(1) healthcare employment continues to grow for all of the following reasons except:
interest in managing cost.
(1) Less than half of healthcare
... [Show More] workers provide direct patient care.
True.
(1) The three major places of employment for healthcare workers are:
hospitals, nursing and residential care facilities, and physician's offices.
(1) Health is defined as optimal functioning of:
The body and mind
(1) The study of disease and death in a population is:
epidemiology.
(1) The medical model includes all of the following except:
focus is on disease prevention.
(1) Managed care can be described by all of the following except:
maintains a sustainable noncompetitive advantage.
(1) Mental illness:
is usually a chronic lifetime disease.
(1) healthcare expenditures account for greater than 15% of the GDP.
True
(1) The Patient Protection and Affordable Care Act:
seeks to improve healthcare delivery performance.
(1) The ability to stay in business for a healthcare facility is based on the facility's:
sustainable competitive advantage.
(1) In the two decades following 2010, millions of Americans will reach age 65. This concerns the healthcare industry because:
there will be an increased need for geriatric care.
(1) Although not on the front line of healthcare, this healthcare professional is responsible for analyzing and coding healthcare data.
Billing clerk
(1) The United States has a national healthcare system.
False
(1) All of the following are types of healthcare facilities except:
HMO.
(1) Two parameters that usually result in an indication of excellent health are:
education and income.
(2) The Stark I law:
prohibits referrals to clinical lab services where the provider has a financial interest.
(2) John Q. Public has been looking for a job for 2 months, to no avail. The country is likely in which economic period?
Recession
(2) Consumers saving discretionary income, organizations holding off on building new facilities, and a persistent slow economy are indicative of a _______________ scenario.
recession
(2) The three major places of employment for healthcare workers are:
hospitals, nursing and residential care facilities, and physician's offices.
(2) Health is defined as optimal functioning of:
The body and mind
(2) Monopoly creation, price fixing, and price discrimination are prohibited by:
antitrust laws.
(2) A not-for-profit hospital is described by all of the following except:
has a goal of making money.
(2) The Patient Protection and Affordable Care Act:
seeks to improve healthcare delivery performance.
(2) Individuals may have to do without healthcare during which business cycle scenario?
Depression
(2) Marketing:
includes the product, price, promotion, and distribution to the customer.
(2) Hospitals would be inclined to purchase major equipment during the ________________ phase.
prosperity
(2) An increase of the price level at any given time is:
inflation.
(2) Information technology:
uses technology to manage information.
(2) The government's role in healthcare can be described as all of the following except:
organizer.
(2) Accounting:
tracks the flow of money in and out of a business.
(2) Managed care can be described by all of the following except:
maintains a sustainable noncompetitive advantage.
(2) Prior to pursuing funding for a new imaging machine, the CFO assesses the economy, especially the prime rate. The CFO is concerned about the effect that the _______________ will have on the ultimate cost of the imaging machine.
interest
(3) Medicaid is a:
federally funded, state-administered program.
(3) HIPAA regulates all of the following except:
portability.
(3) The amount paid to a provider monthly to provide healthcare services to an employee is:
premium.
(3) A policy is:
a binding contract between the payer and the employee.
(3) All of the following are eligible for SCHIP except:
an unborn child.
(3) Employers must provide health insurance.
True
(3) Hospitalization for a 70-year-old woman is likely covered by:
Medicare Part A.
(3) The typical Medicaid recipient is a:
greater than 18 but less than 65-year-old white person.
(3) The typical fee charged by providers in a geographic area is known as:
usual, customary, and reasonable..
(3) Employers pay the entire insurance premium for their employees in most instances.
False
(3) An open enrollment period is a:
time when employees can change providers.
(3) What is the definition of the insurance term: deductible?
The percentage the insured pays before the insurance starts to pay
(3) Determining who is responsible for health claim payments is known as:
explanation of benefits.
(3) Premiums are the:
fee paid by employers and employees to the insurance company.
(3) With EPOs all of the following are true except:
they are regulated by state insurance law.
(3) Third-party payers are covered by both state and federal regulations. Two of the federal regulations are:
ERISA and HIPAA.
(3) Which of the following people is most likely medically needy?
70-year-old nursing home resident
(3) A deductible is the:
amount paid by the patient before the third-party payer begins to pay.
