Questions and CORRECT Answers
Medical staff classification - Correct Answer- refers to the organization of physicians
according to clinical assignment
P.L. 89-97 of 1965 - Correct Answer- ______________ is the federal legislation that enacted
the Medicare and Medicaid programs.
-P.L. 92-603 of 1972
-P.L. 89-97 of 1965
-P.L. 98-21 of 1983
-The Utilization Review Act of 1977
medical schools and medical education - Correct Answer- As a result of the Flexner Report in
the early part of the 20th century, standards were established for what?
IDS (integrated delivery systems) - Correct Answer- Ensuring patient receive high-quality,
cost effective care in the most appropriate setting is the primary goal of what?
IDS (integrated delivery systems) - Correct Answer- A healthcare organization that provides a
full range of healthcare services along a continuum of care (for example, an organization that
provides acute care services, long-term care services, and home health services) is called
a(n).......
For-profit - Correct Answer- _________ healthcare organizations pay out their excess
revenues in the form of bonuses and dividends to owners, investors, and managers.
bed capacity - Correct Answer- The total number of inpatients that can potentially be treated
in a hospital is determined by the ____________.
medical staff - Correct Answer- Medical staff bylaws are legally binding, and any changes
must be approved by a vote of the ___________.
,medical staff bylaws - Correct Answer- ___________________ govern(s) the operation of a
hospital medical staff.
peer review - Correct Answer- Using a process that is known as ____________, CMS and the
Joint Commission both require that healthcare professionals assess the work of colleagues in
the same profession.
cost control - Correct Answer- The one aspect of managed care that has had the greatest
impact on healthcare organizations during the past 25 years is ____________.
diagnosis related group methodology (DRG) - Correct Answer- In a prospective payment
system (PPS), the amount of reimbursement for healthcare services is predetermined using
the _______________.
Great Depression - Correct Answer- The historical event that had the most influence on the
US government's role in financing healthcare delivery is ___________________.
reinvest excess funds in services and education - Correct Answer- Not-for-profit hospitals
differ from for-profit hospitals because they ___________.
-do not bill for services
-pay dividends to stockholders
-reinvest excess funds in services and education
-provide free medical education to medical students and residents
University hospitals - Correct Answer- ______ would be categorized as voluntary hospitals.
Answers:
US military hospitals
University hospitals
Investor-owned hospitals
Proprietary hospitals
,A federal program that finances healthcare services for the elderly - Correct Answer- Which
of the following statements most accurately describes the Medicare program?
Answers:
A state program that finances healthcare services for the elderly
A federal program that finances healthcare services for the elderly
A state program that finances healthcare services for low-income families
A federal program that finances healthcare services for low-income families
CEO - Correct Answer- The ______ is/are responsible for implementing the policies and
strategic direction of a healthcare organization on a day-to-day basis.
Answers:
board of directors
CEO
CIO
medical director
Medicare/Medicaid legislation of 1965 - Correct Answer- The development of managed care
services in the United States is an indirect
result of the federal government's enactment of _____.
Answers:
The Social Security Act of 1935
Medicare/Medicaid legislation of 1965
HIPAA legislation of 1996
The Balanced Budget Amendment of 1997
Medical staff - Correct Answer- The _____ has the primary objective of providing high
quality care to patients.
Answers:
, CEO
Board of directors
Medical staff
Medical director
American College of Surgeons - Correct Answer- The ______ developed the first hospital
standardization program.
Answers:
Joint Commission
American Osteopathic Association
American College of Surgeons
American Hospital Association
Funding is a joint federal and state initiative - Correct Answer- Which of the following
statements most accurately describes funding for the Medicaid program?
Answers:
Funding comes from the federal government
Funding comes from each state government
Funding is a joint federal and state initiative
Funding is from private sources
Accreditation - Correct Answer- _____ can be defined as a voluntary system of institutional
review by an independent external agency.
Answers:
Licensure
Certification
Accreditation
Credentialing