Compliance Exam 2025/2026 Actual Complete Real Exam
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A 66-year-old individual gets short of breath while walking his
dog. The individual calls the doctor. The doctor knows the
individual is a smoker and has asthma.
How should the doctor respond to this situation? - ANSWER-
Schedule an immediate visit to the office
A patient goes to the hospital emergency room to be seen for
an increased heart rate. The patient was diagnosed with severe
anxiety and was discharged. This visit is followed by an invoice
to the patient's insurance company. The patient complained to
the state health board.
Who in the hospital should the patient have reached out to
first? - ANSWER-
The patient
advocate
,An employer organization is facing increasing demands to
offer a new health
insurance product. The CEO of the organization decides to
introduce a PPO.
Which professional organization will the CEO consult? -
ANSWER-National
Committee for Quality
Assurance
A dental department ordered new hand pieces. The
Occupational Safety and Health Administration and the Centers
for Disease Control mandate processing by the Sterile
Processing Department to reduce exposure to patients.
Which area of concern is identified by this type of
mandate? - ANSWER-
Infection
control
A medical facility is dealing with low staff-to-patient ratios. In
response, the manager consistently requests that nurses stop
the care being given to one patient to take care of another
patient.
, How can the facility make sure all patients receive quality
care? - ANSWER-
Develop a team-based approach to
care delivery
A physician gives a nurse an order over the telephone
regarding how to treat a
patient with cardiovascular disease. As the nurse is taking
down the detailed
order, a physician interrupts and requests a diet order for
another patient.
What action should the nurse take to maintain quality of
care? - ANSWER-
Address the needs of the first
physician
Over the last decade, there has been discussion regarding the
U.S. healthcare system needing payment reform. The
healthcare system currently experiences
a lack of resources and complex payment
systems.
Which two inefficiencies act as barriers to this type of
reform?Choose 2