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Exam (elaborations)

PHD Test #1 Questions With Complete Solutions

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PHD Test #1 Questions With Complete Solutions

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PHD Test #1 Questions With Complete Solutions

A physician repeatedly ignores calls from a case manager. What
happens next correct answers The case manager escalates to VP
or CEO, causing administrative consequences for the physician.

a. Communicating with managed care about payment correct
answers

Abbreviations in documentation correct answers JCAHO
defines approved abbreviations for clinical records.

Annual survey purpose correct answers Continuous monitoring
of patient safety, quality, and improvement.

Are association staff full-time and on salary correct answers
Yes—full-time positions with salary and benefits (M-F).

Are JCAHO surveys announced correct answers No—
surprise/unannounced inspections.

Are local chapters the primary focus of involvement correct
answers No—focus is primarily on national and state
associations.

Availability of certification-specific CEUs correct answers
Often limited and may require travel, increasing cost and time.

b. Ensuring documentation is ready for discharge correct
answers

,Before HIPAA, what hiring practice was legal that is now
prohibited correct answers Asking applicants about prior
coverage and claims history to influence hiring or coverage
decisions.

Behaviors explicitly prohibited as unprofessional correct
answers Physical or verbal aggression, profanity, spitting,
threats, public arguments, damaging property, and threatening
emails.

Best initial contacts for membership/CE questions correct
answers Membership Director (dues/access) and Director of CE
(events/credits).

Big picture purpose of JCAHO correct answers National,
standardized oversight of safety and quality across hospitals and
related facilities.

Board positions to know correct answers President, Vice
President, Secretary, Treasurer.

c. Managing discharges within covered days correct answers

Can a CNA sit in a visit correct answers Yes, if the patient
provides written consent because the CNA may help convey or
carry out care at home.

Can you email PHI correct answers Only via approved secure
systems consistent with your organization's safeguards and
policies; otherwise, do not.

,Can you text PHI from a personal phone correct answers No—
use only approved secure messaging platforms per policy.

Clinical documentation review correct answers Surveyors
request patient charts and read provider documentation.

Common committees to know correct answers Public Policy,
Research, Ethics, Clinician Issues.

Common mistake regarding certifications correct answers
Obtaining expensive credentials for procedures already
permitted by license.

Common session durations to memorize correct answers 1.5
hours and 3 hours.

Consequences of not correcting correct answers Facility fines,
significant internal activity, and potential terminations.

Core benefit #1—Advocacy correct answers Mobilizes the
profession to influence legislation and protect scope of practice.

Core benefit #2—Legal care correct answers Members access a
direct legal line to attorneys with unlimited calls.

Core benefit #3—Journals correct answers Peer-reviewed
content curated via the Research Committee for ongoing
education.

Core benefit #4—Career Center correct answers Centralized job
listings for the profession.

, Core benefit #5—Continuing Education (CE) correct answers
Concentrated CEUs via a large 3-day annual state conference.

Core outcome of complying with the process correct answers
Facilities that follow procedures and fix issues avoid problems.

Correction timeline correct answers Hospital has 30 days from
report receipt to correct every deficiency.

d. Supervising multiple law firms correct answers

Daily survey schedule correct answers Typically 8:00 a.m. to
5:00 p.m., on site all day.

Define the HIPAA Privacy Rule in practical terms correct
answers Do not reveal anything related to a patient's treatment
without prior written authorization, except for allowable routine
uses.

Definition of sentinel event correct answers An event causing
patient death, serious harm, or permanent harm.

Do certifications expand legal scope of practice correct answers
No—scope is defined by licensure and law, not by certificates.

Documentation thoroughness correct answers Must be
comprehensive—surveyors will question gaps or contradictions.

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