HSA 546 Final Exam Part 2 and 1 - Latest Complete Answers all correct, A+ Guide

HSA 546 Final Exam Part 2 and 1 • Question 1 The six primary categories of __________ in the office practice are professional, personnel, property, financial, information technology, and legal/regulatory. • Question 2 Which of the following statements is true regarding the hiring process? • Question 3 The four primary functions of __________ in the office practice are to: 1) provide clinical communication with any practitioner who may see the patient for current or future care, 2) provide the basis for billing charges, 3) help maintain compliance with regulations and standards, and 4) provide a risk management tool to support the clinical actions and decision making of the provider. • Question 5 Who is responsible for both accounting and budgeting in a medical practice? • Question 6 The Statement of Financial Accounting Concepts No. 1 states that: Financial reporting should provide information that is useful to present to: • Question 7 __________ is “the rational and systematic allocation of the cost of a capital item to the revenues it produces over its useful life.” • Question 8 Which of the following statements is true regarding budgeting? • Question 9 Which of the following statements is true regarding customer satisfaction? • Question 10 The __________ is defined as total operating cost divided by total medical revenue. • Question 11 Calculating physicians’ income and performing a breakeven analysis are used for determining: • Question 12 Gross collection rate, collection rate by payer, payer mix, reimbursement by service line, and reimbursement per procedure code are all benchmarks related to: • Question 13 __________ are the expenses incurred by the organization in earning medical revenue. • Question 14 The majority of medical practices use the __________ method of accounting. • Question 15 The __________ explains how the organization obtained and used cash during the accounting period. • Question 16 The __________ shows the results of operations (income, expenses, and net profit or loss) for a period of time. • Question 17 As all applications and their interfaces come together, __________ testing determines how well the applications generate the right data for display, for reports, and for clinical decision support. • Question 18 A(n) __________ is an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization. • Question 19 A(n) __________ is an electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one healthcare organization. • Question 20 There are two absolutes with respect to electronic health record (EHR) training: • Question 21 __________ organizations must engage exclusively in charitable and other exempt activities, and must comply with a number of other requirements. • Question 22 Which of the following statements is true about the rules associated with the Medicare program? • Question 23 The __________ generally prohibits physician referrals for certain ancillary healthcare services to entities with which the physician (or a member of the physician’s immediate family) has a financial relationship, unless an exception to the law applies. • Question 24 The __________ to the Stark Law allows physicians in medical group practices to make referrals for certain designated health services (DHS) within the medical practice, furnish those DHS to practice patients, and bill Medicare and Medicaid for the services without violating the Stark law. • Question 25 __________ is(are) designed to promote a vigorous competitive environment on the theory that free market competition will produce new products and services, lower prices, and other efficiencies. PART 1 • Question 1 Basic medical services administered to patients in a typical business day, and thereby not requiring any kind of overnight hospitalization or accommodations, can normally be provided in a building type that is classified as, and designed as: • Question 2 Outpatient treatments that might require sedation usually must be done in a facility classified as: • Question 3 The appointment desk should: • Question 4 __________ space allows a number of individual providers or specialists who work at different times and may have very different patient volumes flexible use of medical practice spaces at different times in order to optimize efficiency. • Question 5 Which of the following categories of physician work measures involves an objective measure of work and effort defined by Medicare or other programs? • Question 6 Which of the following types of compensation treats each physician in the medical group as largely his or her own separate economic unit for compensation purposes? • Question 7 In __________ reimbursement systems, a physician or medical group is paid a fixed amount of reimbursement per member per month. • Question 8 An important component of effective compensation plans is the clarification of: • Question 9 Which of the following statements is true regarding the integration of the compliance program? • Question 10 The two types of reviews that the Office of Inspector General (OIG) suggests can be performed as part of internal monitoring and auditing are: • Question 11 Beginning in 1989, the Office of Inspector General (OIG) began to issue __________ designed to inform the healthcare industry about conduct that potentially violates fraud and abuse laws. • Question 12 The lynchpin of a physician compliance plan is its effectiveness in: • Question 13 Which of the following is one of the Office of Inspector General’s (OIG’s) seven elements of effective compliance programs? • Question 14 The compliance plan should begin with __________ from the governing board or shareholders that underscores their intent that the practice and its employees exhibit a code of conduct that is consistent with preventing, identifying, and reducing or eliminating wrongdoing. • Question 15 __________ planning encompasses assignment of tasks to designated personnel, required budgets, and production timetables. • Question 16 The Office of Inspector General (OIG) recommends that a compliance plan include __________ to focus on high-risk billing and coding issues. • Question 17 As part of a(n) __________, a plaintiff must prove four specific elements: (1) the physician owed a duty of care to the plaintiff; (2) the physician breached that duty of care; (3) the plaintiff suffered injuries; and (4) the physician’s breach of duty was the cause of the plaintiff’s injuries. • Question 18 Once the __________ is established, the physician has a certain duty to the patient, which is typically expressed as providing medical services in accordance with the prevailing professional “standard of care.” • Question 19 The __________ may be defined as that which a reasonable and prudent member of the medical profession would undertake under the same or similar circumstances. • Question 20 Once proper notice has been given to the insurance carrier, the insurer has a contractual: • Question 21 The __________ is a federal law that generally requires private sector employers of 50 or more employees to provide up to 12 workweeks of unpaid, job-protected leave, within any 12-month period, to eligible employees for certain family and medical reasons. • Question 22 According to the__________, employers are required to keep for 3 years all payroll records, collective bargaining agreements, trusts, and employment contracts, and to keep for 2 years all basic time and earnings cards showing daily starting and stopping times and wage rate tables. • Question 23 Under the National Labor Relations Act of 1935 (NLRA), __________ employees have the right to form, join, or assist labor organizations to bargain collectively and to engage in other protected, concerted activities. • Question 24 For purposes of employment, federal law considers discrimination on the basis of __________ as discrimination on the basis of sex. • Question 25 __________ can manifest itself in two ways, as “quid pro quo” harassment or as a “hostile work environment” claim.