(3) A 9-year-old whose mother makes minimum wage and can't afford to pay her portion of her employer's health insurance plan may be covered by:
Medicaid.
(3) The American Health Benefit Exchanges and Small Business Health Option Exchanges:
All of the above
(3) The copayment is the:
portion of services paid by the patient.
(3) All of the following are true about the Healthcare Common Procedure Coding System (HCPCS) except:
it involves indemnification.
(3) John's recent physician office visit was not paid by the insurance company. It was his first claim of the year. The claim totaled $200. The reason the claim was not paid by the insurer was likely related to John's:
deductible.
(4) Before a surgeon can begin open heart surgery, which physician specialist must assure that the patient doesn't feel anything?
Anesthesiologist
(4) Insurance for military personnel is:
TRICARE.
(4) When providers feel that financial incentives are inadequate, they may opt out of:
Medicaid
(4) Which of the following people may be eligible for workers' compensation?
Scott heard an odd popping noise as he transferred a patient from the bed to the chair on 4 East where he works as an RN.
(4) The salaries of LPNs and RNs are comparable.
False
(4) All of the following are true about compliance programs except:
upcoding is encouraged.
(4) The health professional who is predominantly responsible for assisting patients with feeding and hygiene is the:
CNA.
(4) In 2008 the largest Medicare provider expenditure occurred in the following category:
skilled nursing facility.
(4) Hospitalization for a 70-year-old woman is most likely covered by:
Medicare Part A
(4) What are the primary care medical specialties?
Family Practice; General Practice; Internal Medicine; Pediatrics
(4) Fighting disease using proven, traditional treatment modalities is:
Allopathic medicine.
(4) Understanding the musculoskeletal system and employing a holistic approach describes:
osteopathic medicine.
(4) The median net income for physicians per year in primary care is:
$186,000..
(4) Susie Coder is a hospital inpatient coder. She is coding a complex Medicare record. She has to choose between two codes for the bill. Code A pays $3,400. Code B pays $9,700. The coding rules indicate that Susie should use code A. Susie uses code B. Susie is guilty of:
upcoding.
(4) Which nursing professional performs many duties similar to a physician?
NP/Nurse Practitioner
(4) The average salary of an RN is:
$60,000..
(4) Coding a service so that it is paid for even though it was not done is an example of:
a fraudulent activity.
(4) Medicare covers all of the following except:
long-term care.
(4) The category of Medicaid recipients who require the largest amount of spending is:
the disabled.
(4) The health professional responsible for planning patient care is the:
RN
(4) To practice medicine, in most states, a physician must complete all of the following except:
serve as a health aide.
(5) Hospitalization for a 70-year-old woman is likely covered by:
Medicare Part B.
(5) Long-term care is anything greater than:
60 days.
(5) Which pharmacy professional typically counts tablets and labels bottles?
Pharmacy aide
(5) A deductible is the:
amount paid by the patient before the third-party payer begins to pay.
(5) All of the following are utilization measures except:
rates of infection.
(5) Acute care is described by all of the following except:
routine hospitalization and surgery.
(5) Ambulatory care can be provided in the following setting:
physician's office.
(5) A 9-year-old whose mother makes minimum wage and can't afford to pay her portion of her employer's health insurance plan may be covered by:
SCHIP.
(5) The category of Medicaid recipients who require the largest amount of spending is:
the elderly.
(5) An MRI:
uses radio waves to produce images.
(5) John breaks his hip and must be hospitalized for hip repair surgery. This is an example of:
tertiary care.
(5) All of the following are true about dieticians except:
a master's degree is required to practice.
(5) Approximately percent of healthcare workers who have management/administration positions (not including office and clerical workers) in the US?
5%
(5) Activities of daily living therapy is in the domain of the:
occupational therapist.
(5) The copayment is the:
negotiated payment for services between the payer and the provider.
(5) A physician can do which of the following?
Refer patients to a specialist
(5) The typical Medicaid recipient is a:
greater than 18 but less than 65-year-old white person.
(5) John goes to his physician's office for his annual physical. This is an example of:
primary care.
(6) Which of these provides the largest share of care to older adults?
Friends and family.
6) Long-term care is anything greater than:
60 days
6) Acute care is described by all of the following except:
Routine hospitalization and surgery.
6) What percent of adults age 85 and older require ADL or IADL assistance?
20%
6) ADLs are:
Activities of daily living.
