,DOWNLOADgTHEgTestgBankgforgComparativegHealthgInformationgManagementg4thg
EditiongPeden
Chapterg 02g Hospitalg Basedg Care
MULTICHOICE
1. Theg physiciang sendsg theg patientg tog theg hospitalg forg ag radiologicalg examination.g Theg patientg retu
rnsgtogthegphysician'sgofficegforgfollow-
upgofgtestgresults.gFromgthegpointgofgviewgofgtheghospital,gwhatgtypeg ofghospitalgpatientgisgthis?
(A) inpatient
(B) emergencyg outpatient
(C) clinicg outpatient
(D) referredg outpatient
Answerg :g (D)
2. Whatgisgagprogramgforgthegperformancegofgelectivegsurgicalgproceduresgongpatientsgwhogaregcl
assifiedgasgoutpatientsgandgtypicallygaregreleasedgfromgthegsurgerygcentergongthegdaygofgsurgery,
g thusgavoidinggangovernightgstaygingtheghealthgcaregfacility?
(A) ambulatorygsurgery
(B) partialg hospitalization
(C) adultg dayg care
(D) surgeryg clinic
Answerg :g (A)
3. MedicaregPartgAgandgPartgBgbeneficiaryginformationgisgmaintainedging
,gallowinggreal-
timegeligibilitygrequestsgforgcoveragegusinggagsecuregclosedgprivategnetworkgtogcommunicategwit
hgagCMSgdatagcentergorgviagthegCMSgExtranet.
(A) theg HIPAAg Eligibilityg Transactiong System
(B) ambulatoryg patientg groups
(C) uniformg ambulatoryg careg datag sets
(D) chargeg descriptiong masters
Answerg :g (A)
4. Ing theg hospitalg setting,g theg termg "resident"g isg primarilyg appliedg tog g.
(A) ag licensedg physiciang participatingg ing ang approvedg graduateg medicalg educationg program
mynursytest.store
,DOWNLOADgTHEgTestgBankgforgComparativegHealthgInformationgManagementg4thg
EditiongPeden
(B) ang outpatientg evaluatedg andg treatedg ing theg observationg areag ofg theg hospital
(C) ag computerg programg thatg residesg ing RAM,g usedg tog diagnoseg emergencyg patientsg quickly
(D) patientsg enrolledg ing theg hospital'sg longtermg ambulatoryg careg program
Answerg :g (A)
5. Selectg theg TRUEg statementg belowg withg regardg tog Medicareg hospitalg outpatientg reimbursement.
(A) Theg hospitalg mayg beg paidg forg onlyg oneg RBRVSg perg dayg perg patient
(B) Theg hospitalg mayg beg paidg forg onlyg oneg APCg perg dayg perg patient
(C) Theg hospitalg mayg beg paidg forg onlyg oneg APCg perg patientg perg 72g hours
(D) Theg hospitalg mayg beg paidg forg moreg thang oneg APCg perg patientg visit
Answerg :g (D)
6. UndergEMTALA,ghospitalsgthatgoffergemergencygservicesg .
(A) areg freeg tog refuseg emergencyg servicesg tog patientsg whog dog notg showg proofg ofg insurance
(B) cangrefusegemergencygservicesgtogpatientsgasglonggasganotherghospitalgagreesgtogacceptgthe
g patientgasgagtransfer
(C) mustg screeng andg stabilize,g ifg necessary,g anyg patientg whog arrivesg ing theg emergencyg department
(D) mustgprovidegemergencygservicesgfreegofgchargegtogagcertaingnumbergofgindividualgtogmeetgth
eg EMTALAgcharitygobligations
Answerg :g (C)
7. Partialg hospitalizationg servicesg areg paidg forg underg Ambulatoryg Paymentg Classificationsg (APCs)
gwheng .
(A) receivedgbygunstablegdialysisgpatientsgingagpartgofgtheghospitalgwheregpatientsggenerallygdogno
tgstaygovernight
(B) psychiatricgorgbehavioralghealthgpatientsgreceivegcertaingservicesgandgspendgpartgofgthegdaygorgth
eg nightgingtheghospital
(C) angobservationgpatientghasgbeengingtheghospitalgforgoverg48ghoursgandgthegpatient'sgconditiongst
illgdoesgnotgpermitgdischargegtoghome
(D) ang inpatientg lengthg ofg stayg isg toog shortg forg ag regularg diagnosisg relatedg groupg (DRG)g payment
Answerg :g (B)
mynursytest.store
, DOWNLOADgTHEgTestgBankgforgComparativegHealthgInformationgManagementg4thg
EditiongPeden
8. Whichg ofg theg followingg statementsg isg FALSE?
(A) Documentationgofgtelephonegcallsgisgangimportantgelementginggoodgriskgmanagementgfo
rgambulatorygcare.
