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l l l l l l l l l l
dition Peden l
Chapter02HospitalBasedCare
l l l l
MULTICHOICE
1. Thel physicianl sendsl thel patientl tol thel hospitall forl al radiologicall examination.l Thel patientl returnsltol t
hel physician'sl officel forl follow-
upl ofl testl results.l Froml thel pointl ofl viewl ofl thel hospital,l whatl typelofl hospitall patientl isl this?
(A) inpatient
(B) emergencyl outpatient
(C) clinicl outpatient
(D) referredl outpatient
Answerl:l(D)
2. Whatl isl al programl forl thel performancel ofl electivel surgicall proceduresl onl patientsl whol arelclassifi
edl asl outpatientsl andl typicallyl arel releasedl froml thel surgeryl centerl onl thel dayl ofl surgery,lthusl avoid
ingl anl overnightl stayl inl thel healthl carel facility?
(A) ambulatoryl surgery
(B) partiall hospitalization
(C) adultl dayl care
(D) surgeryl clinic
Answerl:l(A)
3. MedicarelPartlAlandlPartlBlbeneficiarylinformationlislmaintainedlin
,lallowinglreal-
timeleligibilitylrequestslforlcoveragelusinglalsecurelclosedlprivatelnetworkltolcommunicatelwithl al C
MSl datal centerlorl vial thel CMSl Extranet.
(A) thel HIPAAl Eligibilityl Transactionl System
(B) ambulatoryl patientl groups
(C) uniforml ambulatoryl carel datal sets
(D) chargel descriptionl masters
Answerl:l(A)
4. Inlthelhospitallsetting,lthelterml"resident"lislprimarilylappliedlto .
(A) al licensedl physicianl participatingl inl anl approvedl graduatel medicall educationl program
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dition Peden l
(B) anl outpatientl evaluatedl andl treatedl inl thel observationl areal ofl thel hospital
(C) al computerl programl thatl residesl inl RAM,l usedl tol diagnosel emergencyl patientsl quickly
(D) patientsl enrolledl inl thel hospital'sl longterml ambulatoryl carel program
Answerl:l(A)
5. Selectl thel TRUEl statementl belowl withl regardl tol Medicarel hospitall outpatientl reimbursement.
(A) Thel hospitall mayl bel paidl forl onlyl onel RBRVSl perl dayl perl patient
(B) Thel hospitall mayl bel paidl forl onlyl onel APCl perl dayl perl patient
(C) Thel hospitall mayl bel paidl forl onlyl onel APCl perl patientl perl 72l hours
(D) Thel hospitall mayl bel paidl forl morel thanl onel APCl perl patientl visit
Answerl:l(D)
6. UnderlEMTALA,lhospitalslthatlofferlemergencylservices .
(A) arel freel tol refusel emergencyl servicesl tol patientsl whol dol notl showl proofl ofl insurance
(B) canl refusel emergencyl servicesl tol patientsl asl longl asl anotherl hospitall agreesl tol acceptl thelpat
ientl asl al transfer
(C) mustl screenl andl stabilize,l ifl necessary,l anyl patientl whol arrivesl inl thel emergencyl department
(D) mustl providel emergencyl servicesl freel ofl chargel tol al certainl numberl ofl individuall tol meetl thelEM
TALAl charityl obligations
Answerl:l(C)
7. Partiall hospitalizationl servicesl arel paidl forl underl Ambulatoryl Paymentl Classificationsl (APCs)lw
hen .
(A) receivedl byl unstablel dialysisl patientsl inl al partl ofl thel hospitall wherel patientsl generallyl dol notlsta
yl overnight
(B) psychiatricl orl behaviorall healthl patientsl receivel certainl servicesl andl spendl partl ofl thel dayl orl thelnig
htl inl thel hospital
(C) anl observationl patientl hasl beenl inl thel hospitall forl overl 48l hoursl andl thel patient'sl conditionl stillldoe
sl notl permitl dischargel tol home
(D) anl inpatientl lengthl ofl stayl isl tool shortl forl al regularl diagnosisl relatedl groupl (DRG)l payment
Answerl:l(B)
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, DOWNLOAD THE Test Bank for Comparative Health Information Management4th E
l l l l l l l l l l
dition Peden l
8. Whichl ofl thel followingl statementsl isl FALSE?
(A) Documentationl ofl telephonel callsl isl anl importantl elementl inl goodl riskl managementl forlam
bulatoryl care.
