Both Final Bav1

Front 1

Question 5 True or false? Medicare acute care inpatient services reimbursement is based upon Diagnosis-Related Groups (DRGs).

Back 1

FALSE

Front 2

Question 10 Which of the following is the official publication for ICD-9-CM coding guidelines and advice?

Back 2

the official publication for ICD-9-CM is Coding Clinicl

Front 3

Question 13 Which of the following is NOT a common medical specialty?

Back 3

Vascular Surgery.

Front 4

Question 14 True or false? Blue Cross insurance covers physician office visits and Blue Shield insurance covers hospitals stays.

Back 4

Flase

Front 5

Question 17 True or false? The Health Insurance Portability and Accountability Act has a provision for the Standard Medical Code Sets that includes both CPT and HCPCS Level III.

Back 5

FALSE

Front 6

Question 20 A hospital would NOT be classified by which of the following?

Back 6

A hospital is not classified by the number of physicians.

Front 7

Question 23 True or false? The goal of quality patient care is to provide palliative care.

Back 7

FALSE

Front 8

Question 24 Which of the following is an example of a not-for-profit hospital owned by a church?

Back 8

A voluntary hospital is an example of a not-for-profit hospital owned by a church.

Front 9

Question 30 Patient-focused care can include all EXCEPT which of the following?

Back 9

Patient-focused care can include all EXCEPT using physician teams.

Front 10

Question 28 True or false? The government implemented the Prospective Payment System as a method to control access to healthcare services for the elderly.

Back 10

FALSE

Front 11

Question 31 Pick the most important medical development of the late 19th and early 20th centuries.

Back 11

The most important development was antibiotics.

Front 12

Question 42 Which of the following professions is NOT part of clinical support services?

Back 12

Nurses are not considered part of clinical support services.

Front 13

Question 44 True or false? Third-party reimbursement means the employer automatically pays for health insurance.

Back 13

FALSE

Front 14

Question 46 True or false? The vision statement for a hospital's Board of Directors is a statement of the organization's purpose and the customers it serves.

Back 14

FALSE

Front 15

Question 50 True or false? The Ambulatory Payment Classification (APC) system is used to reimburse physician office services.

Back 15

FALSE

Front 16

Question 51 True or false? Diagnosis-Related Groups (DRGs) are based on codes submitted on the healthcare claim for hospital outpatient services.

Back 16

FALSE

Front 17

Question 52 True or false? Freestanding ambulatory surgery centers perform surgical procedures that take anywhere from five to ninety minutes to perform and that require less than a four-hour recovery period.

Back 17

TRUE

Front 18

Question 54 Select the work setting where you would find physicians practicing in a private medical practice.

Back 18

Physician group practice is the work setting where you would find physicians practicing in a private medical practice.

Front 19

Question 1 With which of the following groups at Baylor University Hospital did the concept of prepaid health insurance originate?

Back 19

Teachers ---->Score: 2 out of 2 <-------Question 1 Comments: Correct answer.

Front 20

Question 2 Which of the following is NOT a method used by health maintenance organizations (HMOs) to control costs?

Back 20

limited access to health information ---->Score: 2 out of 2 <-------Question 2 Comments: Correct answer.

Front 21

Question 3 Which of the following is NOT a credential of the American Health Information Management Association (AHIMA)?

Back 21

CPC ---->Score: 2 out of 2 <------- Question 3 Comments: Correct answer. RHIA, CCA and CCS-P are all AHIMA credentials. CPC is not.

Front 22

Question 6 Which of the following is a first step toward assuring quality services for members within a group plan?

Back 22

Collect the data and information ---->Score: 2 out of 2 <------- Question 6 Comments: Correct answer.

Front 23

Question 7 True or false? Health Information Management employees are examples of allied health professionals.

Back 23

True ---->Score: 2 out of 2 <-------Question 7 Comments: Correct answer.

Front 24

Question 8 True or false? The goal of re-engineering within a hospital is to focus on processes rather than departments.

Back 24

True ---->Score: 2 out of 2 <-------Question 8 Comments: Correct answer.

Front 25

Question 9 True or false? The Human Resources Department is an example of Administrative Support Services.

