CAHIMS 1.1, CAHIMS 1.2, CAHIMS 1.3, CAHIMS 1.4, CAHIMS 2.1, CAHIMS 2.2, CAHIMS 2.3, CAHIMS 2.4, CAHIMS 2.5, CAHIMS 2.6 Verified Questions And Answers

CAHIMS 1.1, CAHIMS 1.2, CAHIMS 1.3, CAHIMS 1.4, CAHIMS 2.1, CAHIMS 2.2, CAHIMS 2.3, CAHIMS 2.4, CAHIMS 2.5, CAHIMS 2.6 Verified Questions And Answers Wxyzab is a small country where the entire population has access to healthcare facilities owned and operated by the government, and funded by a tax on citizens. However, the current healthcare infrastructure does not have technologically advanced radiologic imaging facilities, and a commercial organization is allowed by the government to operate its own diagnostic imaging facilities, where patients have to pay for services out-of-pocket. This is an example of a transition of a healthcare system from: a. a public to a private healthcare system model b. a private to a mixed healthcare system model c. a public to a mixed healthcare system model - ANS-c Patient assessed value and efficiency are parameters of a framework to assess: a. Health b. Healthcare c. Healthcare systems d. All of the above - ANS-c Which of the statements about epidemiology is FALSE? a. Epidemiology is a qualitative science built around concepts of probability and statistics b. Epidemiology is a tool for public health action c. Epidemiology assists in preventing morbidity and mortality d. Epidemiology, at times, involves common sense as much as it does causal reasoning - ANS-a Which of the following are components of the patient centered medical home? a. Coordination of care b. Emphasis on quality and safety c. Enhanced access to care d. All of the above - ANS-d Healthcare is the prevention and treatment of illness a. True b. False - ANS-a About 75 percent of healthcare establishments are hospitals a. True b. False - ANS-b An interdisciplinary team is a group of individuals with diverse training and backgrounds who work independently to improve patient care. a. True b. False - ANS-b Primary Care Organizations typically refer patients to what other types of organizations. a. Secondary Care b. Tertiary Care c. Secondary and Tertiary Care d. Neither Secondary or Tertiary Care - ANS-c Secondary Care Organizations are also known as Specialty Organizations. a. True b. False - ANS-a Federally Qualified Health Centers include the following: a. County Health Clinics b. Migrant Health Centers c. Look Alikes d. Tribal Operated Health Clinics - ANS-b Inpatient Care is usually defined as admission for medical care longer than: a. 8 hours b. 12 hours c. 24 hours d. 48 hours - ANS-c The type of Long Term Care organization that typically provides an apartment or room and includes personal care, meals and housekeeping is: a. Independent Living b. Assisted Living c. Skilled Nursing Facility d. Hospice - ANS-b The type of Long Term Call organization that provides services to people living with and dying from an eventually fatal condition is: a. Independent Living b. Assisted Living c. Skilled Nursing Facility d. Hospice - ANS-d The largest Integrated Healthcare System in the US is: a. Kaiser Permanente b. Veterans Health Administration c. TRICARE d. Indian Health Services - ANS-b Which of the following department would usually be a part of the Information division? a. Nursing Education b. Social Services c. Medical Records d. Security - ANS-c Observational data like the history, results of the physical exam and a summary of a surgery or procedure is recording using what type of data. a. Narrative b. Recorded Signals c. Numerical Measurements d. Images - ANS-a What two divisions may be combined to form a single Diagnostic and Therapeutic division? a. Nursing and Clinical Support b. Nursing and Ancillary Services c. Clinical Support and Medical Staff d. Clinical Support and Ancillary Services - ANS-d What type of communication can allow data to easily be viewed throughout the institution? a. Digital b. Film c. Verbal d. Paper - ANS-a The major difference between an academic and community hospital is the type of care they provide. a. True b. False - ANS-b Most people in the US get health insurance through: a. An employer b. Their county health department c. Their state health department d. The federal government - ANS-a All of the following are privately funded EXCEPT: a. BlueCross Blue Shield b. Commercial insurers c. Managed care organizations d. The Children's Health Insurance Program - ANS-d BlueCross BlueShield is: a. A managed care organization b. An association of private companies c. Funded by the federal government d. Funded by all 50 states - ANS-b Managed care plans: a. Are much less common today than