ACHE BOARD OF GOVERNORS UPDATED
EXAM QUESTIONS AND CORRECT
ANSWERS
●● 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
●● Indemnity Plans
Answer: Traditional fee-for-service health plans
●● Hospitalist
EXAM QUESTIONS AND CORRECT
ANSWERS
●● 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
●● Indemnity Plans
Answer: Traditional fee-for-service health plans
●● Hospitalist
