HEALTHCARE QUALITY - HCQM BUNDLED
EXAMS | QUESTIONS AND CORRECT
ANSWERS | LATEST UPDATE 2026/2027
A patient has end-stage lung disease and is not a candidate to surgical repair. The care team recommends
hospice care. How is hospice reimbursed for Medicare patients?
a. Medicare Part A
b. Medicare Part B
c. Medicare Part C
d. Medicare does not pay for hospice care. - CORRECT ANSWER : : Medicare Part A
A patient safety officer realizes that there is an increase in post-operative infections when the procedure
takes place on a Friday. How should the patient safety professional proceed to address the issue with the
hospital?
a. Participate in Friday grand rounds to investigate
b. Mandate all surgical staff attends inservice training
c. Implement an investigate program like Six Sigma
d. Change the surgical schedule to not include Friday procedures - CORRECT ANSWER : : Implement an
investigate program like Six Sigma
Six Sigma is a quality approach to improve performance and reduce variation in process across the system
and would be an appropriate first step to improve overall performance.
A repository of stored information that includes documentation of fraudulent activities of practitioners is
called:
,a. American Medical Association (AMA) profile.
b. The National Practitioner Data Bank (NPDB).
c. The Federation of State Medical Boards.
d. All of the above. - CORRECT ANSWER : : The National Practitioner Data Bank (NPDB)
The Data Bank, an integrated site between the National Practitioner Data Bank and Healthcare Integrity
and Protection Data Bank, is a repository of negative information regarding licensure, registration, peer
review, and malpractice claims indicating fraudulent activities. The Federation of State Medical Boards and
AMA profile provide primary source verification and licensure information.
According to the Institute of Medicine's "To Err is Human" report, which of the following causes the most
deaths?
a. Breast cancer
b. Acquired Immune Deficiency Syndrome (AIDS)
c. Motor vehicle accidents
d. Medical Errors
e. Diabetes mellitus - CORRECT ANSWER : : Medical Errors
According to the IOM, more people die in a given year as a result of medical errors than motor vehicle
accidents, AIDS, diabetes, or breast cancer
Accountable Care Organizations (ACOs) agreed to manage all of the health care needs of a minimum of
5,000 Medicare beneficiaries for at least five years and would bring together which of the following
components to provide health care to the patient?
, a. Primary care physicians
b. Home health care
c. Hospital care
d. All of the above - CORRECT ANSWER : : All of the above
The Medicare Shared Savings Program (MSSP) provision of the Affordable Care Act (ACA) creates an
ACO to ensure that all of the parts work together to provide care to the patient.
All of the following patients are appropriate for palliative care, EXCEPT:
a. End-stage cancer patients.
b. Late-stage congestive heart failure patients with frequent hospital readmissions.
c. Patients with recurrent diabetic ketoacidosis.
d. Patients with end stage renal failure who decline dialysis. - CORRECT ANSWER : : Patients with
recurrent diabetic ketoacidosis
Palliative care is assessing and managing symptoms to relieve physical, psychological, spiritual, or social
anguish resulting from a disease process during treatment (when treatment will benefit the patient's quality
of life) or after treatment has been withdrawn.
All of the following statements regarding the management of observation patients are true, EXCEPT:
a. Observation is a status and only applies to patient care received for less than 24 hours.
b. Medicare observation services are paid under Medicare Part B.
c. It is optimal to manage observation patients in a dedicated observation unit.
EXAMS | QUESTIONS AND CORRECT
ANSWERS | LATEST UPDATE 2026/2027
A patient has end-stage lung disease and is not a candidate to surgical repair. The care team recommends
hospice care. How is hospice reimbursed for Medicare patients?
a. Medicare Part A
b. Medicare Part B
c. Medicare Part C
d. Medicare does not pay for hospice care. - CORRECT ANSWER : : Medicare Part A
A patient safety officer realizes that there is an increase in post-operative infections when the procedure
takes place on a Friday. How should the patient safety professional proceed to address the issue with the
hospital?
a. Participate in Friday grand rounds to investigate
b. Mandate all surgical staff attends inservice training
c. Implement an investigate program like Six Sigma
d. Change the surgical schedule to not include Friday procedures - CORRECT ANSWER : : Implement an
investigate program like Six Sigma
Six Sigma is a quality approach to improve performance and reduce variation in process across the system
and would be an appropriate first step to improve overall performance.
A repository of stored information that includes documentation of fraudulent activities of practitioners is
called:
,a. American Medical Association (AMA) profile.
b. The National Practitioner Data Bank (NPDB).
c. The Federation of State Medical Boards.
d. All of the above. - CORRECT ANSWER : : The National Practitioner Data Bank (NPDB)
The Data Bank, an integrated site between the National Practitioner Data Bank and Healthcare Integrity
and Protection Data Bank, is a repository of negative information regarding licensure, registration, peer
review, and malpractice claims indicating fraudulent activities. The Federation of State Medical Boards and
AMA profile provide primary source verification and licensure information.
According to the Institute of Medicine's "To Err is Human" report, which of the following causes the most
deaths?
a. Breast cancer
b. Acquired Immune Deficiency Syndrome (AIDS)
c. Motor vehicle accidents
d. Medical Errors
e. Diabetes mellitus - CORRECT ANSWER : : Medical Errors
According to the IOM, more people die in a given year as a result of medical errors than motor vehicle
accidents, AIDS, diabetes, or breast cancer
Accountable Care Organizations (ACOs) agreed to manage all of the health care needs of a minimum of
5,000 Medicare beneficiaries for at least five years and would bring together which of the following
components to provide health care to the patient?
, a. Primary care physicians
b. Home health care
c. Hospital care
d. All of the above - CORRECT ANSWER : : All of the above
The Medicare Shared Savings Program (MSSP) provision of the Affordable Care Act (ACA) creates an
ACO to ensure that all of the parts work together to provide care to the patient.
All of the following patients are appropriate for palliative care, EXCEPT:
a. End-stage cancer patients.
b. Late-stage congestive heart failure patients with frequent hospital readmissions.
c. Patients with recurrent diabetic ketoacidosis.
d. Patients with end stage renal failure who decline dialysis. - CORRECT ANSWER : : Patients with
recurrent diabetic ketoacidosis
Palliative care is assessing and managing symptoms to relieve physical, psychological, spiritual, or social
anguish resulting from a disease process during treatment (when treatment will benefit the patient's quality
of life) or after treatment has been withdrawn.
All of the following statements regarding the management of observation patients are true, EXCEPT:
a. Observation is a status and only applies to patient care received for less than 24 hours.
b. Medicare observation services are paid under Medicare Part B.
c. It is optimal to manage observation patients in a dedicated observation unit.
