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CHC Practice Test WITH ACCURATE AND VERIFIED ANSWERS

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At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a qualified independent contractor? a. first level appeal b. second level appeal c. third level appeal d. fourth level appeal b. second level appeal There are five levels of appeal. First level entails a redetermination of claim; second level involves reconsideration by a qualified independent contractor; third level includes a hearing overseen by admin law judge; fourth level is a review of Medicare Review Council; and fifth level is a judicial review in federal court.

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CHC Practice Test WITH ACCURATE AND
VERIFIED ANSWERS

Terms in this set (50)



At which level of the Medicare b. second level appeal
Part A or B appeals process is
the There are five levels of appeal.
appeal reconsidered by a qualified First level entails a redetermination of claim;
independent contractor? second level involves reconsideration by a
a.first level appeal qualified independent contractor; third level
b. second level appeal includes a hearing overseen by admin law judge;
c. third level appeal fourth level is a review of Medicare Review
d. fourth level appeal Council; and fifth level is a judicial review
in federal court.



If an at-risk patient is left a. sentinel event
unattended and has an adverse
response to medication, this is Sentinel event is an adverse occurrence that is
known as: not in the normal progression of a patient's
a. sentinel event illness. In this scenario, an adverse drug event is
b. initiator considered a sentinel event. AND whenever a
c. latent outcome sentinel events is confirmed, the facility should
d. slip perform a Root Cause Analysis (RCA).


A Latent Outcome - less apparent failures of
organization or design that contributed to the
error/patient harm.
A Slip - can be a fall or an everyday risk at
hospitals.

,A behavioral health specialist b. Staff orientation and training
notices a particularly high number
of restraint deaths at a facility. An Equipment, staffing levels, and alarm system can
analysis of the root causes of these also be culpable in restraint deaths, but problems
events is most likely to indicate with orientation and training are much more
problems with: likely.
a. Equipment
b. Staff orientation and training
c. Staffing levels
d. Alarm systems



Which piece of legislation a.sarbanes-oxley act
established a new set of standards
for corporate responsibility? Sarbanes-oxley act was passed after a series
a. sarbanes-oxley act of high-profile financial scandals in early 2000s
b. united states patriot act to protect shareholders, improving
c. foreign corrupt practices act corporate
d. stark law governance and accountability setting new set of
standards for corporate responsibility.

According to the Federal d. all of the above
Sentencing Guidelines, which of the
following factors could increase the These are aggravating factors that increase the
punishment of an organization? culpability score under the FSG.
a.obstruction of justice See FSG chapter 8-C2.5
b.violation of direct court order https://guidelines.ussc.gov/gl/%C2%A78C2.5
c. prior history of violations
d. all of the above



When a hospital official notes that c. they occur during the interactions between
most errors are occurring at the caregivers and patients.
"sharp end" she means that:
a.they involve surgical tools or The "sharp end" and "blunt end" are used by
knives quality management professionals to describe
b. they occur in clusters areas of practice.
c. they occur during the "Sharp end" is all of the operations that involve
interactions between caregivers direct contact with patient/client/customer.
and patients "Blunt end" is all actions that take place
d. they are most likely to outside awareness of patient/client/customer.
occur during busy periods

, The majority of fraud and abuse c. billing
violations relate to irregularities in:
a.treatment
b. diagnosis
c. billing
d. scheduling


Which of the following words best a.case-specific
describe the approach to
punishment of the Federal FSG takes numerous factors into account when
Sentencing Guidelines: determining punishment. The range of penalties
a.case-specific that may be applied to a given violation is broad,
b. draconian and organizations may affect the severity of their
c. consistent punishment with their actions subsequent to the
d. remedial violation



Which of the following groups may d. state agencies
request information from the
Healthcare Integrity and Protection Other groups may include federal government,
Data Bank? health plans, healthcare practitioners.
a. professional societies with formal Researchers are only allowed to obtain statistical
peer review data form the data bank.
b. quality
improvements
organizations
c. plaintiff's attorneys
d. state agencies

Research suggests that the d. emergency unit
largest proportions of adverse
events
attributable to negligence occur in
the:
a. post-trauma unit
b. surgery unit
c. maternity unit
d. emergency unit

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