(B) Aghospitalgcompliancegofficergmaygbegconcernedgwithgavoidinggfraudulentgcodinggandgbillingga
sg wellgasgwithgmonitoringgcompliancegwithgfederalgregulationsgsuchgasgHIPAA.
(C) Becausegofgtheirgknowledgegofgcoding,ghealthginformationgmanagersgcanghelpgreview,grevise,gand
g maintaingthe ghospital'sgchargemaster.
(D) HospitalsgreceivegMedicaregreimbursementgforgambulatorygcaregthroughgangoutpatient
gprospectivegpaymentgsystemg(OPPS)gbasedgongDRGs.
Answerg :g (D)
9. Medicareg paymentsg tog long-termg acute-careg hospitalsg (LTACHs)g areg basedg ong .
(A) LTC-DRGs
(B) PIP-DCGs
(C) DRGs
(D) RUGs
Answerg :g (A)
10. Whichg ofg theg followingg statementsg isg TRUE?
(A) Hospitalsg mustg beg accreditedg byg Theg Jointg Commission.
(B) Hospitalsg mustg beg licensedg byg theg stateg ing whichg theyg areg located.
(C) Hospitalsg mustg haveg ag hospitalistg ong staffg tog qualifyg forg CMSg certification.
(D) Hospitalsg dog notg haveg tog beg licensedg tog admitg patients.
Answerg :g (B)
11. Withoutgdocumentedginformationgongthegdiagnosesgorgsymptomsgthatgpromptedgagphysiciang
togordergagtest,gtheghospitalglacksgtheginformationgneededgtogdemonstrategthatgthegtestgwas
.
(A) performedgingag timelyg manner
(B) professionallygadministered
(C) medicallyg necessary
(D) criticallyg assessed
mynursytest.store
EditiongPeden
Chapterg 02g Hospitalg Basedg Care
MULTICHOICE
1. Theg physiciang sendsg theg patientg tog theg hospitalg forg ag radiologicalg examination.g Theg patientg retu
rnsgtogthegphysician'sgofficegforgfollow-
upgofgtestgresults.gFromgthegpointgofgviewgofgtheghospital,gwhatgtypeg ofghospitalgpatientgisgthis?
(A) inpatient
(B) emergencyg outpatient
(C) clinicg outpatient
(D) referredg outpatient
Answerg :g (D)
2. Whatgisgagprogramgforgthegperformancegofgelectivegsurgicalgproceduresgongpatientsgwhogaregcl
assifiedgasgoutpatientsgandgtypicallygaregreleasedgfromgthegsurgerygcentergongthegdaygofgsurgery,
g thusgavoidinggangovernightgstaygingtheghealthgcaregfacility?
(A) ambulatorygsurgery
(B) partialg hospitalization
(C) adultg dayg care
(D) surgeryg clinic
Answerg :g (A)
3. MedicaregPartgAgandgPartgBgbeneficiaryginformationgisgmaintainedging
,gallowinggreal-
timegeligibilitygrequestsgforgcoveragegusinggagsecuregclosedgprivategnetworkgtogcommunicategwit
hgagCMSgdatagcentergorgviagthegCMSgExtranet.
(A) theg HIPAAg Eligibilityg Transactiong System
(B) ambulatoryg patientg groups
(C) uniformg ambulatoryg careg datag sets
(D) chargeg descriptiong masters
Answerg :g (A)
4. Ing theg hospitalg setting,g theg termg "resident"g isg primarilyg appliedg tog g.
(A) ag licensedg physiciang participatingg ing ang approvedg graduateg medicalg educationg program
mynursytest.store
,DOWNLOADgTHEgTestgBankgforgComparativegHealthgInformationgManagementg4thg
EditiongPeden
(B) ang outpatientg evaluatedg andg treatedg ing theg observationg areag ofg theg hospital
(C) ag computerg programg thatg residesg ing RAM,g usedg tog diagnoseg emergencyg patientsg quickly
(D) patientsg enrolledg ing theg hospital'sg longtermg ambulatoryg careg program
Answerg :g (A)