they were 50 years ago b. Combine health insurance and healthcare services c. Pay doctors on a fee-for-service basis d. All of the above - ANS-b Of the following types of plans, costs for the patient are lowest, but choice of providers is most restricted, in a: a. Health maintenance organization b. Indemnity plan c. Preferred provider organization d. Point-of-service plan - ANS-a What group determines whether someone is eligible for Medicare and processes their premium payments? a. The Centers for Medicare & Medicaid Services b. The Federal Insurance Contributions Agency c. The Social Security Administration d. The US Department of Health & Human Services - ANS-c Choose the best statement about Medicaid and Medicare coverage: a. Medicaid covers older adults; Medicare covers people with low incomes. b. Medicaid covers people with low incomes; Medicare covers children and pregnant women in families that earn too much for Medicaid. c. Medicare covers older adults; Medicaid covers people with low incomes. d. Medicare covers all uninsured children and pregnant women; Medicaid covers older adults. - ANS-c Which of the following statements is/are TRUE? a. Medicaid has different names in different states. b. Medicaid is funded by federal income taxes; c. Medicare is partially funded by individuals and their employers through payroll taxes; d. Some people on Medicaid also qualify for Medicare. e. All of the above - ANS-e Samples of and electronic data interchange transaction include (choose all that apply): a. a fax copy of the claim b. CMS Form 1500 c. CMS Form 1450 d. 837 transaction for healthcare claims - ANS-d Which of the following is currently used to code claims for healthcare services (choose all that apply): a. CPT b. ICD-9-CM c. NDC - National Drug Codes d. ICD-10-PCS - ANS-a, b, c, d Which of the following is used for diagnosis coding and reporting on claims regardless of the provider? a. ICD-9 b. CPT c. HCPCS d. CDT - ANS-a Fee-for-service payment type include (choose all that apply): a. episode-of-care b. traditional retrospective c. prospective payment d. global payment e. self-pay - ANS-b, e The third party payer is a. the insured b. the provider c. the insurance company d. all of the above - ANS-c Episode of care reimbursement types include all of the following except: a. self-pay b. prospective payment c. capitation d. global payment - ANS-a Managed care reimbursement may be paid using which of the following methods: a. fee-for-service b. episode-of-care c. either fee-for-service or episode-of-care d. none of the above - ANS-c The sectors of healthcare spending that utilize the most resources include (choose all that apply): a. hospitals b. physician services c. pharmaceutical costs d. nursing homes - ANS-a, b, c Which of the following is not considered a chronic disease? a. hypertension or high blood pressure b. diabetes c. asthma d. influenza - ANS-d The age group associated with the highest medical expenses is: a. children <5 b. adults age 25-44 c. adults age 45-64 d. adults > 65 - ANS-d The EMTALA act requires hospitals receiving federal funds to evaluate individuals presenting to the emergency department a. only if they have insurance b. regardless of their ability to pay c. only if they pay in advance d. only if it is a true emergency - ANS-b (Choose all that apply) Factors that contribute to escalating healthcare expenditures in the US include: a. Technology. b. Chronic disease. c. Increased demand and utilization. d. An excess of primary care doctors. e. New pharmaceutical treatments. f. Administrative costs. g. The uninsured. - ANS-a, b, c, e, f, g Which of the following characteristics is part of the definition of a disease? a. A combination of symptoms and physical findings attributed to a specific cause b. Impairment of a specific structure of the body producing symptoms c. Impairment of a specific function of the body producing physical findings d. A combination of symptoms and physical findings not easily attributable to a specific cause - ANS-a, b, c A syndrome is best defined as: a. A combination of symptoms and physical findings attributed to a specific cause b. Impairment of a specific structure of the body producing symptoms c. Impairment of a specific function of the body producing physical findings d. A combination of symptoms and physical findings not easily attributable to a specific cause - ANS-d A primary care physician typically provides routine care including health maintenance and management of new and chronic disease. Which specialty was specifically mentioned as delivering primary care by default?... Continues...