Exam 1

Question 0

What type of reimbursement method in which the cost is based on the provider’a charge for each service

Answer 0

Fee-for-service

Question 1

The joint commission accreditation last how long?

Answer 1

3 years

Question 2

What is indirect pay

Answer 2

Payment that involves the third party on the behalf of the patient.

Question 3

Indirect payer can be who?

Answer 3

Insurance company, government companies MCO, self insured companies

Question 4

The legal approval for facility to operate or for a person to practice within his or her profession?

Answer 4

Licensure

Question 6

The omnibus budget reconciliation act of 1989 was established by whom ?

Answer 6

AHRQ agency for healthcare research and quality

Question 7

Who pays for the healthcare in the us?

Answer 7

Largely paid by insurance provided by most employers

Question 8

Which of the following is true about the source of insurance?

A. Most Americans receive health insurance through medicare
B. Most Americans receive health insurance through Medicaid
C.Most Americans receive health insurance through employer sponsored health insurance
D.Most Americans receive health insurance through policies as individual
E.Most Americans receive health insurance through do not have insurance

Answer 8

C.

Question 9

Which insurance is not commonly offered ?

Answer 9

IPA and pcmh

Question 10

What is the minimum FMAP that will qualify a state for the maximum eFMAP?

Answer 10

85%

Question 11

When did the Massachusetts general hospital open ?

Answer 11

1821

Question 12

Which us hospital started its first register of patients in 1791

Answer 12

New York hospital

Question 13

What is almshouse

Answer 13

A house built for originally by a charitable person or organization for poor people to live in

Question 14

First licensure to practice medicine was issued in what us state in 1790

Answer 14

New York

Question 15

Who establishes the documentation. Standards

Answer 15

ACS

Question 16

Who was the first AHIMA president

Answer 16

Ms. Myers

Question 17

What was the purpose of the ACS

Answer 17

Founded in 1913, they devolved the hospital standardization. Program

Question 18

When did the joint commission stated to perform accreditation surveys?

Answer 18

1953

Question 19

True/ false

The joint commission. announces it survey process to the facility

Answer 19

False

Question 20

What were the objectives for for Healthy people 2010

Answer 20

Disease prevention and health promotion

Question 21

When and where was the first US school for nurses ?

Answer 21

New England hospital for women and children 1872

Question 22

What does blue shield cover

Answer 22

To cover the cost of the physicians

Question 23

To asses and document patient expectations and patient satisfaction. Is a secondary purpose

Answer 23

False it’s a primary purpose

Question 24

To determine disability for ex worker’s compensation is a primary purpose

Answer 24

True

Question 25

To bill for service is a secondary purpose

Answer 25

False it’s a primary

Question 26

To asses technology is a secondary purpose

Answer 26

True

Question 27

An accreditor is a individual user

Answer 27

True

Question 28

What is an example of a proprietary hospital

Answer 28

Privately owned foundations partnerships

Question 29

For profit hospitals are not privately owned

Answer 29

False they are privately owned

Question 32

A prepaid fixed amount is paid to the provider for each person served regardless of how much or how often the patient receives health care services

Answer 32

Capitation