CHC Practice Question And Answers
A behavioral health specialist notices a particularly high number of
restraint deaths at a facility. An analysis of the root causes of these events
is most likely to indicate problems with:
a. Equipment
b. Staff orientation and training
c. Staffing levels
d. Alarm systems - -b. Staff orientation and training
Equipment, staffing levels, and alarm system can also be culpable in
restraint deaths, but problems with orientation and training are much
more likely.
- A healthcare facility's income statement is an example of:
a. baseline audit
b. retrospective audit
c. concurrent audit
d. snapshot audit - -b. retrospective audit
Concurrent audit is real-time evaluations of records/policies.
Snapshot audit is a comprehensive picture of the organization at a
particular time.
Baseline audit is also a comprehensive evaluation but undertaken for
establishing benchmarks against which future performance may be
compared.
- A hospital's medication system is vast, and various element of it fall
within the purview of several different departments. One important step
forwards reducing errors in this system is to:
a. make each department responsible for the system as a whole
b. have each department use the same self-assessment tools
c. give a single person responsibility for overseeing the entire system
d. simplify it - -c. give a single person responsibility for overseeing the
entire system
- According to the Federal Sentencing Guidelines, which of the following
factors could increase the punishment of an organization?
a. obstruction of justice
b. violation of direct court order
c. prior history of violations
d. all of the above - -d. all of the above
These are aggravating factors that increase the culpability score under the
FSG.
, See FSG chapter 8-C2.5 https://guidelines.ussc.gov/gl/%C2%A78C2.5
- According to the Institute of Medicine, which of the following is NOT
one of the domains of quality of care?
a. government regulation
b. customization
c. safety
d. interventions consistent with the latest findings - -a. government
regulation
- According to the OIG, which of the following would likely be the least
helpful measure for improving outpatient services?
a. describe the hospital's post-submission testing process to a fiscal
intermediary
b. evaluate all possible bills for outpatient services provided at the
hospital and within the applicable time period
c. implement computer programs to identify outpatient services that are
not billed separately from inpatient services
d. establish a regular manual review of outpatient service claims - -a.
describe the hospital's post-submission testing process to a fiscal
intermediary
- According to title II of HIPAA, disclosure of Protected Health Information
related to which of the following actions requires the patient's express
written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - -a. state in which the treatment occur
A covered entity may disclose PHI for TPO (treatment, payment, and
healthcare operations)
- At which level of the Medicare Part A or B appeals process is the appeal
reconsidered by a qualified independent contractor?
a. first level appeal
b. second level appeal
c. third level appeal
d. fourth level appeal - -b. second level appeal
There are five levels of appeal.
First level entails a redetermination of claim; second level involves
reconsideration by a qualified independent contractor; third level includes
a hearing overseen by admin law judge; fourth level is a review of
Medicare Review Council; and fifth level is a judicial review in federal
court.
- Because of a doctor's poor handwriting, a prescription must be
reworked before it leaves the pharmacy. Which of the following is true?
A behavioral health specialist notices a particularly high number of
restraint deaths at a facility. An analysis of the root causes of these events
is most likely to indicate problems with:
a. Equipment
b. Staff orientation and training
c. Staffing levels
d. Alarm systems - -b. Staff orientation and training
Equipment, staffing levels, and alarm system can also be culpable in
restraint deaths, but problems with orientation and training are much
more likely.
- A healthcare facility's income statement is an example of:
a. baseline audit
b. retrospective audit
c. concurrent audit
d. snapshot audit - -b. retrospective audit
Concurrent audit is real-time evaluations of records/policies.
Snapshot audit is a comprehensive picture of the organization at a
particular time.
Baseline audit is also a comprehensive evaluation but undertaken for
establishing benchmarks against which future performance may be
compared.
- A hospital's medication system is vast, and various element of it fall
within the purview of several different departments. One important step
forwards reducing errors in this system is to:
a. make each department responsible for the system as a whole
b. have each department use the same self-assessment tools
c. give a single person responsibility for overseeing the entire system
d. simplify it - -c. give a single person responsibility for overseeing the
entire system
- According to the Federal Sentencing Guidelines, which of the following
factors could increase the punishment of an organization?
a. obstruction of justice
b. violation of direct court order
c. prior history of violations
d. all of the above - -d. all of the above
These are aggravating factors that increase the culpability score under the
FSG.
, See FSG chapter 8-C2.5 https://guidelines.ussc.gov/gl/%C2%A78C2.5
- According to the Institute of Medicine, which of the following is NOT
one of the domains of quality of care?
a. government regulation
b. customization
c. safety
d. interventions consistent with the latest findings - -a. government
regulation
- According to the OIG, which of the following would likely be the least
helpful measure for improving outpatient services?
a. describe the hospital's post-submission testing process to a fiscal
intermediary
b. evaluate all possible bills for outpatient services provided at the
hospital and within the applicable time period
c. implement computer programs to identify outpatient services that are
not billed separately from inpatient services
d. establish a regular manual review of outpatient service claims - -a.
describe the hospital's post-submission testing process to a fiscal
intermediary
- According to title II of HIPAA, disclosure of Protected Health Information
related to which of the following actions requires the patient's express
written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - -a. state in which the treatment occur
A covered entity may disclose PHI for TPO (treatment, payment, and
healthcare operations)
- At which level of the Medicare Part A or B appeals process is the appeal
reconsidered by a qualified independent contractor?
a. first level appeal
b. second level appeal
c. third level appeal
d. fourth level appeal - -b. second level appeal
There are five levels of appeal.
First level entails a redetermination of claim; second level involves
reconsideration by a qualified independent contractor; third level includes
a hearing overseen by admin law judge; fourth level is a review of
Medicare Review Council; and fifth level is a judicial review in federal
court.
- Because of a doctor's poor handwriting, a prescription must be
reworked before it leaves the pharmacy. Which of the following is true?
