2014 CRA Workshop Flashcards

1
Q

Assets = Liabilities

A. Non Profit
B. For Profit

A

A. Non-Profit

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2
Q

Assets = Liabilities + Owners Equity

A. Non Profit
B. For Profit

A

B. For Profit

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3
Q

A set of financial statements that forecast the results of a new business activity by using present day data.

A

Proforma

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4
Q

Ethics is MOST commonly defined as:

A. A series of vague guidelines and uncertain predictions used to settle dispute.
B. A principle used to settle disputes without force.
C. A body of standards for conduct and moral judgement.
D. Rules and principles that define and regulate rights and duties.

A

C. A body of standards for conduct and moral judgement.

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5
Q

In the development of imaging equipment specifications prior to Bid processes, which of the following would provide the MOST valuable input?

A. Chief tech, bio-medical engineer, and COO.
B. Chief tech, radiology administrator, and radiologist.
C. IS Tech, physicians, and radiology tech.
D. CEO, radiology administrator and CFO.

A

B. Chief tech, radiology administrator, and radiologist.

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6
Q

Which of the following must be considered in construction of a new imaging center?

A. Patient room should have a restroom available with easy access from within room.
B. Patient rooms must all be ADA accessible.
C. The patient waiting area should be situated so that patients may be monitored.
D. The reception desk should be provided a clear view of patients and waiting room.

A

D. The reception desk should be provided a clear view of patients and waiting room.

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7
Q

In the planning of construction, modernization and alteration programs, fixed equipment;

A. Is not shown in construction documents if it is owner provided and installed by the vendor
B. Includes equipment with quick disconnect connections to utilities
C. Consist of major technical equipment
D. Is usually included as part of the construction contract

A

D. Is usually included as part of the construction contract

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8
Q

Most products and services enter a period of decline. Unless compelling reason prevail continuing to decline product or service is costly because;

A. Increased turnover of personnel will occur
B. Continuation will set an undesirable president concerned with maintaining the status-quo
C. The program will consume disproportionate amount of management time and will delay the search for a replacement
D. The organization will be perceived as being insensitive to the marketplace

A

C. The program will consume disproportionate amount of management time and will delay the search for a replacement

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9
Q

The purchasing/receiving process is often the weak link in a healthcare organization’s internal control of it’s inventory. Which one of the following is standard procedure in preventing problems in this area?

A. The organization should utilize a decentralize process for control receiving
B. Consolidation of receiving and store room functions will decrease the possibility of collusion
C. Review of the process by the internal auditor should be done on a routine basis.
D. The principle of a dual receiving accountability is a prerequisite for invoice payment should be enforced

A

D. The principle of a dual receiving accountability is a prerequisite for invoice payment should be enforced

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10
Q

Materials management can be defined as a system of you effective;

A. Purchasing of materials at the lowest possible cost
B. Distribution of materials on a scheduled basis
C. allocation of materials
D. Control of inventories

A

C. allocation of materials

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11
Q

Effective equipment maintenance depends on:

A. Life-cycle planning of equipment
B. An up-to-date inventory of equipment parts for replacement
C. A periodic update of preventive maintenance schedule
D. Maintain equipment on a preventive schedule

A

D. Maintain equipment on a preventive schedule

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12
Q

Which of the following rules applies to the purchase of major diagnostic or treatment equipment?

A. Physicians input is required by the accrediting body
B. Competitive bidding is required by government programs
C. The decision should be based on equipment depreciation schedules
D. Funds should be allocated annually in accordance with the organizations capital schedule

A

D. Funds should be allocated annually in accordance with the organizations capital schedule

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13
Q

When third-party policies and programs impede the healthcare facilities physical capacity to renovate and remodel it’s plant as routinely scheduled, the healthcare facility to protect itself should first

A. Delay capital improvements until funds are available
B. Reduce the level of operating services
C. Limit the number of admissions from selective third-party payment sources
D. Resort to the regulatory agency to obtain a waiver

A

A. Delay capital improvements until funds are available

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14
Q

Certificate of need laws are one mechanism by which state government seeks to reduce overall health and medical costs which of the statements below best describes CON laws?

