CPXP EXAM PREP| QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT|
GRADE A
What does HIPAA stand for? - (Correct Answer)-Health Insurance Portability and
Accountability Act (1996)
What are the 3 key provisions of HIPAA? - (Correct Answer)-1. Patients' Right to Access
Health Information: Patients can request and receive their health records.
2. Protection Against Unauthorized Disclosure: Healthcare providers must protect patient
data from unauthorized access or release.
3. Data Security: Providers must implement safeguards to prevent breaches (physical,
administrative, and technical).
What is a Patient Bill of Rights? - (Correct Answer)-A document that outlines the
fundamental rights and responsibilities of patients in the healthcare system.
Goals:
- Empower patients
- Ensure their safety
- Promote a respectful and collaborative relationship between patients and healthcare
providers.
What are 3 examples of core rights in a Patient Bill of Rights? - (Correct Answer)-- Right to be
informed and make decisions about care.
- Right to participate in care planning and decisions.
- Right to have complaints addressed.
The Joint Commission is the primary accrediting body in healthcare that focuses on improving
______ - (Correct Answer)-quality and safety
What are 3 key standards of The Joint Commission? - (Correct Answer)-1. Patient safety and
care quality
, 2
2. Leadership and organizational management
3. Infection control and patient outcomes
National Committee for Quality Assurance (NCQA) focuses on improving _____ - (Correct
Answer)-healthcare quality by evaluating the performance of healthcare organizations
National Committee for Quality Assurance (NCQA) uses _____, _____, and _____ to highlight
top performers and drive improvement - (Correct Answer)-measurement, transparency, and
accountability
What organization is HEDIS part of? - (Correct Answer)-National Committee for Quality
Assurance (NCQA)
What is HEDIS? - (Correct Answer)-Healthcare Effectiveness Data and Information Set
Measures used to evaluate how well healthcare organizations provide preventive care,
manage chronic conditions, and improve patient outcomes.
What are the 6 HEDIS domains of care? - (Correct Answer)-1. Effectiveness of care
2. Access/availability of care
3. Experience of Care
4. Utilization and risk adjusted utilization
5. Health plan descriptive information
6. Measures reported using electronic clinical data systems
Key areas of focus for Centers of Medicare and Medicaid Services (CMS) - (Correct Answer)--
Reimbursement policies and payment models.
- Value-based care models (e.g., Accountable Care Organizations, Bundled Payments).
- Quality measurement
, 3
- Performance feedback/reporting (Hospital Compare, Physician Quality Reporting)
- Health equity
- Addressing affordability
- Innovation
Affordable Care Act (ACA) made healthcare coverage available to [fewer/more] individuals -
(Correct Answer)-more
T/F: The Affordable Care Act (ACA) established healath insurance exchanges - (Correct
Answer)-True
Affordable Care Act (ACA) prohibited insurers from denying coverage due to ________ -
(Correct Answer)-pre-existing conditions
Affordable Care Act (ACA) introduced [Medicare/Medicaid] expansion in certain states -
(Correct Answer)-Medicaid
Affordable Care Act (ACA) focused on improving _________ and reducing ______ - (Correct
Answer)-improving quality of care and reducing healthcare costs
What is the Stark Law? - (Correct Answer)-1991: Prevents healthcare providers from
referring patients to facilities where they have a financial interest
What is the Anti-Kickback Statute? - (Correct Answer)-Prevents the exchange of
remuneration/payment for referrals or recommendations for healthcare services
National Patient Safety Goals (NPSGs) were introduced by ____ in 2002 - (Correct Answer)-
The Joint Commission
, 4
What are the nine 2024 National Patient Safety Goals (NPSGs)? - (Correct Answer)-1. Improve
the accuracy of patient identification
2. Improve the effectiveness of communication among caregivers
3. Improve the safety of using medications
4. Reduce the risk of healthcare associated infections?
5. Reduce the risk of patient harm resulting from falls
6. Improve the accuracy of patient's medications
7. Reduce the risk of surgical fires
8. Ensure correct site, correct procedure, and correct patient surgery
9. Improve the safety of clinical alarm systems
Which National Patient Safety Goal (NPSG) is this?
Use at least two patient identifiers (e.g., name, date of birth) when providing care, treatment, or
services - (Correct Answer)-Improve the accuracy of patient identification
Which National Patient Safety Goal (NPSG) is this?
Standardized approaches (e.g., SBAR: Situation, Background, Assessment, Recommendation)
for handoffs and communication during transitions of care - (Correct Answer)-Improve the
effectiveness of communication among caregivers
Which National Patient Safety Goal (NPSG) is this?
Label all medications, medication containers, and other solutions.
Ensure that high-alert medications (e.g., insulin, opioids) are managed safely.
