Chc Practice Test Complete Questions And Detailed Solutions

CHC PRACTICE TEST COMPLETE
QUESTIONS AND DETAILED SOLUTIONS
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At which level of the Medicare Part A or B appeals process is the appeal reconsid
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ered by a qualified independent contractor?
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a. first level appeal
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b. second level appeal
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c. third level appeal
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d. fourth level appeal - ANSWERS-b. second level appeal
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There are five levels of appeal.
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First level entails a redetermination of claim; second level involves reconsideration
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by a qualified independent contractor; third level includes a hearing overseen by a
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dmin law judge; fourth level is a review of Medicare Review Council; and fifth level
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is a judicial review in federal court.
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If an at-
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risk patient is left unattended and has an adverse response to medication, this is k
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nown as: ex


a. sentinel event
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b. initiator
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c. latent outcome
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d. slip - ANSWERS-a. sentinel event
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Sentinel event is an adverse occurrence that is not in the normal progression of a
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patient's illness. In this scenario, an adverse drug event is considered a sentinel ev
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ent. AND whenever a sentinel events is confirmed, the facility should perform a Ro
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ot Cause Analysis (RCA).
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A Latent Outcome -
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less apparent failures of organization or design that contributed to the error/
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patient harm. ex


A Slip - can be a fall or an everyday risk at hospitals.
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A behavioral health specialist notices a particularly high number of restraint deaths
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at a facility. An analysis of the root causes of these events is most likely to indicat
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e problems with:
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a. Equipment
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b. Staff orientation and training
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c. Staffing levels
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d. Alarm systems - ANSWERS-b. Staff orientation and training
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Equipment, staffing levels, and alarm system can also be culpable in restraint deat
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hs, but problems with orientation and training are much more likely.
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Which piece of legislation established a new set of standards for corporate respon
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sibility?
a. sarbanes-oxley act
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b. united states patriot act
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, c. foreign corrupt practices act
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d. stark law - ANSWERS-a. sarbanes-oxley act
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Sarbanes-oxley act was passed after a series of high- ex ex ex ex ex ex ex ex


profile financial scandals in early 2000s to protect shareholders, improving corporat
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e governance and accountability setting new set of standards for corporate respon
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sibility.

According to the Federal Sentencing Guidelines, which of the following factors coul
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d increase the punishment of an organization?
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a. obstruction of justice
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b. violation of direct court order
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c. prior history of violations
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d. all of the above - ANSWERS-d. all of the above
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These are aggravating factors that increase the culpability score under the FSG.
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See FSG chapter 8-C2.5 https://guidelines.ussc.gov/gl/%C2%A78C2.5
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When a hospital official notes that most errors are occurring at the "sharp end" she
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means that:
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a. they involve surgical tools or knives
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b. they occur in clusters
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c. they occur during the interactions between caregivers and patients
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d. they are most likely to occur during busy periods - ANSWERS-
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c. they occur during the interactions between caregivers and patients.
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The "sharp end" and "blunt end" are used by quality management professionals to
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describe areas of practice. ex ex ex ex


"Sharp end" is all of the operations that involve direct contact with patient/client/
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customer.
"Blunt end" is all actions that take place outside awareness of patient/client/
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customer.

The majority of fraud and abuse violations relate to irregularities in:
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a. treatment
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b. diagnosis
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c. billing
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d. scheduling - ANSWERS-c. billing
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Which of the following words best describe the approach to punishment of the Fed
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eral Sentencing Guidelines:
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a. case-specific
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b. draconian
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c. consistent
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d. remedial - ANSWERS-a. case-specific
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FSG takes numerous factors into account when determining punishment. The rang
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e of penalties that may be applied to a given violation is broad, and organizations
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may affect the severity of their punishment with their actions subsequent to the viol
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ation