an ACO to ensure
that all of the parts work together to provide care to the
patient.
All of the following patients are appropriate for palliative
care, EXCEPT:
a. End-stage cancer patients.
b. Late-stage congestive heart failure patients with
frequent hospital readmissions.
c. Patients with recurrent diabetic ketoacidosis.