A. CON programs or originated to regulate the number of beds in hospitals and nursing homes and to prevent over buying of expensive equipment
B. The basic assumptions underlying CON regulation is that excess capacity in the form of facility over building directly results in the healthcare price inflation
C. CON programs are aimed at restraining healthcare facility cost and allowing quart needed planning of new services and construction
D. The certificate of need CON program is a regulatory process that requires healthcare providers to obtain state approval before offering certain new or expanded services

A

D. The certificate of need CON program is a regulatory process that requires healthcare providers to obtain state approval before offering certain new or expanded services

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15
Q

One of the goals of accounting is to accurately measure a business is gross income, expenses, and net income earnings during a given period of time therefore depreciation of imaging equipment must occur in accordance to IRS guidelines for capital asset depreciation, which indicates that

A. Medical imaging equipment should be fully depreciated on the first tax year that was purchased
B. medical imaging equipment is depreciated for the duration of lifetime of that equipment
C. Medical equipment is depreciated in five years, starting with the first tax year in which equipment is purchased
D. Depreciation timeline of equipment is set by organizations finance department based on the capital asset return on investment

A

C. Medical equipment is depreciated in five years, starting with the first tax year in which equipment is purchased

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16
Q

_____ _____ allows organizations to assess key financial indicators to gauge performance against goals and compare to industry benchmarks.

A

Ratio Analysis

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17
Q

Income earned vs resources used

A

Profitability

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18
Q

Short term ability to pay debt - cash.

A

Liquidity

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19
Q

Ability to meet long term debt.

A

Solvency

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20
Q

Ability to convert items on balance sheet to cash or sales.

A

Activity

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21
Q

Skill, time and effort to perform.

A

Work

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22
Q

Overhead, fixed costs, supplies and support staff

A

Practice

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23
Q

Liability Insurance

A

Malpractice

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24
Q

A type of analysis that:

Assesses current situation
Evaluates desired outcome
Document/identify consequences of inaction
Document/identify requirements for success

A

Force Field Analysis

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25
Q

____ is the process of setting clear goals and objectives for a dept/organization over a period of time (usually 3-5 years). Planning process will identify required resources, as well as establish policies and time frames for accomplishing goals.

A

Strategic Plan

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26
Q

____ documents assumptions and key details related to a proposed venture and is utilized to present new opportunities/strategies, as well as to evaluate the potential success of these opportunities/strategies.

A

Business Plan

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27
Q

“Go vs No Go”

A

Proforma

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28
Q

(Revenue - Discounts) - Variable cost per unit

A

Contribution Margin

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29
Q

Fixed Costs / Contribution Margin

A

Break Even

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30
Q

Average Net income / Investment Amount

A

ROI

31
Q

(Cash Flow x Present Value Factor) - Investment Amount

A

NPV

32
Q

The amount of time required for the benefits to pay back the cost.

A

Payback Period

33
Q

Technique used to compare expenses to the benefits returned includes both tangible and intangible factors

A

Cost Benefit Analysis

34
Q

The benefits restated as in interest rate

A

IRR

35
Q

The value of future benefits stated in today’s dollars.

A

NPV

36
Q

A well developed marketing plan will include all of the following except

A. staffing considerations
B. competitive analysis
C. quality of care considerations
D. pricing considerations

A

C. quality of care considerations

37
Q

The value of future benefits stated in terms of today’s money is

A. NPV
B. payback.
C. IRR
D. ROI

A

A. NPV

38
Q

The key concept for marketing healthcare is to:

A. maximize the customers participation in the selling process
B. advertise and promote existing services
C. adapt services to the customers needs
D. emphasize specialization

A

C. adapt services to the customers needs

39
Q

One of the techniques most frequently used in industry to aid management in interpreting a firms balance sheet is computer computation of the acid test ratio which is the ratio of:

A. current assets to current liabilities
B. total assets to total liabilities
C. cash to short-term debt
D. cash marketable securities and accounts receivable to current liabilities

A

D. cash marketable securities and accounts receivable to current liabilities

40
Q

Measuring the success of a corporation strategic plan across the organization can be achieved using that:

A. corporate measurement tool
B. balance scorecard
C. Harvard initiative
D. operations process guide

A

B. balance scorecard

41
Q

Following the completion of the strategic plan and of program development activities, the healthcare facility may find it necessary to alter its physical capacity, to correct code violations, and to improve functional configuration. To achieve these objectives, the healthcare facility should:

A. identify accreditation requirements next line
B. identify growth plans for patient, ancillary and support department’s
C. prepare a master facility plan
D. prepare a physical facilities assessment

A

C. prepare a master facility plan

42
Q

Marketing imaging services to refrain position involves all of the following except:

A. research
B. program development
C. promotion
D. quality control program

A

D. quality control program

43
Q

The volume that would be realize that each prospective consumer were to purchase a specified amount of the particular service during a defined future item time frame is called:

A. a sales forecast
B. a market forecast
C. operational capacity
D. market potential

A

D. market potential

44
Q

An organizations financial condition is assessed by what type of analysis?

