ABQUARP HCQM Exam 2025-2026 Most Recent
Version Comprehensive 125 Questions and
Verified Answers Accurate Solutions Already
Graded A+ Get it 100% Correct
5 basic principals of ethical practice for CM - CORRECT ANSWER: J-justice ( treat all
fairly)
A-autonomy-respect pt right to make own decision
N-non-malfeasance-do no harm
F-fidelity-keep your promise
B-beneficence-to do good
6 major aims of health care - CORRECT ANSWER: safe, effective, patient -centered,
timely, efficient and equitable.
AAAHC accreditation assoc for ambulatory health care - CORRECT ANSWER:
accredits over 5k ambulatory health care orgs.
AAASF-American ass for accreditation of ambulatory surg facilities - CORRECT
ANSWER: - improve the quality of medical and surgical care in ambulatory surg
facilities
ACA- Affordable Care Act - CORRECT ANSWER: March 2010- 10 Titles
1-mandate health care coverage
3-test new ways to deliver care to pts-better care, lower cost
ACO-accountable care org - CORRECT ANSWER: created under Medicare Shared
Savings Program, of the PPAC (patient protection and affordable care act)
,-effective organization will lead to heath care system maximize their resources and
minimize their dysfunction
-network to manage at least 5k Medicare for at least for 3 years
-Needs own governing body
-receive shared savings, held liable for losses
ACR-American college of radiology - CORRECT ANSWER: -medical imaging
Active Error - CORRECT ANSWER: whose effects are felt immediately
-sharp end
Adverse Events- stats: - CORRECT ANSWER: 1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
Anti-Markup Rule - CORRECT ANSWER: Medicare Diagnostic tests- prohibits the
markup of the technical component and professional component
if the CPT codes exists on the CMS list, it is a diagnostic test
APSF- anesthesia patient safety foundation - CORRECT ANSWER: First org to develop
just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
Avedis Donabedian MD - CORRECT ANSWER: Brought modern quality assurance
techniques to modern medicine.
, BBA-balanced budget Act - CORRECT ANSWER: 1997-comprehensive revision of
federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
C-SNP Chronic Special Needs plan - CORRECT ANSWER: Listed special conditions,
Others D-SNP dual eligible Medicare and Medicaid
CAP-college of pathologists - CORRECT ANSWER: laboratories
Capitated payment - CORRECT ANSWER: Enrollee is at full risk
CARF-commission of accreditation of Rehab facilities - CORRECT ANSWER: disability,
addiction and substance abuse facility
CER-comparative effectiveness research - CORRECT ANSWER: goal is to improve
health outcomes by developing and disseminating evidence based info to pt, providers
of different health treatment options.
CHAP-community health accreditation prog - CORRECT ANSWER: not for profit
accrediting body for health hospice and DME
claims made - CORRECT ANSWER: only during the time the policy was in effect
need tail coverage
CMSA- Case Mgt Society of America - CORRECT ANSWER: 1995- put forth first
standards of practice for CM.
-communication, coordination and collaboration of health care
Version Comprehensive 125 Questions and
Verified Answers Accurate Solutions Already
Graded A+ Get it 100% Correct
5 basic principals of ethical practice for CM - CORRECT ANSWER: J-justice ( treat all
fairly)
A-autonomy-respect pt right to make own decision
N-non-malfeasance-do no harm
F-fidelity-keep your promise
B-beneficence-to do good
6 major aims of health care - CORRECT ANSWER: safe, effective, patient -centered,
timely, efficient and equitable.
AAAHC accreditation assoc for ambulatory health care - CORRECT ANSWER:
accredits over 5k ambulatory health care orgs.
AAASF-American ass for accreditation of ambulatory surg facilities - CORRECT
ANSWER: - improve the quality of medical and surgical care in ambulatory surg
facilities
ACA- Affordable Care Act - CORRECT ANSWER: March 2010- 10 Titles
1-mandate health care coverage
3-test new ways to deliver care to pts-better care, lower cost
ACO-accountable care org - CORRECT ANSWER: created under Medicare Shared
Savings Program, of the PPAC (patient protection and affordable care act)
,-effective organization will lead to heath care system maximize their resources and
minimize their dysfunction
-network to manage at least 5k Medicare for at least for 3 years
-Needs own governing body
-receive shared savings, held liable for losses
ACR-American college of radiology - CORRECT ANSWER: -medical imaging
Active Error - CORRECT ANSWER: whose effects are felt immediately
-sharp end
Adverse Events- stats: - CORRECT ANSWER: 1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
Anti-Markup Rule - CORRECT ANSWER: Medicare Diagnostic tests- prohibits the
markup of the technical component and professional component
if the CPT codes exists on the CMS list, it is a diagnostic test
APSF- anesthesia patient safety foundation - CORRECT ANSWER: First org to develop
just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
Avedis Donabedian MD - CORRECT ANSWER: Brought modern quality assurance
techniques to modern medicine.
, BBA-balanced budget Act - CORRECT ANSWER: 1997-comprehensive revision of
federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
C-SNP Chronic Special Needs plan - CORRECT ANSWER: Listed special conditions,
Others D-SNP dual eligible Medicare and Medicaid
CAP-college of pathologists - CORRECT ANSWER: laboratories
Capitated payment - CORRECT ANSWER: Enrollee is at full risk
CARF-commission of accreditation of Rehab facilities - CORRECT ANSWER: disability,
addiction and substance abuse facility
CER-comparative effectiveness research - CORRECT ANSWER: goal is to improve
health outcomes by developing and disseminating evidence based info to pt, providers
of different health treatment options.
CHAP-community health accreditation prog - CORRECT ANSWER: not for profit
accrediting body for health hospice and DME
claims made - CORRECT ANSWER: only during the time the policy was in effect
need tail coverage
CMSA- Case Mgt Society of America - CORRECT ANSWER: 1995- put forth first
standards of practice for CM.
-communication, coordination and collaboration of health care
