DOWNLOAD THE Test Bank for Comparative Health Information Management 4th E
b b b b b b b b b b
dition Peden b
Chapter 02 Hospital Based Care
b b b b
MULTICHOICE
1. Theb physicianb sendsb theb patientb tob theb hospitalb forb ab radiologicalb examination.b Theb patientb return
sbtobthebphysician'sbofficebforbfollow-
upbofbtestbresults.bFrombthebpointbofbviewbofbthebhospital,bwhatbtypeb ofbhospitalbpatientbisbthis?
(A) inpatient
(B) emergencyb outpatient
(C) clinicb outpatient
(D) referredb outpatient
Answerb :b (D)
2. Whatbisbabprogrambforbthebperformancebofbelectivebsurgicalbproceduresbonbpatientsbwhobarebclass
ifiedbasboutpatientsbandbtypicallybarebreleasedbfrombthebsurgerybcenterbonbthebdaybofbsurgery,b thusb
avoidingbanbovernightbstaybinbthebhealthbcarebfacility?
(A) ambulatorybsurgery
(B) partialb hospitalization
(C) adultb dayb care
(D) surgeryb clinic
Answerb :b (A)
3. MedicarebPartbAbandbPartbBbbeneficiarybinformationbisbmaintainedbinb
,ballowingbreal-
timebeligibilitybrequestsbforbcoveragebusingbabsecurebclosedbprivatebnetworkbtobcommunicatebwithb
abCMSbdatabcenterborbviabthebCMSbExtranet.
(A) theb HIPAAb Eligibilityb Transactionb System
(B) ambulatoryb patientb groups
(C) uniformb ambulatoryb careb datab sets
(D) chargeb descriptionb masters
Answerb :b (A)
4. Inb theb hospitalb setting,b theb termb "resident"b isb primarilyb appliedb tob b .
(A) ab licensedb physicianb participatingb inb anb approvedb graduateb medicalb educationb program
mynursytest.store
,DOWNLOAD THE Test Bank for Comparative Health Information Management 4th E
b b b b b b b b b b
dition Peden b
(B) anb outpatientb evaluatedb andb treatedb inb theb observationb areab ofb theb hospital
(C) ab computerb programb thatb residesb inb RAM,b usedb tob diagnoseb emergencyb patientsb quickly
(D) patientsb enrolledb inb theb hospital'sb longtermb ambulatoryb careb program
Answerb :b (A)
5. Selectb theb TRUEb statementb belowb withb regardb tob Medicareb hospitalb outpatientb reimbursement.
(A) Theb hospitalb mayb beb paidb forb onlyb oneb RBRVSb perb dayb perb patient
(B) Theb hospitalb mayb beb paidb forb onlyb oneb APCb perb dayb perb patient
(C) Theb hospitalb mayb beb paidb forb onlyb oneb APCb perb patientb perb 72b hours
(D) Theb hospitalb mayb beb paidb forb moreb thanb oneb APCb perb patientb visit
Answerb :b (D)
6. UnderbEMTALA,bhospitalsbthatbofferbemergencybservicesb .
(A) areb freeb tob refuseb emergencyb servicesb tob patientsb whob dob notb showb proofb ofb insurance
(B) canbrefusebemergencybservicesbtobpatientsbasblongbasbanotherbhospitalbagreesbtobacceptbtheb
patientbasbabtransfer
(C) mustb screenb andb stabilize,b ifb necessary,b anyb patientb whob arrivesb inb theb emergencyb department
(D) mustbprovidebemergencybservicesbfreebofbchargebtobabcertainbnumberbofbindividualbtobmeetbtheb
EMTALAbcharitybobligations
Answerb :b (C)
7. Partialb hospitalizationb servicesb areb paidb forb underb Ambulatoryb Paymentb Classificationsb (APCs)b
whenb .
(A) receivedbbybunstablebdialysisbpatientsbinbabpartbofbthebhospitalbwherebpatientsbgenerallybdobnotb
staybovernight
(B) psychiatricborbbehavioralbhealthbpatientsbreceivebcertainbservicesbandbspendbpartbofbthebdayborbtheb
nightbinbthebhospital
(C) anbobservationbpatientbhasbbeenbinbthebhospitalbforboverb48bhoursbandbthebpatient'sbconditionbstillb
doesbnotbpermitbdischargebtobhome
(D) anb inpatientb lengthb ofb stayb isb toob shortb forb ab regularb diagnosisb relatedb groupb (DRG)b payment
Answerb :b (B)
mynursytest.store
, DOWNLOAD THE Test Bank for Comparative Health Information Management 4th E
b b b b b b b b b b
dition Peden b
8. Whichb ofb theb followingb statementsb isb FALSE?
(A) Documentationbofbtelephonebcallsbisbanbimportantbelementbinbgoodbriskbmanagementbforb
ambulatorybcare.
