Bav1_Test4

Front 1

1: Which of the following activities is an example of a peer review process?

Back 1

A physician evaluating another physician's treatment decisions. ---->Score: 1 out of 1 Question 1 ((COMMENTS)) Correct answer. An example of a peer review process would be a physician evaluating another physician's treatment decisions.

Front 2

2: CQI stands for:

Back 2

Continuous Quality Improvement ---->Score: 1 out of 1 Question 2 ((COMMENTS)) Correct answer. CQI stands for Continuous Quality Improvement

Front 3

3: True or false? The Ambulatory Payment Classification system was created for Medicare reimbursement of physician services

Back 3

True ---->Score: 0 out of 1 Question 3 ((COMMENTS)) You're incorrect. It wasn't created for reimbursement of physician services. The Ambulatory Payment Classification system was created for Medicare hospital outpatient payments.

Front 4

4: Which of these have traditionally been at the center of quality assessment in healthcare delivery?

Back 4

Peer review processes ---->Score: 1 out of 1 Question 4 ((COMMENTS)) Correct answer. Peer review processes have traditionally been at the center of quality assessment in healthcare delivery.

Front 5

5: The QIO organizations are charged with administering the HPMP program. What does HPMP stand for?

Back 5

Hospital Payment Monitoring Program ---->Score: 1 out of 1 Question 5 ((COMMENTS)) Correct answer. HPMP stands for Hospital Payment Monitoring Program.

Front 6

6: Which of the following is a barrier to telemedicine? All of the above

Back 6

All of the above ---->Score: 0 out of 1 Question 6 ((COMMENTS)) Incorrect answer. The lack of appropriate telecommunications technology in certain rural areas is a barrier to telemedicine.

Front 7

7: Which of the following federal agencies administers CHAMPVA?

Back 7

Department of Veterans Affairs (VA) ---->Score: 1 out of 1 Question 7 ((COMMENTS)) Correct answer. The Department of Veterans Affairs administers CHAMPVA.

Front 8

8: Which of these plans offers hospital insurance to persons sixty-five years old and over?

Back 8

Medicare Part A ---->Score: 1 out of 1 Question 8 ((COMMENTS)) Correct answer. Medicare Part A is automatic and covers hospital costs, Medicare Part B, which is optional and costs more, helps pay physician and outpatient costs.

Front 9

9: Which of these organizations first had the idea of providing prepaid health insurance?

Back 9

Baylor University Hospital ---->Score: 1 out of 1 Question 9 ((COMMENTS)) Correct answer. Baylor University Hospital was first with the idea of providing prepaid health insurance.

Front 10

10: Which of the following QIO programs often involve the work of a coding professional?

Back 10

HPMP ---->Score: 1 out of 1 Question 10 ((COMMENTS)) Correct answer. The work of the coding professional is often necessary in the Hospital Payment Monitoring Program (HPMP).

Front 11

11: Which of the following organizations is a trade association for third-party medical billers?

Back 11

Healthcare Billing and Mangement Association ---->Score: 1 out of 1 Question 11 ((COMMENTS)) Correct answer. Healthcare Billing and Management Association is a trade association for third-party medical billers.

Front 12

12: Which of the following might be used by Health Maintnance Organizations (HMOs) to control costs?

Back 12

Restricted access to physician specialists ---->Score: 1 out of 1 Question 12 ((COMMENTS)) Correct answer. HMOs might use restricted access to physician specialists to control costs.

Front 13

13: Which of these was the reason that large medical billing companies emerged about 20 years ago?

Back 13

The implementation of a requirement that hospital-based physicians' services be billed separately ---->Score: 1 out of 1 Question 13 ((COMMENTS)) Correct answer. Large medical billing companies emerged because of the requirement that hospital-based physicians' services were be billed separately.

Front 14

14: Which of the following is the correct definition of HEDIS (Healthcare Effectiveness Data and Information Set)?

Back 14

A set of standardized performance measures ---->Score: 1 out of 1 Question 14 ((COMMENTS)) Correct answer. HEDIS is a a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans.

Front 15

15: Which of these was identified as an approach to quality evaluation by the Institute of Medicine National Roundtable on Healthcare Quality?

Back 15

Market accountability with reliance on informed choices by employers ---->Score: 1 out of 1 Question 15 ((COMMENTS)) Correct answer. The IOM Roundatable identified market accountability with reliance on informed choices by employers as one approach.

Front 16

16: Which of the following would be correctly described as "third-party payment"? (If all apply, select "All of the above.")

Back 16

All of the above ---->Score: 0 out of 1 Question 16 ((COMMENTS)) Incorrect answer. Medicare + Choice payment by CMS would be correctly described as "third-party payment."

Front 17

17: What is the federal program called that provides healthcare benefits for people sixty-five years old and older who are covered by Social Security?

Back 17

Medicare ---->Score: 1 out of 1 Question 17 ((COMMENTS)) Correct answer. Medicare is the federal program called that provides healthcare benefits for people sixty-five years old and older who are covered by Social Security.

Front 18

18: Complete this sentence with the best response. Quality healthcare delivery is achieved when…

Back 18

...the patient's health status is improved as much as possible. ---->Score: 1 out of 1 Question 18 ((COMMENTS)) Correct answer. Quality healthcare delivery is achieved when the patient's health status is improved as much as possible.

Front 19

19: True or false? An employee of a hospital wears high heels to work and catches one on the stairs and falls breaking a leg. Her injuries are covered by Workers' Compensation even though she should have not worn this type of footwear to work or been going so fast down the stairs.

Back 19

True ---->Score: 1 out of 1 Question 19 ((COMMENTS)) You're correct. The theory underlying workers' compensation is that all accidents that occur at work, irrespective of fault, must be regarded at risks of industry and that the employer and employee shall share the burden of loss.

Front 20

20: Which of these was established by the Health Care Quality Improvement Act?

Back 20

National Practitioner Data Bank ---->Score: 1 out of 1 Question 20 ((COMMENTS)) Correct answer. The National Practitioner Data Bank was established by the Health Care Quality Improvement Act.

Front 21

21: Healthy People 2010, Access to Quality Health Services, is a project of which two organizations?

Back 21

AHRQ #38 HRSA ---->Score: 1 out of 1 Question 21 ((COMMENTS)) Correct answer. Healthy People 2010, Access to Quality Health Services, is a project of AHRQ and HRSA.

Front 22

22: Which of the following is the federal program that provides a regionally managed healthcare program for active duty and retired members of the uniformed services, their families, and survivors?

Back 22

TRICARE ---->Score: 1 out of 1 Question 22 ((COMMENTS)) Correct answer. TRICARE is the federal program that provides a regionally managed healthcare program for active duty and retired members of the uniformed services, their families, and survivors.

Front 23

23: Which of the following statements is NOT TRUE?

Back 23

Very little is known about how health plan reimbursement affects quality of care in the long term. ---->Score: 0 out of 1 Question 23 ((COMMENTS)) Incorrect answer. It is not true that efforts to encourage the delivery of quality care occur only at the local level.

Front 24

24: Which of the following is NOT a component of quality care?

Back 24

Affordability ---->Score: 1 out of 1 Question 24 ((COMMENTS)) Correct answer. Affordability is not considered one of the four components of quality care. The four components are appropriateness,technical excellence, accessibility, and acceptability.

Front 25

25: Which of the following companies was first to offer its employees a group insurance plan?

Back 25

Montgomery Ward ---->Score: 1 out of 1 Question 25 ((COMMENTS)) Correct answer. Montgomery Ward was first to offer its employees a group insurance plan.