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ACHE BOG Exam Sample Test Questions
A patient is requesting their full medical record. Which of the following is true
regarding the record that will be provided to the patient:
a) 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.
a) 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:
a) ICD-10 payment
b) Capitation payment
c) Fee for service payment
d) DRG payment
d) DRG payment
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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:
a) Reducing the need to devote administrative effort to measuring outcomes
and performance indicators
b) Putting the physician and hospital in competition with each other for
reimbursement c) Promoting collaboration and integration efforts to provide
more efficient care d) Guaranteeing only top providers are allowed to
participate in such programs
c) Promoting collaboration and integration efforts to provide more efficient care
A hospital acquires another hospital. This would be known as:
a) Vertical integration
b) Diagonal integration
c) Circular integration
d) Horizontal integration
d) Horizontal integration
Under capitation, the risks of over-utilization are shifted ot the:
a) Patient receiving the health services
b) Provider of the health services
c) Third-party payers
d) Health insurance company
b) Provider of the health services
In addition to improving the health of the surrounding community, one of the
primary reasons non-profit hospitals may offer health fairs, screening
programs, and smoking cessation classes is that they contribute to:
a) Demand for services
b) Supply of providers
c) Image of the organization
d) Community benefit
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d) Community benefit
Hospitals designated and known for their ability to attract and retain nurses,
despite shortages, and for exceptional nursing quality outcomes are referred
to as:
a) Shared Governance Hospitals
b) Leapfrog Hospitals
c) Magnet Hospitals
d) Baldridge Hospitals
c) Magnet Hospitals
Your board of trustees has voted ot terminate the privileges of a physician.
Which of the following organizations must you inform?
a) American Medical Association
b) Local medical society
c) National Practitioner Data Bank
d) The Joint Commission
c) National Practitioner Data Bank
The development of preferred provider organizations was originally intended
to:
a) Guarantee that hospitals maintain their occupancies
b) Promote networks that would evolve into multi-hospital systems
c) Offer an alternative to health maintenance organizations
d) Force high-priced hospitals out of local markets via discounts
c) Offer an alternative to health maintenance organizations
Efforts to encourage licensed clinical staff to engage in continuing education
are given substantial assistance by the fact that these professionals:
a) Are highly competitive and encouraged by peer pressure
b) Must meet requirements of their certifying group
c) Are interested in opportunities for growth
d) Must meet malpractice standards for continuing education
b) Must meet requirements of their certifying group
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Magnet hospital designation includes an organizational commitment to all the
following except:
a) Professional autonomy over practice
b) Nursing control over practice environment
c) Competitive benefits for all nurses
d) Effective communication between physicians, administrators, and nurses
c) Competitive benefits for all nurses
All areas of healthcare facilities are subject to safety, convenience and other
regulatory requirements as dictated by the state life safety codes, TJC, OSHA,
state fire marshal, etc. 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.
d) Patient care areas.
The objective of maintenance and repair services is to keep the facility and its
equipment operating like new. This goal is best achieved by emphasizing:
a) Prevention.
b) Efficiency.
c) Productivity.
d) Safety.
a) Prevention.
The best way to reduce/contain the costs of distributing supplies throughout
an organization is to:
a) Purchase the most modern supply distribution system for your
organization.
b) Minimize the number of times an item is handled from the time it is received
by the organization to the time it is used.
c) Utilize a computerized materials management system that allows the