FACHE - ACHE BOG EXAM SAMPLE
TEST QUESTIONS - HEALTHCARE
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 answersd) The provider is paid a
set fee
Which of the following is a unit of measure commonly used to
determine provider productivity?
e) RVU
f) CMS
g)IPA
h) TJC correct answersa) RVU
What population factor is currently having the greatest impact on
healthcare organizations?
i) Ethnic composition
j) Economic status
k) Geographic distribution
l) Age cohort correct answersd) Age cohort
The principle reason for small and midsized employers to join buyers'
cooperatives si to enable them to:
m)Drop coverage from existing insurers
n) Gain leverage to obtain prices similar to large employers
o) Negotiate directly with physicians and hospitals
p)Lobby government agencies for more protection from insurers
correct answersb) Gain leverage to obtain prices similar to large
employers
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 answersd) Patient care areas
Participating providers in the federal Medicare program must:
e) Be accredited by The Joint Commission
f) Serve Medicaid beneficiaries
g)Meet the Conditions of Participation
h)Be in compliance with state certificate of need laws correct
answersc) Meet the Conditions of Participation
Which organization is responsible for accrediting residency training
programs?
i) ACGME
j) AAMC
k) AMA
l) BPQA correct answersa) ACGME
A patient is requesting their full medical record. Which of the following is
true regarding the record that will be provided to the patient:
m)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 answersa) Psychotherapy notes may be
excluded
An inpatient admission reimbursed based on the patient's diagnosis and
anticipated length of stay and services is known as:
n) ICD-10 payment
o) Capitation payment
p)Fee for service payment
q) DRG payment correct answersd) DRG payment
Bundled pricing (paying a single fee for al services) for such services as total
hip replacement or coronary artery bypass surgery affected physician-
hospital relationships by:
r)Reducing the need to devote administrative effort to measuring
outcomes and performance indicators
s) Putting the physician and hospital in competition with each other for
reimbursement
t)Promoting collaboration and integration efforts to provide more efficient
care d) Guaranteeing only top providers are allowed to participate in such
programs correct answersc) Promoting collaboration and integration efforts
to provide more efficient care
TEST QUESTIONS - HEALTHCARE
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 answersd) The provider is paid a
set fee
Which of the following is a unit of measure commonly used to
determine provider productivity?
e) RVU
f) CMS
g)IPA
h) TJC correct answersa) RVU
What population factor is currently having the greatest impact on
healthcare organizations?
i) Ethnic composition
j) Economic status
k) Geographic distribution
l) Age cohort correct answersd) Age cohort
The principle reason for small and midsized employers to join buyers'
cooperatives si to enable them to:
m)Drop coverage from existing insurers
n) Gain leverage to obtain prices similar to large employers
o) Negotiate directly with physicians and hospitals
p)Lobby government agencies for more protection from insurers
correct answersb) Gain leverage to obtain prices similar to large
employers
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 answersd) Patient care areas
Participating providers in the federal Medicare program must:
e) Be accredited by The Joint Commission
f) Serve Medicaid beneficiaries
g)Meet the Conditions of Participation
h)Be in compliance with state certificate of need laws correct
answersc) Meet the Conditions of Participation
Which organization is responsible for accrediting residency training
programs?
i) ACGME
j) AAMC
k) AMA
l) BPQA correct answersa) ACGME
A patient is requesting their full medical record. Which of the following is
true regarding the record that will be provided to the patient:
m)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 answersa) Psychotherapy notes may be
excluded
An inpatient admission reimbursed based on the patient's diagnosis and
anticipated length of stay and services is known as:
n) ICD-10 payment
o) Capitation payment
p)Fee for service payment
q) DRG payment correct answersd) DRG payment
Bundled pricing (paying a single fee for al services) for such services as total
hip replacement or coronary artery bypass surgery affected physician-
hospital relationships by:
r)Reducing the need to devote administrative effort to measuring
outcomes and performance indicators
s) Putting the physician and hospital in competition with each other for
reimbursement
t)Promoting collaboration and integration efforts to provide more efficient
care d) Guaranteeing only top providers are allowed to participate in such
programs correct answersc) Promoting collaboration and integration efforts
to provide more efficient care
