CPMSM PRACTICE EXAM QUESTIONS
AND ANSWERS
Which term describes skilled and intermediate nursing facilities, hospice programs,
community mental health centers, and home health care systems are designed to
provide needed services in manner that is more cost-effective than in a hospital? -
Answer-Alternative delivery systems
Which term describes an organization which review services provided under the
Medicare program to determine whether a hospital has misrepresented admission or
discharge information or has taken an action that results in the unnecessary admission
of an individual entitled to benefits under Medicare part A? - Answer-Peer review
organization
Which term describes programs providing palliative care and emotional and physical
support to terminally ill patients and their families, generally during the last six months of
the patient's life in the patient's home? - Answer-Hospice
Which body acts for the medical staff as a whole, and makes recommendations to the
governing body with regard to the medical staff issues? - Answer-Medical executive
committee
You go to the file cabinet and pick out 20 files for an audit this type of sample is called -
Answer-A simple random sample
What is the name of the data collection developed by the centers for Medicare and
Medicaid services to improve outcomes of a patient care and to ensure that they receive
the best healthcare available - Answer-Core measures
When a proctor visit the hospital nursing station to review inpatient health records, this
is called - Answer-Concurrent review
In any computer rise data collection system - Answer-Computerize information
processing requires quality control checks to be performed
Which graphical presentation type always the pics percentages? - Answer-Pie chart
A person against whom in action is brought in a lawsuit is the - Answer-Defendant
, What a reasonablyprudent person would have done under similar circumstances is
termed the - Answer-Standard of care
The party who commences a lawsuit is the - Answer-Plantiff
In order to verify Hippa security provisions are met, an organization should have a -
Answer-Information access control plan
According to the Medicare conditions of participation for hospitals, criteria for selection
to the medical staff must include individual competence, training, experience, judgment
and - Answer-Character
Which statement is a characteristic of a group practice - Answer-It consist of a single
specialty or multi specialty and provides comprehensive care
Which is an example of what would be included in a medical staff rule and regulation? -
Answer-Description of the medical staff organization including leader ship
Compliance by a hospital with which of the following would be considered voluntary -
Answer-HFAP standards
A departmentalized medical staff is organized according to service. What is the title of
the medical staff leader who is responsible for directing the functions of each service? -
Answer-Chair person
In selecting a new information system, the primary consideration should be the -
Answer-Requirements of the user
Why it is important to check that the practitioner is not currently excluded suspended the
board or in eligible to participate in federal healthcare programs - Answer-The facility
won't get paid for treating patients unless service is provided by authorized provider
Which of the following credentials must be tracked on an ongoing basis - Answer-
Licensure
According to NCQA standards and organization that discovers sanction information
complaints or adverse events regarding a practitioner must take what action - Answer-
Determine if there is evidence of poor quality that could affect the health and safety of
its members
What is the name of the entity that was established through the healthcare quality
improvement act of 1986 to restrict the ability of incompetent physicians Dennis and
other healthcare practitioners to move from state to state without disclosure or discovery
a previous medical malpractice payment and adverse action history - Answer-The
national practitioner data Bank
AND ANSWERS
Which term describes skilled and intermediate nursing facilities, hospice programs,
community mental health centers, and home health care systems are designed to
provide needed services in manner that is more cost-effective than in a hospital? -
Answer-Alternative delivery systems
Which term describes an organization which review services provided under the
Medicare program to determine whether a hospital has misrepresented admission or
discharge information or has taken an action that results in the unnecessary admission
of an individual entitled to benefits under Medicare part A? - Answer-Peer review
organization
Which term describes programs providing palliative care and emotional and physical
support to terminally ill patients and their families, generally during the last six months of
the patient's life in the patient's home? - Answer-Hospice
Which body acts for the medical staff as a whole, and makes recommendations to the
governing body with regard to the medical staff issues? - Answer-Medical executive
committee
You go to the file cabinet and pick out 20 files for an audit this type of sample is called -
Answer-A simple random sample
What is the name of the data collection developed by the centers for Medicare and
Medicaid services to improve outcomes of a patient care and to ensure that they receive
the best healthcare available - Answer-Core measures
When a proctor visit the hospital nursing station to review inpatient health records, this
is called - Answer-Concurrent review
In any computer rise data collection system - Answer-Computerize information
processing requires quality control checks to be performed
Which graphical presentation type always the pics percentages? - Answer-Pie chart
A person against whom in action is brought in a lawsuit is the - Answer-Defendant
, What a reasonablyprudent person would have done under similar circumstances is
termed the - Answer-Standard of care
The party who commences a lawsuit is the - Answer-Plantiff
In order to verify Hippa security provisions are met, an organization should have a -
Answer-Information access control plan
According to the Medicare conditions of participation for hospitals, criteria for selection
to the medical staff must include individual competence, training, experience, judgment
and - Answer-Character
Which statement is a characteristic of a group practice - Answer-It consist of a single
specialty or multi specialty and provides comprehensive care
Which is an example of what would be included in a medical staff rule and regulation? -
Answer-Description of the medical staff organization including leader ship
Compliance by a hospital with which of the following would be considered voluntary -
Answer-HFAP standards
A departmentalized medical staff is organized according to service. What is the title of
the medical staff leader who is responsible for directing the functions of each service? -
Answer-Chair person
In selecting a new information system, the primary consideration should be the -
Answer-Requirements of the user
Why it is important to check that the practitioner is not currently excluded suspended the
board or in eligible to participate in federal healthcare programs - Answer-The facility
won't get paid for treating patients unless service is provided by authorized provider
Which of the following credentials must be tracked on an ongoing basis - Answer-
Licensure
According to NCQA standards and organization that discovers sanction information
complaints or adverse events regarding a practitioner must take what action - Answer-
Determine if there is evidence of poor quality that could affect the health and safety of
its members
What is the name of the entity that was established through the healthcare quality
improvement act of 1986 to restrict the ability of incompetent physicians Dennis and
other healthcare practitioners to move from state to state without disclosure or discovery
a previous medical malpractice payment and adverse action history - Answer-The
national practitioner data Bank
