FACHE ACHE BOG EXAM | COMPREHENSIVE
EXAM BANK WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS AND WELL
ELLABORATED RATIONALES.
1. Which of the following is true about a capitated Managed
Care Organization (MCO) arrangement?
A) The provider shifts financial risk to the MCO
B) The provider can bill separately for each service
provided
C) The provider must wait to bill the MCO until services have
been provided to a patient
D) The provider is paid a set fee
Correct Answer: D
Rationale: In a capitated arrangement, the provider is paid a
set fee per member per month regardless of the services
provided. This shifts financial risk to the provider, who must
manage care efficiently within the fixed payment.
2. Which of the following is a unit of measure commonly
used to determine provider productivity?
A) RVU
B) CMS
C) IPA
D) TJC
,Correct Answer: A
Rationale: Relative Value Units (RVUs) are used to measure
provider productivity by quantifying the work, practice
expense, and malpractice risk associated with services.
CMS (Centers for Medicare & Medicaid Services) is a payer,
IPA is an Independent Practice Association, and TJC is The
Joint Commission.
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
Correct Answer: D
Rationale: The aging population (age cohort) is having the
greatest impact on healthcare organizations as the baby
boomer generation ages, increasing demand for healthcare
services, particularly chronic disease management and
long-term care.
4. The principal reason for small and midsized employers to
join buyers' cooperatives is 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
Correct Answer: B
Rationale: Buyers' cooperatives allow small and midsized
employers to pool their purchasing power to gain leverage
and obtain prices similar to those available to large
employers, improving their negotiating position with
insurers.
5. All areas of healthcare facilities are subject to safety and
other regulatory requirements as dictated by state life
safety codes, The Joint Commission, OSHA, 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
Correct Answer: D
Rationale: Patient care areas have the highest standards
because they directly impact patient safety and well-being.
These areas are subject to the most stringent regulatory
requirements to protect vulnerable patients.
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
Correct Answer: C
Rationale: Medicare providers must meet the Conditions of
Participation (CoPs), which are federal regulations that
establish minimum health and safety standards.
Accreditation is one way to demonstrate compliance but is
not required for all providers.
7. Which organization is responsible for accrediting
residency training programs?
A) ACGME
B) AAMC
C) AMA
D) BPQA
Correct Answer: A
Rationale: The Accreditation Council for Graduate Medical
Education (ACGME) is responsible for accrediting residency
training programs. The AAMC represents medical schools,
the AMA is a professional organization, and BPQA is not a
recognized accrediting body.
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?
EXAM BANK WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS AND WELL
ELLABORATED RATIONALES.
1. Which of the following is true about a capitated Managed
Care Organization (MCO) arrangement?
A) The provider shifts financial risk to the MCO
B) The provider can bill separately for each service
provided
C) The provider must wait to bill the MCO until services have
been provided to a patient
D) The provider is paid a set fee
Correct Answer: D
Rationale: In a capitated arrangement, the provider is paid a
set fee per member per month regardless of the services
provided. This shifts financial risk to the provider, who must
manage care efficiently within the fixed payment.
2. Which of the following is a unit of measure commonly
used to determine provider productivity?
A) RVU
B) CMS
C) IPA
D) TJC
,Correct Answer: A
Rationale: Relative Value Units (RVUs) are used to measure
provider productivity by quantifying the work, practice
expense, and malpractice risk associated with services.
CMS (Centers for Medicare & Medicaid Services) is a payer,
IPA is an Independent Practice Association, and TJC is The
Joint Commission.
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
Correct Answer: D
Rationale: The aging population (age cohort) is having the
greatest impact on healthcare organizations as the baby
boomer generation ages, increasing demand for healthcare
services, particularly chronic disease management and
long-term care.
4. The principal reason for small and midsized employers to
join buyers' cooperatives is 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
Correct Answer: B
Rationale: Buyers' cooperatives allow small and midsized
employers to pool their purchasing power to gain leverage
and obtain prices similar to those available to large
employers, improving their negotiating position with
insurers.
5. All areas of healthcare facilities are subject to safety and
other regulatory requirements as dictated by state life
safety codes, The Joint Commission, OSHA, 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
Correct Answer: D
Rationale: Patient care areas have the highest standards
because they directly impact patient safety and well-being.
These areas are subject to the most stringent regulatory
requirements to protect vulnerable patients.
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
Correct Answer: C
Rationale: Medicare providers must meet the Conditions of
Participation (CoPs), which are federal regulations that
establish minimum health and safety standards.
Accreditation is one way to demonstrate compliance but is
not required for all providers.
7. Which organization is responsible for accrediting
residency training programs?
A) ACGME
B) AAMC
C) AMA
D) BPQA
Correct Answer: A
Rationale: The Accreditation Council for Graduate Medical
Education (ACGME) is responsible for accrediting residency
training programs. The AAMC represents medical schools,
the AMA is a professional organization, and BPQA is not a
recognized accrediting body.
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?
