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ACO - Accountable Care Organization (pg. 18) - ACCURATE ANSWERS are primary care-led physician and hospital organizations that voluntarily form networks ACA - Affordable Care Act (pg. 17) - ACCURATE ANSWERS consists of the PPACA and the Health Care and Education Reconciliation Act of 2010 Allowable Charge (pg. 10) - ACCURATE ANSWERS represents the maximum or average amount the third-party will reimburse for the providers services Bad Debt (pg. 16) - ACCURATE ANSWERS are services for whi...

How many total questions are there on the PMH-BC exam? - ACCURATE ANSWERS 150 (125 scored, 25 unscored) What are the PMH-BC exam requirements? - ACCURATE ANSWERS RN license (min 2 years experience) 2,000 hours clinical practice in past 3 years 30 hours CE in past 3 years 10 Test Taking Techniques - ACCURATE ANSWERS 1. One min per question 2. Answer every question 3. Have a "guess" answer 4. Identify key words (e.g. age, diagnosis) 5. Identify priority words (e.g. first, best) ...

AHRQ - Agency for Healthcare Research and Qualtiy - ACCURATE ANSWERS An agency within DHHS established in 1989 to improve quality, appropriateness and effectiveness of US Healthcare AHRQ - ACCURATE ANSWERS Agency for Healthcare Research and Qualtiy 1989 Medicare Program - ACCURATE ANSWERS Established by an amendment to the Social Security Act in 1965 SMDA - ACCURATE ANSWERS Safe Medical Device Act of 1990 HCQIA - ACCURATE ANSWERS Provides immunity from liability for damages from good...

The practical nurse (PN) is implementing a self-medication program for an older resident who is newly admitted to an assisted living community. Which actions should the PN implement to provide the resident ways to maintain safe medication administration? (select all that apply.) - ACCURATE ANSWERS A. Locked medication storage in the client's room. B. Medication Administration Record (MAR). D. Delivery of adequate supply of medication. E. List of findings indicating medication effectiveness...

CPMSM STUDY SET WITH GUARANTEED ACCURATE ANSWERS |VERIFIED CPMSM EXAM QUESTIONS WITH GUARANTEED ACCURATE ANSWERS |VERIFIED CPMSM EXAM STUDY QUESTIONS 20242025 WITH GUARANTEED ACCURATE ANSWERS CPMSM PRACTICE TEST EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED CPMSM PREP QUESTIONS WITH GUARANTEED ACCURATE ANSWERS |VERIFIED

NPDB - ACCURATE ANSWERS National Practitioner Databank NPDB Contains: (what type of info) - ACCURATE ANSWERS - adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medicaid - actions by US DEA What must Hospitals and Other Health Care Entities report on for Physicians & Dentists (3 things), and how quickly must it be reported? - ACCURATE ANSWERS - Professional review actions based on compete...

HFAP - ACCURATE ANSWERS Refers to a CVO as a Professional Credentialing Organization (PCO) HFAP Appointment time frame - ACCURATE ANSWERS 2 years TJC Appointment time frame - ACCURATE ANSWERS No longer than every 2 years NCQA Appointment time frame - ACCURATE ANSWERS 3 years (to the month) URAC Appointment time frame - ACCURATE ANSWERS 3 years AAAHC Appointment time frame - ACCURATE ANSWERS 3 years Attestation Statement - ACCURATE ANSWERS TJC and Medicare do not specifically ad...

Credentialing policies & procedures specify that the organization's time frame for notifying applicants of initial credentialing & recredentialing denials does not exceed_________? - ACCURATE ANSWERS 60 calendar days from Credentials Committee decision Is the organization required to notify practitioners regarding recredentialing approvals? - ACCURATE ANSWERS No What can the organization use to document verifications in the credentialing file? - ACCURATE ANSWERS 1. Credentialing documen...

What are four models of HMOs? - ACCURATE ANSWERS Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - ACCURATE ANSWERS Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - ACCURATE ANSWERS 5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - ACCURATE ANSWERS 5 At least five active medical s...

Medical Staff - ACCURATE ANSWERS according to the Joint Commission who is responsible for developing criteria for FPPE when issues affecting the provision of safety patient care are identified. 5 years - ACCURATE ANSWERS NCQA requires an organization to obtain a claims history for a minimum of how many years every 6 Months - ACCURATE ANSWERS According to NCQA how frequently must a delegate submit a report to the organization For health plans 180 days, for CVO 120 days - ACCURATE ANSWERS...