Back 25

True ---->Score: 2 out of 2 <-------Question 9 Comments: Correct answer.

Front 26

Question 11 Managed care efforts can include all EXCEPT which of the following?

Back 26

Bylaw reviews ---->Score: 2 out of 2 <-------Question 11 Comments: Correct answer. Managed care efforts can include all EXCEPT bylaw reviews.

Front 27

Question 12 Which of these provides services to terminally ill patients, often in their own homes?

Back 27

Home Health Care ---->Score: 0 out of 2 <-------Question 12 Comments: Incorrect. Hospice care provides services mainly in the home to terminally ill patients.

Front 28

Question 15 True or false? Louis Pasteur discovered that living organisms, called bacteria, cause infectious disease.

Back 28

True ---->Score: 2 out of 2 <-------Question 15 Comments: Correct answer.

Front 29

Question 16 True or false? The goal of Patient-focused Care is to contain costs and reduce staff needed to care for the patient.

Back 29

False ---->Score: 2 out of 2 <-------Question 16 Comments: Correct answer.

Front 30

Question 18 True or false? Health information management (or health record) services is part of a hospital's administrative support services.

Back 30

False ---->Score: 2 out of 2 <-------Question 18 Comments: Correct answer. It is part of clinical support services.

Front 31

Question 19 True or false? Public health centers are primarily concerned with the health of entire communities and population groups.

Back 31

True ---->Score: 2 out of 2 <------- Question 19 Comments: Correct answer.

Front 32

Question 21 Which of the following best describes HEDIS?

Back 32

A health information database ---->---->Score: 2 out of 2 <-------<-------Question 21 Comments: Correct answer. HEDIS is a health information database.

Front 33

Question 22 True or false? Commercial insurance companies are subject to supervision by state insurance commissioners.

Back 33

True ---->Score: 2 out of 2 <------- Question 22 Comments: Correct answer.

Front 34

Question 25 True or false? Standardization of uniform data sets is crucial to integration of provider information within any health system.

Back 34

True ---->Score: 2 out of 2 <------- Question 25 Comments: Correct answer.

Front 35

Question 26 True or false? The American Hospital Association (AHA) is the professional membership organization for managers of health record services and healthcare information.

Back 35

False ---->Score: 2 out of 2 <------- Question 26 Comments: Correct answer.

Front 36

Question 27 True or false? The increase in the number of day treatment programs is a response to rising pressure to decrease the length of hospital stays for behavioral health patients.

Back 36

True ---->Score: 2 out of 2 <------- Question 27 Comments: Correct answer.

Front 37

Question 29 Which of these is the name for the largest clinical department of a hospital?

Back 37

Patient Care Services ---->Score: 2 out of 2 <-------Question 29 Comments: Correct answer. Patient Care Services is the largest clinical department of any hospital.

Front 38

Question 32 True or false? The ICD-9-CM Official Guidelines for Coding and Reporting from HHS are a HIPAA medical code set.

Back 38

True ---->Score: 2 out of 2 <------- Question 32 Comments: Correct answer.

Front 39

Question 33 Which of the following is NOT a characteristic of a hospital?

Back 39

Have registered nurses provide all patient care services ---->Score: 2 out of 2 <------- Question 33 Comments: Correct answer. It is not a characteristic of hospitals to have registered nurses provide all patient care services.

Front 40

Question 34 True or false? Medicare Part B is optional coverage financed by monthly premiums paid by eligible individuals as well as with federal revenues.

Back 40

True ---->Score: 2 out of 2 <------- Question 34 Comments: Correct answer.

Front 41

Question 35 Select the first health insurance company.

Back 41

Blue Cross ---->Score: 2 out of 2 <-------Question 35 Comments: Correct answer. Blue Cross was the first health insurance company.

Front 42

Question 36 Which of the following is a facility which generally provides long-term care services to patients recuperating from debilitating or chronic illnesses and injuries?

Back 42

Rehabilitation hospital ---->Score: 2 out of 2 <------- Question 36 Comments: Correct answer. A rehabilitation hospital generally provides long-term care services to patients recuperating from debilitating or chronic illnesses and injuries.