A. ratio analysis
B. trend analysis
C. cash flow analysis
D. ROI analysis

A

A. ratio analysis

45
Q

As an internal control method, a budget is most commonly used to:

A. allow managers to control expenditures in the current year and to justify increases in future budgets
B. provide feedback concerning operational expenditures to the governing authority and to allow management to satisfy The governing authorities requirements of accountability
C. serve as a numerical specification of plans and two function as a standard of control against which results can be compared
D. allow management to monitor operational expenditures and to justify future requests for decreased or increased expenditures to rate setting agencies

A

C. serve as a numerical specification of plans and two function as a standard of control against which results can be compared

46
Q

Which of the following this closely aligned with the budgeting process?

A. strategic planning
B. physical recruitment
C. employee retention
D. inventory management

A

A. strategic planning

47
Q

When facility maintenance is deferred which of the following outcomes is predictable?

A. Higher cost
B. lower-cost
C. Deferred risk
D. higher liability exposure

A

A. Higher cost

48
Q

Who established the correct coding initiative:

A. Medicare
B. Medicaid
C. healthcare financing administration
D. US House of Representatives

A

D. US House of Representatives

49
Q

Controlling the costs of accounts receivable is heavily affected by:

A. the dollar amount of credit granted to individuals
B. the total dollar amount of receivables carried on the books
C. working capital management
D. the time or length of the payment cycle

A

D. the time or length of the payment cycle

50
Q

One of the best ways to determine the total market size and the sharing of each competitor in the market is to:

A. survey the opinions of the sales force or the medical/professional staff
B. survey a stratus fight sample of patients/clients
C. hire a consultant
D. estimate the production capacity of each competitor

A

B. survey a stratus fight sample of patients/clients

51
Q

Short range planning is enhanced if the strategic plan has been adopted because:

A. potential programs can be eliminated easily if not part of the strategic plan
B. use of space has already been determined
C. a frame of reference is already in place
D. operational problems can be quickly resolved

A

C. a frame of reference is already in place

52
Q

Which of the following statements best defines increased productivity?

A. an increase in productivity occurs when the number of units of service rendered in a given year increases over the number rendered in the previous year
B. an increase in productivity occurs when a reduction occurs in the ratio of hours worked to the number of units of service rendered
C. an increase in productivity occurs when an increase occurs in the revenue from a given number of FTEs
D. an increase in productivity occurs when an increase occurs in the volume or number of units are service rendered

A

B. an increase in productivity occurs when a reduction occurs in the ratio of hours worked to the number of units of service rendered

53
Q

The method referred to as value analysis is used in inventory control activities to:

A. make adequate substitutions for requisitioned items
B. reduce the quantity of items issued to the various departments
C. reduce cost without impairing functional efficiency
D. relate quantity and quality of items

A

C. reduce cost without impairing functional efficiency

54
Q

To evaluate changes in the levels of revenue and expenses as result of changes occurring during the year, management can:

A. use a step down method
B. use the contribution margin approach to budgeting
C. use the capital approach to budgeting
D. project existing trans forward for one year

A

B. use the contribution margin approach to budgeting

55
Q

A case mix cost allocation system that identifies costs associated with final (as opposed to intermediate) outputs provides:

A. Managers with more accurate information about true costs and improve their ability to control
B. managers with the system device to deal with the problem of HR allocation
C. auditors with a better understanding of the financial status of the institution in a relationship to agreed-upon goals and objective
D. governing authorities with better insight into the future growth and development of healthcare facilities

A

A. Managers with more accurate information about true costs and improve their ability to control

56
Q

Formation of a sound inventory control system depends on:

A. aging by item according to FIFO protocol
B. meeting demand and maximizing turnover
C. maintaining sound physical controls based on utilization
D. meeting demand and minimizing inventory cost

A

D. meeting demand and minimizing inventory cost

57
Q

Regarding the budget, the board:

A. does not use the budget exercise as a way to improve quality and productivity
B. gets involved in preparing budgets for all operational units
C. decides which personnel are needed in top management
D. establishes guidelines and makes final choices among competing opportunities

A

D. establishes guidelines and makes final choices among competing opportunities

58
Q

Successful approaches to strategic planning include:

