CHC Practice Test - Questions With Detailed
Solutions
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 Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - a. sarbanes-oxley act
Sarbanes-oxley act was passed after a series of high-profile financial
scandals in early 2000s to protect shareholders, improving
corporate governance and accountability setting new set of
standards for corporate responsibility.
According to the Federal Sentencing Guidelines, which of the
following factors could increase the punishment of an organization?
a. obstruction of justice
b. violation of direct court order
c. prior history of violations
d. all of the above Correct Answer - d. all of the above
, These are aggravating factors that increase the culpability score
under the FSG.
See FSG chapter 8-C2.5
https://guidelines.ussc.gov/gl/%C2%A78C2.5
When a hospital official notes that most errors are occurring at the
"sharp end" she means that:
a. they involve surgical tools or knives
b. they occur in clusters
c. they occur during the interactions between caregivers and
patients
d. they are most likely to occur during busy periods Correct
Answer - c. they occur during the interactions between
caregivers and patients.
The "sharp end" and "blunt end" are used by quality management
professionals to describe areas of practice.
"Sharp end" is all of the operations that involve direct contact with
patient/client/customer.
"Blunt end" is all actions that take place outside awareness of
patient/client/customer.
The majority of fraud and abuse violations relate to irregularities in:
a. treatment
b. diagnosis
c. billing
d. scheduling Correct Answer - c. billing
Which of the following words best describe the approach to
punishment of the Federal Sentencing Guidelines:
a. case-specific
b. draconian
c. consistent
d. remedial Correct Answer - a. case-specific
Solutions
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 Correct Answer - 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 Correct Answer - 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 Correct Answer - 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 Correct Answer - a. sarbanes-oxley act
Sarbanes-oxley act was passed after a series of high-profile financial
scandals in early 2000s to protect shareholders, improving
corporate governance and accountability setting new set of
standards for corporate responsibility.
According to the Federal Sentencing Guidelines, which of the
following factors could increase the punishment of an organization?
a. obstruction of justice
b. violation of direct court order
c. prior history of violations
d. all of the above Correct Answer - d. all of the above
, These are aggravating factors that increase the culpability score
under the FSG.
See FSG chapter 8-C2.5
https://guidelines.ussc.gov/gl/%C2%A78C2.5
When a hospital official notes that most errors are occurring at the
"sharp end" she means that:
a. they involve surgical tools or knives
b. they occur in clusters
c. they occur during the interactions between caregivers and
patients
d. they are most likely to occur during busy periods Correct
Answer - c. they occur during the interactions between
caregivers and patients.
The "sharp end" and "blunt end" are used by quality management
professionals to describe areas of practice.
"Sharp end" is all of the operations that involve direct contact with
patient/client/customer.
"Blunt end" is all actions that take place outside awareness of
patient/client/customer.
The majority of fraud and abuse violations relate to irregularities in:
a. treatment
b. diagnosis
c. billing
d. scheduling Correct Answer - c. billing
Which of the following words best describe the approach to
punishment of the Federal Sentencing Guidelines:
a. case-specific
b. draconian
c. consistent
d. remedial Correct Answer - a. case-specific