Front 43

Question 37 Major medical insurance plans are directed primarily at which of the following?

Back 43

major catastrophic illness ---->Score: 2 out of 2 <------- Question 37 Comments: Correct answer.

Front 44

Question 38 True or false? Medicare Part B pays primarily for physicians' services, outpatient hospital care, and services and supplies prescribed by attending physicians.

Back 44

True ---->Score: 2 out of 2 <------- Question 38 Comments: Correct answer.

Front 45

Question 39 Which of the following is NOT one of the drawbacks of individually-purchased healthcare insurance?

Back 45

Limited physician access ---->Score: 2 out of 2 <------- Question 39 Comments: Correct answer, this is not a drawback.

Front 46

Question 40 True or false? There is emerging evidence that the quality of care provided under managed care systems may differ across population groups.

Back 46

True ---->Score: 2 out of 2 <------- Question 40 Comments: Correct answer.

Front 47

Question 41 True or false? New living environments that are more homelike and less institutional are called skilled group homes.

Back 47

False ---->Score: 2 out of 2 <------- Question 41 Comments: Correct answer.

Front 48

Question 42 Which of the following professions is NOT part of clinical support services?

Back 48

Health Information Managers ---->Score: 0 out of 2 <-------Question 42 Comments: Incorrect answer. Nurses are not considered part of clinical support services.

Front 49

Question 43 True or false? The federal government offers three health programs (TRICARE, Medicare and Medicaid) to address the needs of military personnel and their dependents as well as native Americans.

Back 49

False ---->Score: 2 out of 2 <------- Question 43 Comments: Correct answer.

Front 50

Question 45 True or false? Mission statements are generally short, clear statements of the purpose of an organization.

Back 50

True ---->Score: 2 out of 2 <------- Question 45 Comments: Correct answer.

Front 51

Question 47 True or false? Utilization review is the process of determining whether the medical care provided a specific patient is necessary, using pre-established objective screening criteria at time frames specified.

Back 51

True ---->Score: 2 out of 2 <------- Question 47 Comments: Correct answer.

Front 52

Question 48 True or false? Coding Clinic is published by the American Hospital Association (AHA).

Back 52

True ---->Score: 2 out of 2 <-------Question 48 Comments: Correct answer.

Front 53

Question 49 True or false? Nurses today perform patient assessments and evaluate the effectiveness of interventions.

Back 53

True ---->Score: 2 out of 2 <------- Question 49 Comments: Correct answer.

Front 54

Question 53 What is the name of the federal health insurance program for the aged?

Back 54

Medicare ---->Score: 2 out of 2 <-------Question 53 Comments: Correct answer.

Front 55

Question 55 Pick the type of healthcare that is rendered in a non-acute care facility to a patient who requires inpatient nursing and related services for more than 30 consecutive days.

Back 55

long-term care ---->Score: 2 out of 2 <------- Question 55 Comments: Correct answer.

Front 56

Question 56 True or false? The AHIMA certification for coding specialists in a physician office setting is the CCS-P.

Back 56

True ---->Score: 2 out of 2 <------- Question 56 Comments: Correct answer.

Front 57

Question 57 True or false? A group model HMO has an exclusive contract with one multispecialty medical group that provides all physician services.

Back 57

True ---->Score: 2 out of 2 <------- Question 57 Comments: Correct answer.

Front 58

Question 58 Which of these is the fastest growing sector of Medicare services today?

Back 58

Home health care ---->Score: 2 out of 2 <-------Question 58 Comments: Correct answer. The fastest growing sector of Medicare services today is home health care.

Front 59

Question 59 For quality of care to be achieved, all of the following must be present except one. Which one is not required?

Back 59

The physician is satisfied ---->Score: 2 out of 2 <-------Question 59 Comments: Correct answer. Quality of care is achieved when appropriate care is given, care is given in the right manner and the patient is satisfied. It is not required that the physician be satisfied.

Front 60

Question 60 Which of the following decribes the current mission of the American Hospital Association (AHA)?

Back 60

To advance the health of individuals and communities ---->Score: 2 out of 2 <-------Question 60 Comments: Correct answer. The current mission of the AHA is to advance the health of individuals and communities.