Crcs-I And Crcs-p Practice Exam
Federal Regulations and Governing Bodies
- 1.Which of the following is not a goal of The Patient Bill of Rights?
- A.
To stress the importance of the relationship between patients and providers
- B.
To ensure patients do not experience discrimination in billing and collections
- C.
To help patients feel more confident in the U.S. healthcare system
- D.
To stress the role that patients have to take to get and stay healthy
- 2.The statute commonly called "Obamacare" is formally known as which of the following?
- A.
The Health Care and Education Reconciliation Act
- B.
The Patient Protection and Affordable Care Act
- C.
The Health Insurance Portability and Accountability Act
- D.
The Hill-Burton Act
- 3.PPACA is aimed primarily at decreasing the number of uninsured Americans and reducing the overall costs of healthcare.
- A.
True
- B.
False
- 4.Which of the following is not an area where tax-exempt hospitals are affected by the PPACA?
- A.
Financial assistance
- B.
Filing deadlines
- C.
Charging limitations
- D.
Collections actions
- 5.What is the title for individuals who help consumers fill out applications for health coverage in a state-based Marketplace or state partnership Marketplace?
- A.
Agents or brokers
- B.
Certified application counselors
- C.
Navigators
- D.
Non-Navigators
- 6.The organization that ensures the quality, effectiveness, and efficiency of healthcare provided to Medicare beneficiaries and reviews all written quality-of-service complaints submitted by Medicare beneficiaries is:
- A.
CLIA
- B.
ACL
- C.
QIO
- D.
TJC
- 7.Which of the following is not true of the Hill-Burton Act?
- A.
It is a U.S. federal law passed in 1946.
- B.
It offered loans for hospital construction in exchange for future charity care.
- C.
The Act stopped providing funds in 1997, so hospitals are no longer obligated to offer charity care because of participation in the program.
- D.
It is also known as Title I.
- 8.The primary purpose of the Criminal Health Care Fraud Statute is to prohibit sharing of confidential patient information for monetary gain.
- A.
True
- B.
False
- 9.The two types of OIG exclusions for healthcare providers and suppliers who have been convicted of crimes are:
- A.
Mandatory and retroactive
- B.
Restrictive and permissive
- C.
Mandatory and permissive
- D.
Restrictive and retroactive
- 10.HEAT stands for:
- A.
Health Care Extension Action Team
- B.
Health Care Executive Assistance Team
- C.
Health Care Fraud Elimination Team
- D.
Health Care Fraud Prevention and Enforcement Action Team
- 11.When someone applies for credit, creditors may not ask about the person's race, sex, or national origin.
- A.
True
- B.
False
- 12.Which of the following is not true of TJC?
- A.
Accreditation by TJC is a requirement of participation in the Medicare program.
- B.
TJC will conduct an audit of the hospital every five years.
- C.
TJC can audit without advance notice.
- D.
TJC requires hospitals to have facility-wide disaster plans.
- 13.Which of the following is not a typical goal for reengineering Patient Access?
- A.
Place the focus on customer service so that the initial impression is a positive one.
- B.
Identify mechanisms to decrease wait times.
- C.
Free up staff time for training on new technology and regulations.
- D.
Make the process a positive and painless experience for the patient, guarantor, and/or family.
- 14.What is the recommendation for the percentage of scheduled admissions to be pre-registered within 24 hours of the service date?
- A.
40% - 50%
- B.
50% - 70%
- C.
60% - 80%
- D.
70% - 90%
- 15.Which of the following is not gathered during pre-registration or pre-admission?
- A.
History of chief complaint
- B.
Patient demographics
- C.
Financial information
- D.
Socioeconomic information
- 16.What is the term for patient screening before surgical or invasive procedures to determine hospitalization and/or surgical suitability?
- A.
Therapeutic medical screening
- B.
Pre-admission testing (PAT)
- C.
Pre-admission screening (PAS)
- D.
Diagnostic medical screening (DMS)
- 17.Which of the following is not an example of affiliated health services?
- A.
Marketing for staff physicians
- B.
Telephone triage available to the community
- C.
Referral for physicians and/or services
- D.
Registration for in-house or hospital-sponsored medical education programs
- 18.When is insurance verification typically done?
- A.
During pre-certification only
- B.
During admitting/registration only
- C.
During pre-certification and/or admitting/registration
- D.
After admitting/registration
- 19.If a physician classifies an admission as an emergency, the hospital can still refuse the admission.
- A.
True
- B.
False
- 20.To qualify for SNF coverage, Medicare requires a person to have been a hospital inpatient for at least three consecutive days (not including the day of discharge).
- A.
True
- B.
False
- 21.CMS has indicated that instances would be rare that a patient would remain in observation for more than 24 hours.
- A.
True
- B.
False
- 22.A single general consent document is signed to cover all procedures and services being performed in any 24-hour period.
- A.
True
- B.
False
- 23.In the ER, failure of a patient, who is aware of what is happening, to object to treatment is implied consent--by law.
- A.
True
- B.
False
- 24.An emancipated minor is able to give his or her own consent to receive treatment.
- A.
True
- B.
False
- 25.Should a correction be required to a medical record, an authorized person should draw a single line through to error, initial it, and continue the note.
- A.
True
- B.
False
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