ACHE BOARD OF GOVERNORS EXAM HEALTHCARE 2026
ACTUAL QUESTIONS WITH VERIFIED ANSWERS.
Mortality - (ANSWER)The incidence of death in a population
Morbidity - (ANSWER)The incidence and severity of illness and accidents in a population
Medigap - (ANSWER)Health insurance sold by private insurance companies to fill the "gaps" in original
Medicare plan coverage
Medicare recovery audit program - (ANSWER)A program to identify and correct improper payments
from Medicare to providers, with the aim of preventing future improper payments by Medicare; a
common improper payment is for surgical services provided in the wrong setting (inpatient instead of
outpatient).
Magnet Recognition Program - (ANSWER)A program developed by the American Nurses Credentialing
Center that recognizes healthcare organizations for quality patient care, nursing excellence and
innovations in professional nursing practice; Magnet designation is the ultimate credential for high-
quality nursing
Long-term care - (ANSWER)A continuum of maintenance, custodial, and health services provided to the
chronically ill, disabled or mentally handicapped.
Joint Commission - (ANSWER)The independent, not-for-profit organization that evaluiates and monitors
the quality of care provided in hospitals
Interdisciplinary plan of care - (ANSWER)A documented process that includes the patient, the family,
and all clinical disciplines involved in planning and providing care to a patient from system point of
entry, throuhgout the entire acute care episode, and to the next level of care
Independent Practice Association - (ANSWER)A legal entity that contracts with a group of independent
physicians to provide services to managed care organizations at a negotiated per capita rate; the
arrangement is usually not exclusive, so the physicians may sign contracts with other managed care
companies
, ACHE BOARD OF GOVERNORS EXAM HEALTHCARE 2026
ACTUAL QUESTIONS WITH VERIFIED ANSWERS.
Indemnity Plans - (ANSWER)Traditional fee-for-service health plans
Hospitalist - (ANSWER)A physician who manages broad categories of hospitalized patients
Hospital preauthorization - (ANSWER)A managed care technique in which the insured obtains
permission from a managed care organization before entering the hospital for nonemergency care.
Palliative Care - (ANSWER)Interdisciplinary care provided to a patient with a serious, life-threatening, or
life-limiting illness that aims not to provide curative treatment but rather to manage symptoms; relieve
pain and discomfort; improve quality of life; and meet the emotional, social and spiritual needs of the
patient and the patient's family
Hospice - (ANSWER)An organization that provides medical care and support services (pain and symptom
management, counseling, bereavement services) to terminally ill patients and their families; it may be a
freestandign facility, a unit of a hospital or other institution, or a separate program of a hospital, agency
or institution.
Healthcare Effectiveness Data and Information Set - (ANSWER)A comprehensive set of standardized
performance measures designed to provide purchasers and consumers with the information they need
for reliable comparison of health plan performance; HEDIS measures relate to significant public health
issues such as cancer, heart disease, smoking, asthma, and diabetes.
Health Savings Account - (ANSWER)An account created for individuals who are covered under high-
deductible health plans to save for medical expenses that the plans do not cover
Health Maintenance Organizations - (ANSWER)A health insurance organization licensed at the state level
to which subscribers pay a predetermined fee in return for access to a panel of employed physicians and
network of facilties
ACTUAL QUESTIONS WITH VERIFIED ANSWERS.
Mortality - (ANSWER)The incidence of death in a population
Morbidity - (ANSWER)The incidence and severity of illness and accidents in a population
Medigap - (ANSWER)Health insurance sold by private insurance companies to fill the "gaps" in original
Medicare plan coverage
Medicare recovery audit program - (ANSWER)A program to identify and correct improper payments
from Medicare to providers, with the aim of preventing future improper payments by Medicare; a
common improper payment is for surgical services provided in the wrong setting (inpatient instead of
outpatient).
Magnet Recognition Program - (ANSWER)A program developed by the American Nurses Credentialing
Center that recognizes healthcare organizations for quality patient care, nursing excellence and
innovations in professional nursing practice; Magnet designation is the ultimate credential for high-
quality nursing
Long-term care - (ANSWER)A continuum of maintenance, custodial, and health services provided to the
chronically ill, disabled or mentally handicapped.
Joint Commission - (ANSWER)The independent, not-for-profit organization that evaluiates and monitors
the quality of care provided in hospitals
Interdisciplinary plan of care - (ANSWER)A documented process that includes the patient, the family,
and all clinical disciplines involved in planning and providing care to a patient from system point of
entry, throuhgout the entire acute care episode, and to the next level of care
Independent Practice Association - (ANSWER)A legal entity that contracts with a group of independent
physicians to provide services to managed care organizations at a negotiated per capita rate; the
arrangement is usually not exclusive, so the physicians may sign contracts with other managed care
companies
, ACHE BOARD OF GOVERNORS EXAM HEALTHCARE 2026
ACTUAL QUESTIONS WITH VERIFIED ANSWERS.
Indemnity Plans - (ANSWER)Traditional fee-for-service health plans
Hospitalist - (ANSWER)A physician who manages broad categories of hospitalized patients
Hospital preauthorization - (ANSWER)A managed care technique in which the insured obtains
permission from a managed care organization before entering the hospital for nonemergency care.
Palliative Care - (ANSWER)Interdisciplinary care provided to a patient with a serious, life-threatening, or
life-limiting illness that aims not to provide curative treatment but rather to manage symptoms; relieve
pain and discomfort; improve quality of life; and meet the emotional, social and spiritual needs of the
patient and the patient's family
Hospice - (ANSWER)An organization that provides medical care and support services (pain and symptom
management, counseling, bereavement services) to terminally ill patients and their families; it may be a
freestandign facility, a unit of a hospital or other institution, or a separate program of a hospital, agency
or institution.
Healthcare Effectiveness Data and Information Set - (ANSWER)A comprehensive set of standardized
performance measures designed to provide purchasers and consumers with the information they need
for reliable comparison of health plan performance; HEDIS measures relate to significant public health
issues such as cancer, heart disease, smoking, asthma, and diabetes.
Health Savings Account - (ANSWER)An account created for individuals who are covered under high-
deductible health plans to save for medical expenses that the plans do not cover
Health Maintenance Organizations - (ANSWER)A health insurance organization licensed at the state level
to which subscribers pay a predetermined fee in return for access to a panel of employed physicians and
network of facilties