6) A person who requires assistance with bathing, dressing, and meal preparation must receive long-term care.
FALSE
6) All of the following are IADL except:
Bathing
6) Diane and Steve care for Steve's elderly mother. They have planned a vacation to Disney World and cannot take Steve's mom. Which care option should they explore?
Respite
6) A LTC system that would provide physical, social, mental health, and financial support would be considered:
A Continuum of Care
6) Which group is the largest provider of skilled long-term care?
Nursing home
6) What is an example of IADLs (instrumental activities of daily living)?
All the above
6) Medical power of attorney refers to:
an individual given healthcare decision power for another person who is deemed incapable of making decisions.
6) Ambulatory care can be provided in the following setting:
physician's office.
6) The two impairments most likely to result in the need for residential long-term care are:
continence control and transferring.
6) Which of the following is the primary source of revenues for organizations providing residential care and assisted living facilities, and in-home healthcare services?
Medicaid
6) Approximately percent of healthcare workers who have management/administration positions (not including office and clerical workers) in the US?
5%
6) John goes to his physician's office for his annual physical. This is an example of:
primary care.
6) All of the following are ADLs except:
Shopping
6) All of the following are categories of ADL capability except:
requiring no assistance from another person.
7) The CDC:
works with state health departments and other community organizations to monitor disease and help prevent outbreaks.
7) Surveillance is:
the continuous search for and documentation of disease.
7) Depression is a major cause of disability for:
women.
7) Hospitalization for a 70-year-old woman is most likely covered by:
Medicare Part A
7) Among the public payers of mental healthcare, ___________ pays the most.
Medicaid
7) Only about ___ of people with mental illnesses get the treatment they need.
50%..
7) What are the primary care medical specialties?
Family Practice; General Practice; Internal Medicine; Pediatrics
7) Feelings of dread, fear, and apprehension are indicative of:
anxiety disorders.
7) The average salary of an RN is:
$60,000. 60,000 fix master it is this
7) A diagnosis of mental illness is determined:
through a combination of objective and subjective data.
7) Which U.S. group has the highest suicide rate?
Men over 80 years old (elderly adults)
7) Hallucinations are characteristic of:
schizophrenia.
7) The State Care Acts:
centralized financial responsibility for the care of individuals with mental illness in every state government.
7) What does a mortality rate measure?
Deaths in population over a given period of time
7) Epidemiology is:
the study of the history of a disease.
7) Responsibilities of state departments of health include all of the following except:
assuring the safety of foods, cosmetics, and medications nationally.
7) The FDA:
assures the safety of foods, cosmetics, and medications.
7) Connecting family history, high-fat diet, and smoking to cardiovascular disease is a(n) _______________ measure.
risks
7) More U.S. adults suffer from mental illness than from substance abuse.
True.
7) Premiums are the:
fee paid by employers and employees to the insurance company.
7) Mental illness, including drug abuse, affects _______________ of the U.S. population.
greater than 20%
8) The Stark I law:
prohibits referrals to clinical lab services where the provider has a financial interest.
8) Less than half of healthcare workers provide direct patient care.
True.
8) What is the Pharmaceutical's share of overall healthcare expenditures?
Approximately 10%
8) When providers feel that financial incentives are inadequate, they may opt out of:
Medicaid
8) Susie Coder is a hospital inpatient coder. She is coding a complex Medicare record. She has to choose between two codes for the bill. Code A pays $3,400. Code B pays $9,700. The coding rules indicate that Susie should use code A. Susie uses code B. Susie is guilty of:
upcoding.
8) Use of this technology has resulted in decreased hospital days.
Laparoscopic surgery
8) The government's role in healthcare can be described as all of the following except:
organizer.
8) What is the definition of the insurance term: deductible?
The percentage the insured pays before the insurance starts to pay
8) Before a surgeon can begin open heart surgery, which physician specialist must assure that the patient doesn't feel anything?
Cardiovascular physician
8) Employers must provide health insurance.
False.
8) Medicaid is a:
federally funded, state-administered program.
8) The health professional who is predominantly responsible for assisting patients with feeding and hygiene is the:
CNA.
8) What are the three methods of Pharmaceutical marketing
Public ads; free samples; "detailing" direct sales with incentives
8) Medications that consumers can buy for themselves without a prescription are:
over-the-counter drugs.
8) Which nursing professional performs many duties similar to a physician?
NP [Show Less]