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 An alibi.

B Information and documentation required for the appeals process.

C Your résumé.

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 Trend analysis.

B Internal audit.

C External audit.

D Retrospective audit.

Question #3

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

A Determination of the scope of the audit.

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

C Not requiring a written report.

D All of these

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 Abuse of power.

B External audit.

C Manufactured audit.

D Internal audit.

Question #5

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

A Concurrent audit.

B Comprehensive audit.

C Sampling audit.

D Retrospective 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 Concurrent audit.

B Comprehensive audit.

C Retrospective audit.

D Sampling audit.

Question #7

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

A Comprehensive audit.

B Common sampling audit.

C Retrospective audit.

D Concurrent audit.

Question #8

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

A All of these

B regulations

C guidance

D laws

Question #9

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

A A scope document.

B An internal investigation.

C An audit.

D An evaluation.

Question #10

One method for identifying overt problems is to:

A Complete a staff survey.

B Interrogate all staff members.

C Take patient complaints seriously.

D Ask around the cafeteria.

Question #11

An example of an overt problem is:

A Upcoding on claim forms.

B Medical assistants gossiping about patients.

C A physician who is a functioning alcoholic.

D A nurse stealing drugs.

Question #12

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

A state government

B All of these

C private insurance companies

D federal government

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 Overt problem.

B Covert problem.

C Occult 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 Sampling.

B Upcoding.

C Statistical assessment.

D Extrapolation.

Question #16

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

A External audit.

B Trend analysis.

C Retrospective audit.

D Internal audit.

Question #17

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

A Designed to control behavior.

B Strict and narrowly construed.

C Fair and reasonable.

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 All of these.

B Developing.

C Observing.

D Punishment.

Question #19

Liability linked to hiring the less-competent includes:

A The commission of fraud.

B Intrinsic motivation.

C Staff satisfaction.

D Improved patient care.

Question #20

The costs for hiring the less-competent include:

A Interviewing time.

B All of these.

C Advertising the job opening.

D Lost productivity.

Question #21

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

A Pay scale.

B Skill.

C Knowledge.

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 Standardized medicine.

B Accountable care.

C Holistic 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 Psychology.

B Alternate explanation.

C Causal interference.

D Motivation.

Question #24

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

A Exclusivity.

B Employee retention.

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 Cross-training

B Clinical/administrative merger

C Interdepartmental mastery

D Continuing education

Question #26

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

A Unified healthcare.

B Managed care.

C A patient-centric facility.

D An accountablecare organization.

Question #27

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

A Intrinsic motivation

B Manifest motivation

C Natural motivation

D Extrinsic motivation

Question #28

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

A Elemental motivation.

B Extrinsic motivation.

C Manifest motivation.

D Intrinsic motivation.

Question #29

Inspirational elements derived from outside forces include:

A Reward.

B Public acknowledgement.

C All of these.

D Award.

Question #30

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

A Employee retention.

B Reward allocation.

C Accountability.

D Intellectual capital.

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