Ensure safe medication administration practices are followed - (Correct Answer)-Improve the
safety of using medications
GRADE A
What does HIPAA stand for? - (Correct Answer)-Health Insurance Portability and
Accountability Act (1996)
What are the 3 key provisions of HIPAA? - (Correct Answer)-1. Patients' Right to Access
Health Information: Patients can request and receive their health records.
2. Protection Against Unauthorized Disclosure: Healthcare providers must protect patient
data from unauthorized access or release.
3. Data Security: Providers must implement safeguards to prevent breaches (physical,
administrative, and technical).
What is a Patient Bill of Rights? - (Correct Answer)-A document that outlines the
fundamental rights and responsibilities of patients in the healthcare system.
Goals:
- Empower patients
- Ensure their safety
- Promote a respectful and collaborative relationship between patients and healthcare
providers.
What are 3 examples of core rights in a Patient Bill of Rights? - (Correct Answer)-- Right to be
informed and make decisions about care.
- Right to participate in care planning and decisions.
- Right to have complaints addressed.
The Joint Commission is the primary accrediting body in healthcare that focuses on improving
______ - (Correct Answer)-quality and safety
What are 3 key standards of The Joint Commission? - (Correct Answer)-1. Patient safety and
care quality
, 2
2. Leadership and organizational management
3. Infection control and patient outcomes
National Committee for Quality Assurance (NCQA) focuses on improving _____ - (Correct
Answer)-healthcare quality by evaluating the performance of healthcare organizations
National Committee for Quality Assurance (NCQA) uses _____, _____, and _____ to highlight
top performers and drive improvement - (Correct Answer)-measurement, transparency, and
accountability
What organization is HEDIS part of? - (Correct Answer)-National Committee for Quality
Assurance (NCQA)
What is HEDIS? - (Correct Answer)-Healthcare Effectiveness Data and Information Set
Measures used to evaluate how well healthcare organizations provide preventive care,
manage chronic conditions, and improve patient outcomes.
What are the 6 HEDIS domains of care? - (Correct Answer)-1. Effectiveness of care
2. Access/availability of care
3. Experience of Care
4. Utilization and risk adjusted utilization
5. Health plan descriptive information
6. Measures reported using electronic clinical data systems
Key areas of focus for Centers of Medicare and Medicaid Services (CMS) - (Correct Answer)--
Reimbursement policies and payment models.
- Value-based care models (e.g., Accountable Care Organizations, Bundled Payments).
- Quality measurement
, 3
- Performance feedback/reporting (Hospital Compare, Physician Quality Reporting)
- Health equity
- Addressing affordability
- Innovation
Affordable Care Act (ACA) made healthcare coverage available to [fewer/more] individuals -
(Correct Answer)-more
T/F: The Affordable Care Act (ACA) established healath insurance exchanges - (Correct
Answer)-True
Affordable Care Act (ACA) prohibited insurers from denying coverage due to ________ -
(Correct Answer)-pre-existing conditions
Affordable Care Act (ACA) introduced [Medicare/Medicaid] expansion in certain states -
(Correct Answer)-Medicaid
Affordable Care Act (ACA) focused on improving _________ and reducing ______ - (Correct
Answer)-improving quality of care and reducing healthcare costs
What is the Stark Law? - (Correct Answer)-1991: Prevents healthcare providers from
referring patients to facilities where they have a financial interest
What is the Anti-Kickback Statute? - (Correct Answer)-Prevents the exchange of
remuneration/payment for referrals or recommendations for healthcare services
National Patient Safety Goals (NPSGs) were introduced by ____ in 2002 - (Correct Answer)-
The Joint Commission
, 4
What are the nine 2024 National Patient Safety Goals (NPSGs)? - (Correct Answer)-1. Improve
the accuracy of patient identification
2. Improve the effectiveness of communication among caregivers
3. Improve the safety of using medications
4. Reduce the risk of healthcare associated infections?
5. Reduce the risk of patient harm resulting from falls
6. Improve the accuracy of patient's medications
7. Reduce the risk of surgical fires
8. Ensure correct site, correct procedure, and correct patient surgery
9. Improve the safety of clinical alarm systems
Which National Patient Safety Goal (NPSG) is this?
Use at least two patient identifiers (e.g., name, date of birth) when providing care, treatment, or
services - (Correct Answer)-Improve the accuracy of patient identification
Which National Patient Safety Goal (NPSG) is this?
Standardized approaches (e.g., SBAR: Situation, Background, Assessment, Recommendation)
for handoffs and communication during transitions of care - (Correct Answer)-Improve the
effectiveness of communication among caregivers
Which National Patient Safety Goal (NPSG) is this?
Label all medications, medication containers, and other solutions.
Ensure that high-alert medications (e.g., insulin, opioids) are managed safely.
Ensure safe medication administration practices are followed - (Correct Answer)-Improve the
safety of using medications