(B) Abhospitalbcompliancebofficerbmaybbebconcernedbwithbavoidingbfraudulentbcodingbandbbillingbasb
wellbasbwithbmonitoringbcompliancebwithbfederalbregulationsbsuchbasbHIPAA.
(C) Becausebofbtheirbknowledgebofbcoding,bhealthbinformationbmanagersbcanbhelpbreview,brevise,bandb
maintainbthebhospital'sbchargemaster.
(D) HospitalsbreceivebMedicarebreimbursementbforbambulatorybcarebthroughbanboutpatientb
prospectivebpaymentbsystemb(OPPS)bbasedbonbDRGs.
Answerb :b (D)
9. Medicareb paymentsb tob long-termb acute-careb hospitalsb (LTACHs)b areb basedb onb .
(A) LTC-DRGs
(B) PIP-DCGs
(C) DRGs
(D) RUGs
Answerb :b (A)
10. Whichb ofb theb followingb statementsb isb TRUE?
(A) Hospitalsb mustb beb accreditedb byb Theb Jointb Commission.
(B) Hospitalsb mustb beb licensedb byb theb stateb inb whichb theyb areb located.
(C) Hospitalsb mustb haveb ab hospitalistb onb staffb tob qualifyb forb CMSb certification.
(D) Hospitalsb dob notb haveb tob beb licensedb tob admitb patients.
Answerb :b (B)
11. Withoutbdocumentedbinformationbonbthebdiagnosesborbsymptomsbthatbpromptedbabphysicianbto
borderbabtest,bthebhospitalblacksbthebinformation bneededbtobdemonstratebthatbthebtestbwas
.
(A) performedbinbab timelybmanner
(B) professionallybadministered
(C) medicallyb necessary
(D) criticallyb assessed
mynursytest.store
b b b b b b b b b b
dition Peden b
Chapter 02 Hospital Based Care
b b b b
MULTICHOICE
1. Theb physicianb sendsb theb patientb tob theb hospitalb forb ab radiologicalb examination.b Theb patientb return
sbtobthebphysician'sbofficebforbfollow-
upbofbtestbresults.bFrombthebpointbofbviewbofbthebhospital,bwhatbtypeb ofbhospitalbpatientbisbthis?
(A) inpatient
(B) emergencyb outpatient
(C) clinicb outpatient
(D) referredb outpatient
Answerb :b (D)
2. Whatbisbabprogrambforbthebperformancebofbelectivebsurgicalbproceduresbonbpatientsbwhobarebclass
ifiedbasboutpatientsbandbtypicallybarebreleasedbfrombthebsurgerybcenterbonbthebdaybofbsurgery,b thusb
avoidingbanbovernightbstaybinbthebhealthbcarebfacility?
(A) ambulatorybsurgery
(B) partialb hospitalization
(C) adultb dayb care
(D) surgeryb clinic
Answerb :b (A)
3. MedicarebPartbAbandbPartbBbbeneficiarybinformationbisbmaintainedbinb
,ballowingbreal-
timebeligibilitybrequestsbforbcoveragebusingbabsecurebclosedbprivatebnetworkbtobcommunicatebwithb
abCMSbdatabcenterborbviabthebCMSbExtranet.
(A) theb HIPAAb Eligibilityb Transactionb System
(B) ambulatoryb patientb groups
(C) uniformb ambulatoryb careb datab sets
(D) chargeb descriptionb masters
Answerb :b (A)
4. Inb theb hospitalb setting,b theb termb "resident"b isb primarilyb appliedb tob b .
(A) ab licensedb physicianb participatingb inb anb approvedb graduateb medicalb educationb program
mynursytest.store
,DOWNLOAD THE Test Bank for Comparative Health Information Management 4th E
b b b b b b b b b b
dition Peden b
(B) anb outpatientb evaluatedb andb treatedb inb theb observationb areab ofb theb hospital
(C) ab computerb programb thatb residesb inb RAM,b usedb tob diagnoseb emergencyb patientsb quickly
(D) patientsb enrolledb inb theb hospital'sb longtermb ambulatoryb careb program
Answerb :b (A)
