CHC Practice Test 50 Questions.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/CHC%20Practi
CHC Practice Test 50 Questions & Verified
Answers
1. 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
Answer b. second level appeal
There are five levels of appeal.
First level entails a redetermination of claim; second level involves reconsiderationby
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 levelis a
judicial review in federal court.
2. If an at-risk patient is left unattended and has an adverse response to
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medication, this is known as
a. sentinel event
b. initiator
c. latent outcome
d. slip
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 contributedto
the error/patient harm.
A Slip - can be a fall or an everyday risk at hospitals.
3. 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 likelyto
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indicate problems with
a. Equipment
b. Staff orientation and training
c. Staffing levels
d. Alarm systems
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.
4. Which piece of legislation established a new set of standards for corporate
responsibility?
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a. sarbanes-oxley act
b. united states patriot act
c. foreign corrupt practices act
d. stark law
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 account-ability
setting new set of standards for corporate responsibility.
5. 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
Answer d. all of the above
These are aggravating factors that increase the culpability score under the FSG.See
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