CHC PRACTICE TEST QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

CHC PRACTICE TEST QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a qualified independe
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nt contractor? I




a. first level appeal
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b. second level appeal
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c. third level appeal
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d. fourth level appeal - ANSWER b. second level appeal
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There are five levels of appeal. I I I I I




First level entails a redetermination of claim; second level involves reconsideration by a qualified independen
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t contractor; third level includes a hearing overseen by admin law judge; fourth level is a review of Medicare Re
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view Council; and fifth level is a judicial review in federal court.
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If an at-risk patient is left unattended and has an adverse response to medication, this is known as:
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a. sentinel event
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b. initiator I




c. latent outcome
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d. slip - ANSWER a. sentinel event
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Sentinel event is an adverse occurrence that is not in the normal progression of a patient's illness. In this scena
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rio, an adverse drug event is considered a sentinel event. AND whenever a sentinel events is confirmed, the fac
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ility should perform a Root Cause Analysis (RCA).
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A Latent Outcome -
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less apparent failures of organization or design that contributed to the error/patient harm.
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A Slip - can be a fall or an everyday risk at hospitals.
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A behavioral health specialist notices a particularly high number of restraint deaths at a facility. An analysis of t
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he root causes of these events is most likely to indicate problems with:
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a. EquipmentI

, b. Staff orientation and training
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c. Staffing levels
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d. Alarm systems - ANSWER b. Staff orientation and training
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Equipment, staffing levels, and alarm system can also be culpable in restraint deaths, but problems with orient
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ation and training are much more likely.
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Which piece of legislation established a new set of standards for corporate responsibility?
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a. sarbanes-oxley act
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b. united states patriot act
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c. foreign corrupt practices act
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d. stark law - ANSWER a. sarbanes-oxley act
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Sarbanes-oxley act was passed after a series of high- I I I I I I I I


profile financial scandals in early 2000s to protect shareholders, improving corporate governance and accoun
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tability setting new set of standards for corporate responsibility.
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According to the Federal Sentencing Guidelines, which of the following factors could increase the punishment
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of an organization?
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a. obstruction of justice
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b. violation of direct court order
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c. prior history of violations
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d. all of the above - ANSWER d. all of the above
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These are aggravating factors that increase the culpability score under the FSG.
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See FSG chapter 8-C2.5 https://guidelines.ussc.gov/gl/%C2%A78C2.5
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When a hospital official notes that most errors are occurring at the "sharp end" she means that:
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a. they involve surgical tools or knives
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b. they occur in clusters
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