5. Selectb theb TRUEb statementb belowb withb regardb tob Medicareb hospitalb outpatientb reimbursement.
(A) Theb hospitalb mayb beb paidb forb onlyb oneb RBRVSb perb dayb perb patient
(B) Theb hospitalb mayb beb paidb forb onlyb oneb APCb perb dayb perb patient
(C) Theb hospitalb mayb beb paidb forb onlyb oneb APCb perb patientb perb 72b hours
(D) Theb hospitalb mayb beb paidb forb moreb thanb oneb APCb perb patientb visit
Answerb :b (D)
6. UnderbEMTALA,bhospitalsbthatbofferbemergencybservicesb .
(A) areb freeb tob refuseb emergencyb servicesb tob patientsb whob dob notb showb proofb ofb insurance
(B) canbrefusebemergencybservicesbtobpatientsbasblongbasbanotherbhospitalbagreesbtobacceptbtheb
patientbasbabtransfer
(C) mustb screenb andb stabilize,b ifb necessary,b anyb patientb whob arrivesb inb theb emergencyb department
(D) mustbprovidebemergencybservicesbfreebofbchargebtobabcertainbnumberbofbindividualbtobmeetbtheb
EMTALAbcharitybobligations
Answerb :b (C)
7. Partialb hospitalizationb servicesb areb paidb forb underb Ambulatoryb Paymentb Classificationsb (APCs)b
whenb .
(A) receivedbbybunstablebdialysisbpatientsbinbabpartbofbthebhospitalbwherebpatientsbgenerallybdobnotb
staybovernight
(B) psychiatricborbbehavioralbhealthbpatientsbreceivebcertainbservicesbandbspendbpartbofbthebdayborbtheb
nightbinbthebhospital
(C) anbobservationbpatientbhasbbeenbinbthebhospitalbforboverb48bhoursbandbthebpatient'sbconditionbstillb
doesbnotbpermitbdischargebtobhome
(D) anb inpatientb lengthb ofb stayb isb toob shortb forb ab regularb diagnosisb relatedb groupb (DRG)b payment
Answerb :b (B)
mynursytest.store
, DOWNLOAD THE Test Bank for Comparative Health Information Management 4th E
b b b b b b b b b b
dition Peden b
8. Whichb ofb theb followingb statementsb isb FALSE?
(A) Documentationbofbtelephonebcallsbisbanbimportantbelementbinbgoodbriskbmanagementbforb
ambulatorybcare.
(B) Abhospitalbcompliancebofficerbmaybbebconcernedbwithbavoidingbfraudulentbcodingbandbbillingbasb
wellbasbwithbmonitoringbcompliancebwithbfederalbregulationsbsuchbasbHIPAA.
(C) Becausebofbtheirbknowledgebofbcoding,bhealthbinformationbmanagersbcanbhelpbreview,brevise,bandb
maintainbthebhospital'sbchargemaster.
(D) HospitalsbreceivebMedicarebreimbursementbforbambulatorybcarebthroughbanboutpatientb
prospectivebpaymentbsystemb(OPPS)bbasedbonbDRGs.
Answerb :b (D)
9. Medicareb paymentsb tob long-termb acute-careb hospitalsb (LTACHs)b areb basedb onb .
(A) LTC-DRGs
(B) PIP-DCGs
(C) DRGs
(D) RUGs
Answerb :b (A)
10. Whichb ofb theb followingb statementsb isb TRUE?
(A) Hospitalsb mustb beb accreditedb byb Theb Jointb Commission.
(B) Hospitalsb mustb beb licensedb byb theb stateb inb whichb theyb areb located.
(C) Hospitalsb mustb haveb ab hospitalistb onb staffb tob qualifyb forb CMSb certification.
(D) Hospitalsb dob notb haveb tob beb licensedb tob admitb patients.
Answerb :b (B)
11. Withoutbdocumentedbinformationbonbthebdiagnosesborbsymptomsbthatbpromptedbabphysicianbto
borderbabtest,bthebhospitalblacksbthebinformation bneededbtobdemonstratebthatbthebtestbwas
.
(A) performedbinbab timelybmanner
(B) professionallybadministered
(C) medicallyb necessary
(D) criticallyb assessed
mynursytest.store
