Exam 7

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Question #1

When going through an external audit, before receiving the auditor’s determinations, you should be certain to prepare:

A Information and documentation required for the appeals process.

B Your résumé.

C An alibi.

D A company check for the fines and penalties.

Question #2

An assessment to determine compliance performed by an authorized agency or organization is known as a/n:

A External audit.

B Trend analysis.

C Internal audit.

D Retrospective audit.

Question #3

A valid internal audit will include all of the following steps except:

A Letting the audit team take as much time as they want.

B Determination of the scope of the audit.

C All of these

D Not requiring a written report.

Question #4

You instruct your assistant to review the records of all employees who work in the clinic to ensure all vaccinations are up-to-date. This is an example of:

A Internal audit.

B Manufactured audit.

C External audit.

D Abuse of power.

Question #5

Every employee in the Pediatrics Department is directed to submit to a drug test. This is an example of a:

A Retrospective audit.

B Concurrent audit.

C Comprehensive audit.

D Sampling audit.

Question #6

An audit was planned to review a small percentage of a facility’s files by randomly choosing which records to analyze. This is known as a:

A Comprehensive audit.

B Sampling audit.

C Retrospective audit.

D Concurrent audit.

Question #7

An audit was performed using data from the last 3 years, current year not included. This is known as a:

A Concurrent audit.

B Comprehensive audit.

C Common sampling audit.

D Retrospective audit.

Question #8

Included in the audit process, a review of all applicable ________ must be done.

A regulations

B All of these

C laws

D guidance

Question #9

An investigation focused on analyzing and evaluating certain amounts of data is known as:

A An audit.

B A scope document.

C An internal investigation.

D An evaluation.

Question #10

One method for identifying overt problems is to:

A Interrogate all staff members.

B Complete a staff survey.

C Ask around the cafeteria.

D Take patient complaints seriously.

Question #11

An example of an overt problem is:

A Upcoding on claim forms.

B A nurse stealing drugs.

C A physician who is a functioning alcoholic.

D Medical assistants gossiping about patients.

Question #12

Multiple agencies from ___ have the authority to audit your facility.

A All of these

B federal government

C state government

D private insurance companies

Question #13

A non-compliant event that is deeply hidden and cannot be identified without an in-depth investigation is known as a/n:

A Occult problem.

B Covert problem.

C Overt problem.

D All of the above.

Question #14

You have just received a subpoena ducestecum. This means you must:

A Testify in court.

B Deliver specified documents to the court.

C Be available to the court for 30 days.

D Serve on a jury.

Question #15

The determination of results by projecting existing experience or known data is known as:

A Statistical assessment.

B Extrapolation.

C Sampling.

D Upcoding.

Question #16

An assessment to determine compliance performed by an authorized agency or organization is known as a/n:

A Retrospective audit.

B Internal audit.

C External audit.

D Trend analysis.

Question #17

To create a culture of caring within the organization, you should establish employee policies that are:

A Fair and reasonable.

B Strict and narrowly construed.

C Designed to control behavior.

D Open to interpretation by the professionals within.

Question #18

The OPM defines five stages of the process of enhancing staff performance. These stages include:

A Observing.

B Developing.

C All of these.

D Punishment.

Question #19

Liability linked to hiring the less-competent includes:

A Intrinsic motivation.

B Staff satisfaction.

C The commission of fraud.

D Improved patient care.

Question #20

The costs for hiring the less-competent include:

A Advertising the job opening.

B All of these.

C Lost productivity.

D Interviewing time.

Question #21

All of the following are elements involved in the provision of excellent care except:

A Knowledge.

B Pay scale.

C Skill.

D Personal attributes.

Question #22

A full-circle approach to healthcare with the patient in the middle, in full control of the process, is known as:

A Holistic care.

B Standardized medicine.

C Accountable care.

D Patient-centered care.

Question #23

The term used to describe an individual’s reason to act or to describe the forces beneath behavior is:

A Causal interference.

B Alternate explanation.

C Motivation.

D Psychology.

Question #24

The ability of an organization to ensure that high-quality staff continue working for their company is the concept of:

A Employee retention.

B Exclusivity.

C Contract employment.

D Absolute employment.

Question #25

Mary is an RN. She is interested in learning about billing and coding. In what type of program should she participate at the hospital?

A Continuing education

B Cross-training

C Clinical/administrative merger

D Interdepartmental mastery

Question #26

A voluntarily created team of health care providers who care for a patient together, sharing responsibility, is known as:

A An accountablecare organization.

B Unified healthcare.

C A patient-centric facility.

D Managed care.

Question #27

Which of the following terms relates to internal drives that are powered by an individual’s pleasure center?

A Extrinsic motivation

B Natural motivation

C Manifest motivation

D Intrinsic motivation

Question #28

An employee’s drive that is fueled by external forces, such as awards and promotions, is referred to as:

A Extrinsic motivation.

B Intrinsic motivation.

C Manifest motivation.

D Elemental motivation.

Question #29

Inspirational elements derived from outside forces include:

A Reward.

B Award.

C Public acknowledgement.

D All of these.

Question #30

The asset provided to an organization by the staff is known as:

A Accountability.

B Intellectual capital.

C Reward allocation.

D Employee retention.

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