Why is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? - ACCURATE ANSWERS The facility will not get paid for treating patients unless the service is provided by an authorized provider. Which of the following credentials must be tracked on an ongoing basis? - ACCURATE ANSWERS Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or advers...

The first step in formulating a marketing strategy is to do a - ACCURATE ANSWERS market audit The _______________ has ultimate legal responsibility for the operation of a nursing facility - ACCURATE ANSWERS Governing Body Per OBRA 1987, air temperature is measured _____________. - ACCURATE ANSWERS just above the floor (3 feet) HHS Stands for - ACCURATE ANSWERS Health and Human Services The ___________ has legal responsibility to adopt and implement facility policies - ACCURATE ANSWER...

Health information system (HIS) - ACCURATE ANSWERS - all components of computer systems - networks - data that systems create and capture through the use of software Networks - ACCURATE ANSWERS can be categorized as Intranets, which are internal to an organization, or Extranets, which are external and allow users to share info Systems in health care - ACCURATE ANSWERS - standard office applications such as word processing, spreadsheet management, and email and other administrative tools ...

Climacteric phase - ACCURATE ANSWERS The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the time of menopause. Early menopause - ACCURATE ANSWERS LMP before age 45 Late menopause - ACCURATE ANSWERS LMP after age 54 Primary ovarian insufficiency - ACCURATE ANSWERS Menopause that occurs before age 40 Early menopause transition (stage -2) - ACCURATE ANSWERS Persistent difference of 7 days or more in the length of consecutive cycles. Late meno...

Rewards given to a person by someone else are called _______________ rewards. - ACCURATE ANSWERS extrinsic What term describes fans seeking to enhance their self-esteem by associating with a successful team or player? - ACCURATE ANSWERS basking in reflected glory Questioning our own judgment after a purchase is a form of: - ACCURATE ANSWERS cognitive dissonance A triathlete who is motivated by winning competitions exhibits which motive? - ACCURATE ANSWERS achievement motivation Watch...

Anthropocene - ACCURATE ANSWERS - A term used to capture the idea that we are now living in a new geological time period -The 12,000 year old Holocene period is giving way to the Anthropocene period -Today the planetary ecosystems have been so modified by humanity that there exists no such thing as pristine or first nature but only historical nature or socio-nature BRICI - ACCURATE ANSWERS -Brazil, Russia, india, china, Indonesia -Group of emerging economies which, by impression of their ...

A client weighs 162 pounds today. One month ago, the client weighed 174 pounds. The percent of weight change is: - ACCURATE ANSWERS 7% The section of the minimum data set (MDS) that contains the most nutrition information is designated as: - ACCURATE ANSWERS section K Which of the following questions would be most appropriate to ask when taking a diet history? - ACCURATE ANSWERS When do you usually eat Which of the following instruments would not be used for a diet history? - ACCURATE A...

CDMS focus - ACCURATE ANSWERS Prevent and mitigate the human and economic impact of injury/illness and disability for employees and employees to optimize quality of care, productivity, organizational health and regulatory compliance. Maintain a balance between providing Services and interventions that protect jobs for worker with liabilities while controlling the financial safety and other risks that confront employers. Disability Management - ACCURATE ANSWERS A workplace prevention and rem...

Psychiatric claims categories: - ACCURATE ANSWERS peer review - ACCURATE ANSWERS review by committee of similar practitioners, looks at quality and utilization criteria Dictionary of Occupational Titles - ACCURATE ANSWERS provides standardized occupational information based on on-site job analyses Job analysis - ACCURATE ANSWERS develops work samples that are realistic/responsive to local employment Marketing - ACCURATE ANSWERS process of creating, planning, and executing conception...

Animal Breeding - Accurate Answers The science of using the principles of genetics to make improvement in a livestock species Robert Bakewell - Accurate Answers "Father of animal breeding" Leased out males Mate the 'best of the best' shorthorn cattle - Accurate Answers First organized breed of livestock 1580 Gregor Mendel - Accurate Answers Father of genetics Established basic genetic principles population genetics - Accurate Answers Branch of genetics which deals with...