CHC Practice Test

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 - b. second level appeal There are five levels of appeal. First level entails a redetermination of claim; second level involves reconsideration by a qualified independent contractor; third level includes a hearing overseen by admin law judge; fourth level is a review of Medicare Review Council; and fifth level is a judicial review in federal court. If an at-risk patient is left unattended and has an adverse response to medication, this is known as: a. sentinel event b. initiator c. latent outcome d. slip - a. sentinel event Sentinel event is an adverse occurrence that is not in the normal progression of a patient's illness. In this scenario, an adverse drug event is considered a sentinel event. AND whenever a sentinel events is confirmed, the facility should perform a Root Cause Analysis (RCA). A Latent Outcome - less apparent failures of organization or design that contributed to the error/patient harm. A Slip - can be a fall or an everyday risk at hospitals. 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 - 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. Which piece of legislation established a new set of standards for corporate responsibility? a. sarbanes-oxley act b. united states patriot act c. foreign corrupt practices act d. stark law - a. sarbanes-oxley act CHC Practice Test Sarbanes-oxley act was passed after a series of high-profile financial scandals in earl