HSA 546 FINAL EXAM : (2 latest Versions) complete answers 2019/2020, Strayer University, Washington.

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HSA 546 FINAL EXAM (2 sets) latest versions 2019/20 Strayer University, Washington • Question 1 4 out of 4 points Which of the following statements is true regarding medical records documenta... tion in a practice? • Question 2 4 out of 4 points Which of the following statements is true regarding the risk assessment phase of the risk management process? • Question 3 4 out of 4 points The four primary functions of __________ in the office practice are to: 1) provide clinical communication with any practitioner who may see the patient for current or future care, 2) provide the basis for billing charges, 3) help maintain compliance with regulations and standards, and 4) provide a risk management tool to support the clinical actions and decision making of the provider. • Question 4 4 out of 4 points The False Claims Act permits lawsuits by: • Question 5 4 out of 4 points The __________ states the expected volume of services, makes key assumptions, and provides the general guidance needed to establish all other budgets used by the organization. • Question 6 4 out of 4 points The Statement of Financial Accounting Concepts No. 1 states that: Financial reporting should provide information that is useful to present to: • Question 7 4 out of 4 points Which of the following statements is true regarding budgeting? • Question 8 4 out of 4 points Who is responsible for both accounting and budgeting in a medical practice? • Question 9 4 out of 4 points __________ organizations must engage exclusively in charitable and other exempt activities, and must comply with a number of other requirements. • Question 10 4 out of 4 points The __________ generally prohibits physician referrals for certain ancillary healthcare services to entities with which the physician (or a member of the physician’s immediate family) has a financial relationship, unless an exception to the law applies. • Question 11 4 out of 4 points The __________ provides for the imposition of criminal penalties on anyone who knowingly and willfully offers, pays, solicits, or receives any remuneration for referring an individual to a person for the furnishing or arranging for the furnishing of an item or service for which payment may be made under the Medicare or Medicaid programs. • Question 12 4 out of 4 points Which of the following statements is true about the rules associated with the Medicare program? • Question 13 4 out of 4 points The ___________ prohibition requires that the tax-exempt organization ensure that no part of the organization’s net earnings inure, in whole or in part, to the benefit of private shareholders or individuals. • Question 14 4 out of 4 points Which of the following statements is true regarding benchmarking? • Question 15 4 out of 4 points A practice’s _________ is the point during the year when the physicians perform reimbursable work that is adequate to cover the cost of the practice’s infrastructure. • Question 16 4 out of 4 points Gross collection rate, collection rate by payer, payer mix, reimbursement by service line, and reimbursement per procedure code are all benchmarks related to: • Question 17 4 out of 4 points Supply and demand indicators, space, and customer satisfaction can all be considered __________ benchmarks. • Question 18 4 out of 4 points As all applications and their interfaces come together, __________ testing determines how well the applications generate the right data for display, for reports, and for clinical decision support. • Question 19 4 out of 4 points The five rights for health information technology (HIT) success are right hardware, right software, right __________, right policies, and right processes. • Question 20 4 out of 4 points __________ is the action of using the health information technology (HIT) in a production environment for the first time. • Question 21 4 out of 4 points A(n) __________ identifies the applications and technology a practice plans to acquire over time and the dependencies among them. • Question 22 4 out of 4 points __________ represent the balances due from patients, Medicare, Medicaid, insurance companies, health maintenance organizations (HMOs), and other third parties for services and sales to patients and other customers. • Question 23 4 out of 4 points The majority of medical practices use the __________ method of accounting. • Question 24 4 out of 4 points Which of the following is the basic equation for the income statement? • Question 25 4 out of 4 points __________ are the expenses incurred by the organization in earning medical revenue. • Question 1 4 out of 4 points Basic medical services administered to patients in a typical business day, and thereby not requiring any kind of overnight hospitalization or accommodations, can normally be provided in a building type that is classified as, and designed as: • Question 2 4 out of 4 points In even the smallest practice, if space allows, there should be a separate __________, not readily visible to patients. • Question 3 4 out of 4 points Outpatient treatments that might require sedation usually must be done in a facility classified as: • Question 4 4 out of 4 points The reception area should: • Question 5 4 out of 4 points When terminating the physician-patient relationship, the physician must give proper notice to the patient, and afford the patient the opportunity to procure other medical attendance. Failure to do so may result in: • Question 6 4 out of 4 points Once proper notice has been given to the insurance carrier, the insurer has a contractual: • Question 7 4 out of 4 points The __________ may be defined as that which a reasonable and prudent member of the medical profession would undertake under the same or similar circumstances. • Question 8 4 out of 4 points __________ is a legal doctrine that says a principal is liable for the negligence of an agent of that principal, when that agent is acting on the principal’s behalf and within the scope of his or her duties as the agent of the principal. • Question 9 4 out of 4 points The compliance plan should begin with __________ from the governing board or shareholders that underscores their intent that the practice and its employees exhibit a code of conduct that is consistent with preventing, identifying, and reducing or eliminating wrongdoing. • Question 10 4 out of 4 points The Office of Inspector General (OIG) recommends that a compliance plan include __________ to focus on high-risk billing and coding issues. • Question 11 4 out of 4 points According to the Office of Inspector General’s (OIG’s) Compliance Guidance for Individual and Small Group Physician Practices, small practices: • Question 12 4 out of 4 points The Compliance Program Guidance for Third-Party Medical Billing Companies states that healthcare organizations “should designate a __________ to serve as the focal point for compliance activities.” • Question 13 4 out of 4 points In __________ reimbursement systems, a physician or medical group is paid a fixed amount of reimbursement per member per month. • Question 14 4 out of 4 points Which of the following is a feature of an effective physician compensation plan? • Question 15 4 out of 4 points Which of the following is a key step in promoting legal compliance with regard to compensation plans? • Question 16 4 out of 4 points Which of the following types of compensation treats each physician in the medical group as largely his or her own separate economic unit for compensation purposes? • Question 17 4 out of 4 points __________ can manifest itself in two ways, as “quid pro quo” harassment or as a “hostile work environment” claim. • Question 18 4 out of 4 points Which of the following statements is true regarding the Immigration Reform and Control Act of 1986 (IRCA)? • Question 19 0 out of 4 points For purposes of employment, federal law considers discrimination on the basis of __________ as discrimination on the basis of sex. • Question 20 4 out of 4 points According to the__________, employers are required to keep for 3 years all payroll records, collective bargaining agreements, trusts, and employment contracts, and to keep for 2 years all basic time and earnings cards showing daily starting and stopping times and wage rate tables. • Question 21 4 out of 4 points Under Title VII of the Civil Rights Act of 1964, an individual may prove discrimination by demonstrating __________, which refers to neutral practices that affect members of a protected group more severely than others. • Question 22 4 out of 4 points Because the literal wording of the antikickback statute prohibits a number of transactions generally believed to be necessary or beneficial to the healthcare industry, Congress authorized the creation of a number of __________ that permit conduct prohibited under this act. • Question 23 4 out of 4 points Which of the following statements is true regarding the integration of the compliance program? • Question 24 4 out of 4 points Beginning in 1989, the Office of Inspector General (OIG) began to issue __________ designed to inform the healthcare industry about conduct that potentially violates fraud and abuse laws. • Question 25 4 out of 4 points The prohibitions in the __________ are designed to prevent physicians from fraudulently making money from the patients they treat. 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