A. a well-written mission statement long raging plan and fiscal plan
B. avoiding of high risk decisions
C. not paying attention to the competitors activity
D. using the rules and past experience as a guide to future action

A

A. a well-written mission statement long raging plan and fiscal plan

59
Q

The primary task of marketing is to:

A. bring out voluntary and involuntary exchanges of values
B. attract new advertisers
C. bring about voluntary exchanges of values
D. advertise new and existing services

A

C. bring about voluntary exchanges of values

60
Q

All of the following our methods used to forecast the future demand except

A. target by her intention surveys
B. performance of an environmental assessment
C. estimation of the competitors current customer base
D. estimate of future demand by Middlemen

A

C. estimation of the competitors current customer base

61
Q

A system for providing reward for improvement in productivity should:

A. Be group based to reinforce teamwork and cooperation
B. focus on non-financial rewards only
C. Be integrated into the organizations employee appraisal system
D. focus on both non-financial and financial rewards

A

D. focus on both non-financial and financial rewards

62
Q

A positive net present value indicates that the investment hat has a rate of return:

A. higher than the discount rate used in the calculation
B. lower than the discount rate in the calculation
C. equal to the discount rate used in the calculation
D. equal to the account profit averaged over the life of the investment

A

A. higher than the discount rate used in the calculation

63
Q

Financial risk is an element in capital investment decisions and is determined by:

A. The riskiness of the firm to the equity holders, assuming no dept financing is used
B. The additional risk placed on the firm when debt financing is used
C. The risk is inherent in the firm’s beta coefficient as determined by industry levels
D. The total riskiness of the firm’s ROA and its market portfolio

A

B. The additional risk placed on the firm when debt financing is used

64
Q

In developing workload measurements for estimating manpower requirements for budget preparation, the analyst should first:

A. Develop relative value units for each cost center
B. Predict payor mix for the budget year
C. Determine available staff for each department
D. Forecast total admissions activity levels and patient days

A

D. Forecast total admissions activity levels and patient days

65
Q

Insurance companies and other payors have introduced pre-admission certification for elective hospital stays in order to:

A. Cause physicians to reconsider need for service
B. Facilitate communication between hospitals and the attending physician
C. Establish clinical necessity prior to service
D. Encourage the patient to obtain a second opinion.

A

C. Establish clinical necessity prior to service

66
Q

A method by which individuals team together within a health care organization to review a patient safety incident or near miss and recommend solutions and improvements is known as:

A. Root cause analysis
B. Total Quality Management
C. Occupational Safety and Health Administration
D. Continuous Quality Improvement

A

A. Root cause analysis

67
Q

The language used by radiology information systems to store a database of patient demographics and reports is

A. DICOM
B. CR
C. HL7
D. PACS

A

C. HL7

68
Q

A pictoral representation of the individual steps required in a process is a:

A. Flow chart
B. Fishbone diagram
C. Histogram
D. Pareto Charg

A

A. Flow Chart

69
Q

A MQSA citation which indicates that the facility’s performance is generally satisfactory, however the inspection did show one or more minor deviations from MQSA standards is a:

A. Level 1 finding
B. Level 2 finding
C. Level 3 finding
D. Level 4 finding

A

C. Level 3 finding

70
Q

General guides to thought and action that managers use to delineate the areas within which decisions will be made and subsequent actions are taken are:

A. Purposes
B. Policies
C. Procedures
D. Protocols

A

B. Policies

71
Q

Ideally, the Radiology Information System (RIS) administrator should be a representative from:

A. Administration
B. Financial Services
C. Radiology Services
D. Information Technology / Systems

A

C. Radiology Services

72
Q

A significant difference between quality assurance (QA) and quality improvement (QI) is:

A. QA is an organization-wide initiative
B. There is no significant difference between QA and QI
C. QA reinforces standards of care throughout the healthcare industry
D. QI strives to reduce the existing rate of variances

A

D. QI strives to reduce the existing rate of variances

73
Q

Radiographic images admissible in court are an example of:

A. Direct Evidence
B. Demonstrative Evidence
C. Circumstantial Evidence
D. Documentary Eveidnce

A

B. Demonstrative Evidence

74
Q

In the implementation of a Radiology Information System, which steps when implemented sequentially would be the MOST logical?

A. Install/test system; prepare site; train users; determine interfaces
B. Write detailed plan; prepare site; install/test system; train users
C. Prepare site; train users; write detailed plan; connect interfaces
D. Train users; install/test hardware; write detailed plan; prepare site

A

B. Write detailed plan; prepare site; install/test system; train users