Chapter 26. Starting a Practice and Practice
Management
1. An APRN wishes to become familiar with all of the reporting measures or metrics
required by his or her specific practice. Which of the following would be the best
resource for this information?
a. National Institutes of Health
b. The Joint Commission
c. National Quality Forum
d. Medicaid Adult Health Care Quality Measures Program
ANS: C
The National Quality Forum (NQF) Community Tool to Align Measurement provides
a resource and hyperlinks to quality measures and the information they collect.
2. Many reporting requirements of APRNs require data that are patient, provider, or facility
specific and reported to CMS directly from the organization. Which of the following
aggregates the subjective patient experience information regarding the care received?
a. MACRA
b. CAHPS
c. NQF
d. HIPAA
ANS: C
The Consumer Assessment of Health Care Providers (CAHPS) is a format for
surveying patients to collect their patient experiences. They include those on
providers (CAHPS), hospitals, home health agencies, and hospice care (HCAHPS),
, among others. CAHPS is not a measure of patient satisfaction but a measure for
patient experience that is made available to the public.
3. Which of the following legislation will change Medicare payments beginning January 1,
2019, away from the existing fee-for-service system to one that is based on as well
asrewards quality in care?
a. CAHPS
b. Values-Based Modifier
c. MACRA
d. Meaningful use
ANS: C
The Medicare Access and CHIP Reauthorization Act took effect on January 1, 2017,
with final implementation on January 1, 2019. This combines three existing programs:
the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier,
and meaningful use into one system that provides both financial incentives and
penalties based on quality of care, outcomes, and efficiencies. The initial 2 years are
intended to collect and analyze data and for hospital systems and providers to see the
future impact to their reimbursement.
4. In an effort to further link care, such as that provided by an APRN to patient outcomes
and reporting measures, which of the following additional requirements was included in
MACRA?
a. Individual billing by each provider
b. Limiting the number of specialists for each area of care per patient
c. Assigning patient-provider relationship identifiers
d. Estimating percentages of time care was given by each provider
ANS: C
Management
1. An APRN wishes to become familiar with all of the reporting measures or metrics
required by his or her specific practice. Which of the following would be the best
resource for this information?
a. National Institutes of Health
b. The Joint Commission
c. National Quality Forum
d. Medicaid Adult Health Care Quality Measures Program
ANS: C
The National Quality Forum (NQF) Community Tool to Align Measurement provides
a resource and hyperlinks to quality measures and the information they collect.
2. Many reporting requirements of APRNs require data that are patient, provider, or facility
specific and reported to CMS directly from the organization. Which of the following
aggregates the subjective patient experience information regarding the care received?
a. MACRA
b. CAHPS
c. NQF
d. HIPAA
ANS: C
The Consumer Assessment of Health Care Providers (CAHPS) is a format for
surveying patients to collect their patient experiences. They include those on
providers (CAHPS), hospitals, home health agencies, and hospice care (HCAHPS),
, among others. CAHPS is not a measure of patient satisfaction but a measure for
patient experience that is made available to the public.
3. Which of the following legislation will change Medicare payments beginning January 1,
2019, away from the existing fee-for-service system to one that is based on as well
asrewards quality in care?
a. CAHPS
b. Values-Based Modifier
c. MACRA
d. Meaningful use
ANS: C
The Medicare Access and CHIP Reauthorization Act took effect on January 1, 2017,
with final implementation on January 1, 2019. This combines three existing programs:
the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier,
and meaningful use into one system that provides both financial incentives and
penalties based on quality of care, outcomes, and efficiencies. The initial 2 years are
intended to collect and analyze data and for hospital systems and providers to see the
future impact to their reimbursement.
4. In an effort to further link care, such as that provided by an APRN to patient outcomes
and reporting measures, which of the following additional requirements was included in
MACRA?
a. Individual billing by each provider
b. Limiting the number of specialists for each area of care per patient
c. Assigning patient-provider relationship identifiers
d. Estimating percentages of time care was given by each provider
ANS: C
