CHC PRACTICE TEST QUESTIONS |GUARANTEED PASS |ACCURATE ANSWERS
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Course
CHC
Institution
CHC
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 - ACCURATE ANSWERS b. second level appeal
There are five levels of appeal.
F...
CHC PRACTICE TEST QUESTIONS |
GUARANTEED PASS |ACCURATE
ANSWERS
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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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
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