CHC Practice Test/ Questions and Correct
Answers/ 2024-2025
A behavioral health specialist notices a particularly high number of restraint deaths at a facility.
An analysis of the root causes of these events is most likely to indicate problems with:
a. Equipment
b. Staff orientation and training
c. Staffing levels
d. Alarm systems - Answer: b. Staff orientation and training
Equipment, staffing levels, and alarm system can also be culpable in restraint deaths, but
problems with orientation and training are much more likely.
A healthcare facility's income statement is an example of:
a. baseline audit
b. retrospective audit
c. concurrent audit
d. snapshot audit - Answer: b. retrospective audit
Page 1 of 17
,Concurrent audit is real-time evaluations of records/policies.
Snapshot audit is a comprehensive picture of the organization at a particular time.
Baseline audit is also a comprehensive evaluation but undertaken for establishing benchmarks
against which future performance may be compared.
A hospital's medication system is vast, and various element of it fall within the purview of
several different departments. One important step forwards reducing errors in this system is to:
a. make each department responsible for the system as a whole
b. have each department use the same self-assessment tools
c. give a single person responsibility for overseeing the entire system
d. simplify it - Answer: c. give a single person responsibility for overseeing the entire system
According to the Federal Sentencing Guidelines, which of the following factors could increase
the punishment of an organization?
a. obstruction of justice
b. violation of direct court order
c. prior history of violations
d. all of the above - Answer: d. all of the above
These are aggravating factors that increase the culpability score under the FSG.
See FSG chapter 8-C2.5 https://guidelines.ussc.gov/gl/%C2%A78C2.5
According to the Institute of Medicine, which of the following is NOT one of the domains of
quality of care?
a. government regulation
b. customization
c. safety
d. interventions consistent with the latest findings - Answer: a. government regulation
Page 2 of 17
, According to the OIG, which of the following would likely be the least helpful measure for
improving outpatient services?
a. describe the hospital's post-submission testing process to a fiscal intermediary
b. evaluate all possible bills for outpatient services provided at the hospital and within the
applicable time period
c. implement computer programs to identify outpatient services that are not billed separately
from inpatient services
d. establish a regular manual review of outpatient service claims - Answer: a. describe the
hospital's post-submission testing process to a fiscal intermediary
According to title II of HIPAA, disclosure of Protected Health Information related to which of the
following actions requires the patient's express written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - Answer: a. state in which the treatment occur
A covered entity may disclose PHI for TPO (treatment, payment, and healthcare operations)
At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a
qualified independent contractor?
a. first level appeal
b. second level appeal
c. third level appeal
d. fourth level appeal - Answer: b. second level appeal
There are five levels of appeal.
Page 3 of 17
Answers/ 2024-2025
A behavioral health specialist notices a particularly high number of restraint deaths at a facility.
An analysis of the root causes of these events is most likely to indicate problems with:
a. Equipment
b. Staff orientation and training
c. Staffing levels
d. Alarm systems - Answer: b. Staff orientation and training
Equipment, staffing levels, and alarm system can also be culpable in restraint deaths, but
problems with orientation and training are much more likely.
A healthcare facility's income statement is an example of:
a. baseline audit
b. retrospective audit
c. concurrent audit
d. snapshot audit - Answer: b. retrospective audit
Page 1 of 17
,Concurrent audit is real-time evaluations of records/policies.
Snapshot audit is a comprehensive picture of the organization at a particular time.
Baseline audit is also a comprehensive evaluation but undertaken for establishing benchmarks
against which future performance may be compared.
A hospital's medication system is vast, and various element of it fall within the purview of
several different departments. One important step forwards reducing errors in this system is to:
a. make each department responsible for the system as a whole
b. have each department use the same self-assessment tools
c. give a single person responsibility for overseeing the entire system
d. simplify it - Answer: c. give a single person responsibility for overseeing the entire system
According to the Federal Sentencing Guidelines, which of the following factors could increase
the punishment of an organization?
a. obstruction of justice
b. violation of direct court order
c. prior history of violations
d. all of the above - Answer: d. all of the above
These are aggravating factors that increase the culpability score under the FSG.
See FSG chapter 8-C2.5 https://guidelines.ussc.gov/gl/%C2%A78C2.5
According to the Institute of Medicine, which of the following is NOT one of the domains of
quality of care?
a. government regulation
b. customization
c. safety
d. interventions consistent with the latest findings - Answer: a. government regulation
Page 2 of 17
, According to the OIG, which of the following would likely be the least helpful measure for
improving outpatient services?
a. describe the hospital's post-submission testing process to a fiscal intermediary
b. evaluate all possible bills for outpatient services provided at the hospital and within the
applicable time period
c. implement computer programs to identify outpatient services that are not billed separately
from inpatient services
d. establish a regular manual review of outpatient service claims - Answer: a. describe the
hospital's post-submission testing process to a fiscal intermediary
According to title II of HIPAA, disclosure of Protected Health Information related to which of the
following actions requires the patient's express written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - Answer: a. state in which the treatment occur
A covered entity may disclose PHI for TPO (treatment, payment, and healthcare operations)
At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a
qualified independent contractor?
a. first level appeal
b. second level appeal
c. third level appeal
d. fourth level appeal - Answer: b. second level appeal
There are five levels of appeal.
Page 3 of 17
