ACHE FACHE BOG Test Bank | Complete UPDATED ACTUAL Exam
Questions and CORRECT Answers Graded A+ 100% Verified
Question 1.
Which of the following si true about a capitated Managed Care Organization (MCO)
arrangement:
a) The provider shifts financial risk 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
Correct Answer: d) The provider is paid a set fee
Question 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) RVU
Question 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) Age cohort
Question 4.
The principle reason for small and midsized employers to join buyers' cooperatives 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
Correct Answer: b) Gain leverage to obtain prices similar to large employers
Question 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
Correct Answer: d) Patient care areas
Question 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) Meet the Conditions of Participation
Question 7.
Which organization is responsible for accrediting residency training programs?
a) ACGME
b) AAMC
c) AMA
d) BPQA
Correct Answer: a) ACGME
Question 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
provided.
Correct Answer: a) Psychotherapy notes may be excluded
Question 9.
An inpatient admission reimbursed based on the patient's diagnosis and anticipated
length of stay and services is known as:
a) ICD-10 payment
b) Capitation payment
c) Fee for service payment
d) DRG payment
Questions and CORRECT Answers Graded A+ 100% Verified
Question 1.
Which of the following si true about a capitated Managed Care Organization (MCO)
arrangement:
a) The provider shifts financial risk 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
Correct Answer: d) The provider is paid a set fee
Question 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) RVU
Question 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) Age cohort
Question 4.
The principle reason for small and midsized employers to join buyers' cooperatives 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
Correct Answer: b) Gain leverage to obtain prices similar to large employers
Question 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
Correct Answer: d) Patient care areas
Question 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) Meet the Conditions of Participation
Question 7.
Which organization is responsible for accrediting residency training programs?
a) ACGME
b) AAMC
c) AMA
d) BPQA
Correct Answer: a) ACGME
Question 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
provided.
Correct Answer: a) Psychotherapy notes may be excluded
Question 9.
An inpatient admission reimbursed based on the patient's diagnosis and anticipated
length of stay and services is known as:
a) ICD-10 payment
b) Capitation payment
c) Fee for service payment
d) DRG payment
