1. Which of the following si true about a capitated Managed Care Organization
(MCO) arrangement:
a) The provider shifts financial risḱ to the MCO
b) The provider can bil separately for each service provided
c) The provider must wait to bil the MCO until services have been provided to
a patient
d) The provider is paid a set fee: d) The provider is paid a set fee
2. Which of the following is a unit of measure commonly used to
determine provider productivity?
a) RVU
b) CMS
c) IPA
d) TJC: a) RVU
3. What population factor is currently having the greatest impact on healthcare
organizations?
a) Ethnic composition
b) Economic status
c) Geographic distribution
d) Age cohort: d) Age cohort
4. The principle reason for small and midsized employers to join buyers' coop-
eratives si to enable them to:
a) Drop coverage from existing insurers
,b) Gain leverage to obtain prices similar to large employers
c) Negotiate directly with physicians and hospitals
d) Lobby government agencies for more protection from insurers: b) Gain leverage
to obtain prices similar to large employers
5. All areas of healthcare facilities are subject to safety and other regulatory
requirements as
, dictated by state life safety codes, The Joint Commission, Occupational Safety and
Health Administration, state fire marshal, and others. Which area of the
facility typically has the
highest standards?
a) The energy plant
b) Highly used public areas
c) Areas under construction
d) Patient care areas: d) Patient care areas
6. Participating providers in the federal Medicare program must:
a) Be accredited by The Joint Commission
b) Serve Medicaid beneficiaries
c) Meet the Conditions of Participation
d) Be in compliance with state certificate of need laws: c) Meet the Conditions of Participa-
tion
7. Which organization is responsible for accrediting residency training pro-
grams?
a) ACGME
b) AAMC
c) AMA
d) BPQA: a) ACGME
8. A patient is requesting their full medical record. Which of the following is
true regarding the record that will be provided to the patient:
a) Psychotherapy notes may be excluded b) Physical therapy notes may be
excluded
c) Labs and diagnostic imaging may be excluded d) The full record must always be
(MCO) arrangement:
a) The provider shifts financial risḱ to the MCO
b) The provider can bil separately for each service provided
c) The provider must wait to bil the MCO until services have been provided to
a patient
d) The provider is paid a set fee: d) The provider is paid a set fee
2. Which of the following is a unit of measure commonly used to
determine provider productivity?
a) RVU
b) CMS
c) IPA
d) TJC: a) RVU
3. What population factor is currently having the greatest impact on healthcare
organizations?
a) Ethnic composition
b) Economic status
c) Geographic distribution
d) Age cohort: d) Age cohort
4. The principle reason for small and midsized employers to join buyers' coop-
eratives si to enable them to:
a) Drop coverage from existing insurers
,b) Gain leverage to obtain prices similar to large employers
c) Negotiate directly with physicians and hospitals
d) Lobby government agencies for more protection from insurers: b) Gain leverage
to obtain prices similar to large employers
5. All areas of healthcare facilities are subject to safety and other regulatory
requirements as
, dictated by state life safety codes, The Joint Commission, Occupational Safety and
Health Administration, state fire marshal, and others. Which area of the
facility typically has the
highest standards?
a) The energy plant
b) Highly used public areas
c) Areas under construction
d) Patient care areas: d) Patient care areas
6. Participating providers in the federal Medicare program must:
a) Be accredited by The Joint Commission
b) Serve Medicaid beneficiaries
c) Meet the Conditions of Participation
d) Be in compliance with state certificate of need laws: c) Meet the Conditions of Participa-
tion
7. Which organization is responsible for accrediting residency training pro-
grams?
a) ACGME
b) AAMC
c) AMA
d) BPQA: a) ACGME
8. A patient is requesting their full medical record. Which of the following is
true regarding the record that will be provided to the patient:
a) Psychotherapy notes may be excluded b) Physical therapy notes may be
excluded
c) Labs and diagnostic imaging may be excluded d) The full record must always be