(B) Al hospitall compliancel officerl mayl bel concernedl withl avoidingl fraudulentl codingl andl billingl aslwe
lll asl withl monitoringl compliancel withl federall regulationsl suchl asl HIPAA.
(C) Becauselofltheirlknowledgeloflcoding,lhealthlinformationlmanagerslcanlhelplreview,lrevise,landlma
intainlthelhospital'sl chargemaster.
(D) Hospitalsl receivel Medicarel reimbursementl forl ambulatoryl carel throughl anl outpatientlpr
ospectivel paymentl systeml (OPPS)l basedl onl DRGs.
Answerl:l(D)
9. Medicarelpaymentsltollong-termlacute-carelhospitalsl(LTACHs)larelbasedlon .
(A) LTC-DRGs
(B) PIP-DCGs
(C) DRGs
(D) RUGs
Answerl:l(A)
10. Whichl ofl thel followingl statementsl isl TRUE?
(A) Hospitalsl mustl bel accreditedl byl Thel Jointl Commission.
(B) Hospitalsl mustl bel licensedl byl thel statel inl whichl theyl arel located.
(C) HospitalslmustlhavelalhospitalistlonlstaffltolqualifylforlCMSlcertification.
(D) Hospitalsl dol notl havel tol bel licensedl tol admitl patients.
Answerl:l(B)
11. Withoutl documentedl informationl onl thel diagnosesl orl symptomsl thatl promptedl al physicianl tolor
derl al test,l thel hospitall lacksl thel informationl neededl tol demonstratel thatl thel testl was
l .
(A) performedl inl al timelyl manner
(B) professionallyl administered
(C) medicallyl necessary
(D) criticallyl assessed
mynursytest.store
l l l l l l l l l l
dition Peden l
Chapter02HospitalBasedCare
l l l l
MULTICHOICE
1. Thel physicianl sendsl thel patientl tol thel hospitall forl al radiologicall examination.l Thel patientl returnsltol t
hel physician'sl officel forl follow-
upl ofl testl results.l Froml thel pointl ofl viewl ofl thel hospital,l whatl typelofl hospitall patientl isl this?
(A) inpatient
(B) emergencyl outpatient
(C) clinicl outpatient
(D) referredl outpatient
Answerl:l(D)
2. Whatl isl al programl forl thel performancel ofl electivel surgicall proceduresl onl patientsl whol arelclassifi
edl asl outpatientsl andl typicallyl arel releasedl froml thel surgeryl centerl onl thel dayl ofl surgery,lthusl avoid
ingl anl overnightl stayl inl thel healthl carel facility?
(A) ambulatoryl surgery
(B) partiall hospitalization
(C) adultl dayl care
(D) surgeryl clinic
Answerl:l(A)
3. MedicarelPartlAlandlPartlBlbeneficiarylinformationlislmaintainedlin
,lallowinglreal-
timeleligibilitylrequestslforlcoveragelusinglalsecurelclosedlprivatelnetworkltolcommunicatelwithl al C
MSl datal centerlorl vial thel CMSl Extranet.
(A) thel HIPAAl Eligibilityl Transactionl System
(B) ambulatoryl patientl groups
(C) uniforml ambulatoryl carel datal sets
(D) chargel descriptionl masters
Answerl:l(A)
4. Inlthelhospitallsetting,lthelterml"resident"lislprimarilylappliedlto .
(A) al licensedl physicianl participatingl inl anl approvedl graduatel medicall educationl program
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l l l l l l l l l l
dition Peden l
(B) anl outpatientl evaluatedl andl treatedl inl thel observationl areal ofl thel hospital
(C) al computerl programl thatl residesl inl RAM,l usedl tol diagnosel emergencyl patientsl quickly
(D) patientsl enrolledl inl thel hospital'sl longterml ambulatoryl carel program
Answerl:l(A)