5. Selectg theg TRUEg statementg belowg withg regardg tog Medicareg hospitalg outpatientg reimbursement.
(A) Theg hospitalg mayg beg paidg forg onlyg oneg RBRVSg perg dayg perg patient
(B) Theg hospitalg mayg beg paidg forg onlyg oneg APCg perg dayg perg patient
(C) Theg hospitalg mayg beg paidg forg onlyg oneg APCg perg patientg perg 72g hours
(D) Theg hospitalg mayg beg paidg forg moreg thang oneg APCg perg patientg visit
Answerg :g (D)
6. UndergEMTALA,ghospitalsgthatgoffergemergencygservicesg .
(A) areg freeg tog refuseg emergencyg servicesg tog patientsg whog dog notg showg proofg ofg insurance
(B) cangrefusegemergencygservicesgtogpatientsgasglonggasganotherghospitalgagreesgtogacceptgthe
g patientgasgagtransfer
(C) mustg screeng andg stabilize,g ifg necessary,g anyg patientg whog arrivesg ing theg emergencyg department
(D) mustgprovidegemergencygservicesgfreegofgchargegtogagcertaingnumbergofgindividualgtogmeetgth
eg EMTALAgcharitygobligations
Answerg :g (C)
7. Partialg hospitalizationg servicesg areg paidg forg underg Ambulatoryg Paymentg Classificationsg (APCs)
gwheng .
(A) receivedgbygunstablegdialysisgpatientsgingagpartgofgtheghospitalgwheregpatientsggenerallygdogno
tgstaygovernight
(B) psychiatricgorgbehavioralghealthgpatientsgreceivegcertaingservicesgandgspendgpartgofgthegdaygorgth
eg nightgingtheghospital
(C) angobservationgpatientghasgbeengingtheghospitalgforgoverg48ghoursgandgthegpatient'sgconditiongst
illgdoesgnotgpermitgdischargegtoghome
(D) ang inpatientg lengthg ofg stayg isg toog shortg forg ag regularg diagnosisg relatedg groupg (DRG)g payment
Answerg :g (B)
mynursytest.store
, DOWNLOADgTHEgTestgBankgforgComparativegHealthgInformationgManagementg4thg
EditiongPeden
8. Whichg ofg theg followingg statementsg isg FALSE?
(A) Documentationgofgtelephonegcallsgisgangimportantgelementginggoodgriskgmanagementgfo
rgambulatorygcare.
(B) Aghospitalgcompliancegofficergmaygbegconcernedgwithgavoidinggfraudulentgcodinggandgbillingga
sg wellgasgwithgmonitoringgcompliancegwithgfederalgregulationsgsuchgasgHIPAA.
(C) Becausegofgtheirgknowledgegofgcoding,ghealthginformationgmanagersgcanghelpgreview,grevise,gand
g maintaingthe ghospital'sgchargemaster.
(D) HospitalsgreceivegMedicaregreimbursementgforgambulatorygcaregthroughgangoutpatient
gprospectivegpaymentgsystemg(OPPS)gbasedgongDRGs.
Answerg :g (D)
9. Medicareg paymentsg tog long-termg acute-careg hospitalsg (LTACHs)g areg basedg ong .
(A) LTC-DRGs
(B) PIP-DCGs
(C) DRGs
(D) RUGs
Answerg :g (A)
10. Whichg ofg theg followingg statementsg isg TRUE?
(A) Hospitalsg mustg beg accreditedg byg Theg Jointg Commission.
(B) Hospitalsg mustg beg licensedg byg theg stateg ing whichg theyg areg located.
(C) Hospitalsg mustg haveg ag hospitalistg ong staffg tog qualifyg forg CMSg certification.
(D) Hospitalsg dog notg haveg tog beg licensedg tog admitg patients.
Answerg :g (B)
11. Withoutgdocumentedginformationgongthegdiagnosesgorgsymptomsgthatgpromptedgagphysiciang
togordergagtest,gtheghospitalglacksgtheginformationgneededgtogdemonstrategthatgthegtestgwas
.
(A) performedgingag timelyg manner
(B) professionallygadministered
(C) medicallyg necessary
(D) criticallyg assessed
mynursytest.store
