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2. B- Standards for hospitals and the training of medical personnel were deveoped.
4. D- only one of the 155 medical schools in the US and Canada at that time provided an
acceptable medical education.
5. B- only one of the 155 medical schools in the US and Canada at that time provided an
acceptable medical education.
6. D- track patients long enough to determine whether treatment was effective; if treatment was
ineffective, hospitals would attempt to determine why so that similar cases could be treated
successfully in the future.
11. C-
perform quality control and utilization review of health care furnished to Medicare
)
beneficiaries.
12. A- address the problem of hospitals failing to screen, treat, or appropriately transfer patients
by establishing criteria for the discharge and transfer to Medicare and Medicaid patients
14. A- for-profit.
15. A- not-for-profit.
18. A - bylaws
19. B -inpatient.
20. B- generate statistical reports and disease/procedures indexes.
21. D- the discharged patient record is organized in the same order as when the patient was on
the nursing floor.
22. D- regulation.
C. licensure.
Question 1
Health care delivery in the US has been greatly impacted by escalating costs, resulting in
medical necessity requirements to justify acute care hospitalizations,
to review appropriateness of admissions, and to require administration of quality and
effective treatments. Which was implemented as a direct result of current health care
delivery methods?
Health care consumers demand higher-quality, more costly health care, and the focus is
A)
on primary and preventive care.
Patients routinely undergo preadmission testing on an outpatient basis instead of being
B)
admitted as a hospital inpatient.
Tertiary-care level services provided by specialized hospitals equipped with diagnostic
C)
and treatment facilities are offered in all communities
The performace of outpatient testing and surgical procedures has decreased due to
D)
advances in technology
Question 2
As the US population increased, there was a corresponding need for health care facilities
and trained personnel. Which was an impact of this need?
A) Health care delivery in the twentieth century emphasized decreased costs.
Standards for hospitals and the training of medical personnel were
B)
deveoped.
C) The increase in schools and hospitals ensured high-quality health care.
D) reimbursement is based on per diem rates, not prospective payment system rates.
Question 10
Ultimate legal authority and responsibility for the hospital's operation is the responsibiity
of the
A) administration.
B) department chairpersons.
C) governing board.
D) employees
Question 11
In 2002, the Centers for Medicare & Medicaid Services announced that peer review
organizations (PROs) would be known as quality improvement organizations (QIOs), and
they will continue to
A) establish statewide utilization and quality control peer review organizations.
maintain hundreds of independent peer review orgnizations to monitor the
B)
appropriateness, quality, and outcome of the services to Medicare benfieciaries.
perform quality control and utilization review of health care furnished to Medicare
C)
beneficiaries.
reimburse acute care hospitals with predetermined rates according to discharge
D)
diagnoses.
Question 12
The Emergency Medical Treatment and Labor Act (EMTALA) is called the "antidumping status"
because it
address the problem of hospitals failing to screen, treat, or appropriately transfer
A) patients by establishing criteria for the discharge and transfer to Medicare and Medicaid
patients.
established a data bank of information about practitioner's credentials, including previous
B)
medical malpractice payments and adverse action history.
required that consumers be provided with informed consent informaiton about their right
C)
to make advance health care decisions.
required the reporting of cases of substandard care to licensing and certification
D)
agenices.
Question 13
An internist sees a patient with an unusual blood condition and then refers the patient to a
specialist. This is an example of
A) continuity of care.
B) primary care.
C) secondary care.
D) tertiary care.
Question 14
Privately owned health care facilities distribute excess income to shareholders and are categories as
A) for-profit.
B) government
C) not-for-profit.
D) voluntary.
Question 15
Public hospitals are categorized as
A) not-for-profit.
B) for-profit.
C) proprietary.
D) teaching.
Question 16
Many of the physicians in a teaching hospital are interns and residents who work under
the supervision of senior staff physicians. A resident has
a medical degree and is continuing training immediately following completion of the four-
A)
year medical curriculum.
B) been granted active medical staff status by the health care facility.
D) not yet written the state licensing exam to become a physician (e.g., MD).
Question 17
Which staff undergo an appointment procedure to be granted clinical privileges by the
hospital governing board, which delegates authority and rsponsibility to maintain proper
standards of medical care and to provide well-defined patient care services?
A) department personnel
B) hospital administrators
C) house officers
D) medical staff
Question 18
Medical staff policies that delineate medical staff responsibilities are called
A) bylaws
B) procedures.
C) regulations.
D) rules.
Question 19
Coders assign ICD-9-CM procedure codes to which of the following caes?
A) emergency room.
B) inpatient.
C) outpatient.
D) physician office.
Question 20
The purpose of abstracting patient cases is to
A) a classify diagnoses and procedures for facilities.
B) deeming authority.
C) licensure.
D) regulation.
Question 23
Which are regulations that interpret laws?
Centers for Medicare & Medicaid Services
A)
(CMS)
B) Code of Federal Regulations
D) Federal Register