5. Selectl thel TRUEl statementl belowl withl regardl tol Medicarel hospitall outpatientl reimbursement.
(A) Thel hospitall mayl bel paidl forl onlyl onel RBRVSl perl dayl perl patient
(B) Thel hospitall mayl bel paidl forl onlyl onel APCl perl dayl perl patient
(C) Thel hospitall mayl bel paidl forl onlyl onel APCl perl patientl perl 72l hours
(D) Thel hospitall mayl bel paidl forl morel thanl onel APCl perl patientl visit
Answerl:l(D)
6. UnderlEMTALA,lhospitalslthatlofferlemergencylservices .
(A) arel freel tol refusel emergencyl servicesl tol patientsl whol dol notl showl proofl ofl insurance
(B) canl refusel emergencyl servicesl tol patientsl asl longl asl anotherl hospitall agreesl tol acceptl thelpat
ientl asl al transfer
(C) mustl screenl andl stabilize,l ifl necessary,l anyl patientl whol arrivesl inl thel emergencyl department
(D) mustl providel emergencyl servicesl freel ofl chargel tol al certainl numberl ofl individuall tol meetl thelEM
TALAl charityl obligations
Answerl:l(C)
7. Partiall hospitalizationl servicesl arel paidl forl underl Ambulatoryl Paymentl Classificationsl (APCs)lw
hen .
(A) receivedl byl unstablel dialysisl patientsl inl al partl ofl thel hospitall wherel patientsl generallyl dol notlsta
yl overnight
(B) psychiatricl orl behaviorall healthl patientsl receivel certainl servicesl andl spendl partl ofl thel dayl orl thelnig
htl inl thel hospital
(C) anl observationl patientl hasl beenl inl thel hospitall forl overl 48l hoursl andl thel patient'sl conditionl stillldoe
sl notl permitl dischargel tol home
(D) anl inpatientl lengthl ofl stayl isl tool shortl forl al regularl diagnosisl relatedl groupl (DRG)l payment
Answerl:l(B)
mynursytest.store
, DOWNLOAD THE Test Bank for Comparative Health Information Management4th E
l l l l l l l l l l
dition Peden l
8. Whichl ofl thel followingl statementsl isl FALSE?
(A) Documentationl ofl telephonel callsl isl anl importantl elementl inl goodl riskl managementl forlam
bulatoryl care.
(B) Al hospitall compliancel officerl mayl bel concernedl withl avoidingl fraudulentl codingl andl billingl aslwe
lll asl withl monitoringl compliancel withl federall regulationsl suchl asl HIPAA.
(C) Becauselofltheirlknowledgeloflcoding,lhealthlinformationlmanagerslcanlhelplreview,lrevise,landlma
intainlthelhospital'sl chargemaster.
(D) Hospitalsl receivel Medicarel reimbursementl forl ambulatoryl carel throughl anl outpatientlpr
ospectivel paymentl systeml (OPPS)l basedl onl DRGs.
Answerl:l(D)
9. Medicarelpaymentsltollong-termlacute-carelhospitalsl(LTACHs)larelbasedlon .
(A) LTC-DRGs
(B) PIP-DCGs
(C) DRGs
(D) RUGs
Answerl:l(A)
10. Whichl ofl thel followingl statementsl isl TRUE?
(A) Hospitalsl mustl bel accreditedl byl Thel Jointl Commission.
(B) Hospitalsl mustl bel licensedl byl thel statel inl whichl theyl arel located.
(C) HospitalslmustlhavelalhospitalistlonlstaffltolqualifylforlCMSlcertification.
(D) Hospitalsl dol notl havel tol bel licensedl tol admitl patients.
Answerl:l(B)
11. Withoutl documentedl informationl onl thel diagnosesl orl symptomsl thatl promptedl al physicianl tolor
derl al test,l thel hospitall lacksl thel informationl neededl tol demonstratel thatl thel testl was
l .
(A) performedl inl al timelyl manner
(B) professionallyl administered
(C) medicallyl necessary
(D) criticallyl assessed
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