HSA4109 Exam Questions with Correct Answers
The term "Health Maintenance Organization" was coined by whom?
Dr. Paul Ellwood (p. 125)
What are the three key elements of classical quality management?
structure, process, outcome (p.149)
Utilization management seeks to reduce practice variation while promoting good outcomes
and which of the following?:
a.
Maintaining costs
b.
Deducing access
c.
All of the above
d.
Increasing patients
e.
None of the above
None of the above
In this type of program the federal government acts as the employer and makes health
insurance plans available to federal employees.
a.
,The Federal Employees Health Benefit Program
b.
Medicaid
c.
Veterans Affair Program
d.
Medicare
e.
none of the above
The Federal Employees Health Benefit Program
Which of the following forms of hospital payment contain no elements of risk sharing by
the hospital:
a.
DRGs and MS-DRGs
b.
Capitation
c.
Sliding scale FFS
d.
Per diem
e.
c and d
Sliding scale FFS
, One of the reasons chargemasters differ is like all providers, hospitals are:
a.
not free to place discounts on charges used for inpatient and/or outpatient cases
b.
free to charge whatever they want in their chargemaster for private pay patients and
commercial payers
c.
none of the above
d.
are free to provide discounts of charges on a sliding scale for inpatient cases
free to charge whatever they want in their chargemaster for private pay patients and commercial
payers (p. 106)
The code set MS-DRGs is used for which type of usage?
a.
inpatient care
b.
outpatient care
c.
all of the above
d.
durable medical equipment
inpatient care (p. 89)
The term "Health Maintenance Organization" was coined by whom?
Dr. Paul Ellwood (p. 125)
What are the three key elements of classical quality management?
structure, process, outcome (p.149)
Utilization management seeks to reduce practice variation while promoting good outcomes
and which of the following?:
a.
Maintaining costs
b.
Deducing access
c.
All of the above
d.
Increasing patients
e.
None of the above
None of the above
In this type of program the federal government acts as the employer and makes health
insurance plans available to federal employees.
a.
,The Federal Employees Health Benefit Program
b.
Medicaid
c.
Veterans Affair Program
d.
Medicare
e.
none of the above
The Federal Employees Health Benefit Program
Which of the following forms of hospital payment contain no elements of risk sharing by
the hospital:
a.
DRGs and MS-DRGs
b.
Capitation
c.
Sliding scale FFS
d.
Per diem
e.
c and d
Sliding scale FFS
, One of the reasons chargemasters differ is like all providers, hospitals are:
a.
not free to place discounts on charges used for inpatient and/or outpatient cases
b.
free to charge whatever they want in their chargemaster for private pay patients and
commercial payers
c.
none of the above
d.
are free to provide discounts of charges on a sliding scale for inpatient cases
free to charge whatever they want in their chargemaster for private pay patients and commercial
payers (p. 106)
The code set MS-DRGs is used for which type of usage?
a.
inpatient care
b.
outpatient care
c.
all of the above
d.
durable medical equipment
inpatient care (p. 89)
