Patient Access Services

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    The medical record is a legal document.

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CPAT Patient Access Services for PFS

CPAT Quizzes & Trivia

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  • 2. 

    Medicaid is a health insurance program that covers which people:

    • People who are 65 years and older

    • Certain low-income people

    • People who are disabled

    • People with ESRD that requiring dialysis or a kidney transplant

    Correct Answer
    A. Certain low-income people
  • 3. 

    What is an appropriate transfer?

    • The receiving facility has available space

    • The receiving facility has qualified staff

    • The transferring hospital provides medical treatment to minimize risks

    • All of the above

    Correct Answer
    A. All of the above
  • 4. 

    Necessary information collected by financial/insurance class include:

    • A copy of both sides of the insurance card

    • Name of PCP

    • Complete demographic information

    • All of the above

    Correct Answer
    A. All of the above
  • 5. 

    Medicare provides insurance to:

    • People with end stage renal disease (ESRD requiring dialysis or a kidney transplant)

    • People who are 65 years or older

    • People who are disabled

    • All of the above

    Correct Answer
    A. All of the above
  • 6. 

    Standard Code Sets include:

    • CPT

    • ICD-9

    • HCPCS

    • All of the above

    Correct Answer
    A. All of the above
  • 7. 

    An ABN must include:

    • Listing of the service that is not covered by the diagnosis

    • Reason denial is likely

    • Patient’s signature

    • All of the above

    Correct Answer
    A. All of the above
  • 8. 

    A breach of Patient Confidentiality is subject to:

    • Criminal charges

    • Fines

    • Prison term

    • All of the above

    Correct Answer
    A. All of the above
  • 9. 

    The two main governing bodies effecting healthcare change are:

    • CMS and AHCA

    • CMS and FDA

    • CMS and DHHS

    • DHHS and CDC

    Correct Answer
    A. CMS and DHHS
  • 10. 

    HIPAA’s key provisions include:

    • Guaranteed access to health insurance for small businesses

    • Guaranteed renewal of insurance regardless of health status

    • Limitations on pre-existing conditions

    • All of the above

    Correct Answer
    A. All of the above
  • 11. 

    Affiliated health coverage includes:

    • 24 hour access to a registered nurse

    • Referral services for physicians

    • Customer service and/or feedback

    • All of the above

    Correct Answer
    A. All of the above
  • 12. 

    TRICARE healthcare plans for beneficiaries include:

    • TRICARE Prime

    • TRICARE Extra

    • TRICARE Standard

    • All of the above

    Correct Answer
    A. All of the above
  • 13. 

    All states must cover the services listed below except:

    • Inpatient and outpatient hospital services

    • Laboratory and X-ray services

    • Dental care

    • Well baby/child care

    Correct Answer
    A. Dental care
  • 14. 

    The misuse of a person, substance, service, or financial matter such that harm is cause is known as what?

    • Fraud

    • Kickbacks

    • Abuse

    • Misrepresentation

    Correct Answer
    A. Abuse
  • 15. 

    Medicare has how many parts:

    • 1

    • 2

    • 3

    • 4

    Correct Answer
    A. 4
  • 16. 

    Medicaid is funded and administered through:

    • State and federal funding

    • Federal funding

    • State funding

    • Self funded

    Correct Answer
    A. State and federal funding
  • 17. 

    The National Provider Identifier (NPI) consists of how many digits?

    • 10

    • 6

    • 5

    • 8

    Correct Answer
    A. 10
  • 18. 

    A patient is more likely to pay their estimated portion of the bill:

    • After the insurance has paid

    • Before or at the time of admission

    • After the patient has been discharged

    • None of the above

    Correct Answer
    A. Before or at the time of admission
  • 19. 

    CMS is the acronym for:

    • Centers for Medicaid and Medicare Services

    • Center for Medicaid and State Operations

    • Center for Medicare Services

    • Centers for Medicare and Medicaid Services

    Correct Answer
    A. Centers for Medicare and Medicaid Services
  • 20. 

    The RBRVS consist of which major elements?

    • RVU

    • MVPS

    • Limiting charge

    • All of the above

    Correct Answer
    A. All of the above
  • 21. 

    The Patient Bill of Rights guarantees the basic rights listed below except:

    • Privacy

    • Refusal to pay

    • Confidentiality

    • Continuity of care

    Correct Answer
    A. Refusal to pay
  • 22. 

    Medicare Part A provides coverage for which services except:

    • Home health services

    • Skilled nursing facilities

    • Preventative care

    • Inpatient hospital services

    Correct Answer
    A. Preventative care
  • 23. 

    The last 60 days are called:

    • Lifetime Reserve Days

    • Full Days

    • Coinsurance Days

    • Covered Days

    Correct Answer
    A. Lifetime Reserve Days
  • 24. 

    What is the acronym QIO?

    • Quality Improvement Organization

    • Quality Insurance Organization

    • Quick Improvement Options

    • Quality Inspection Office

    Correct Answer
    A. Quality Improvement Organization
  • 25. 

    Medicare Part B pays for all of the following except:

    • Physician services

    • Hospice care

    • Outpatient hospital services

    • Medical equipment and supplies

    Correct Answer
    A. Hospice care
  • 26. 

    Medicaid is also known as:

    • Title XVIII

    • Title XVII

    • Title XIII

    • Title XIX

    Correct Answer
    A. Title XIX
  • 27. 

    The components of the OIG Compliance Plan include all of the following except:

    • Auditing and monitoring

    • Ineffective lines of communication

    • Written policies and procedures

    • Effective training and education

    Correct Answer
    A. Ineffective lines of communication
  • 28. 

    To qualify for Medicare coverage for Skilled Nursing Facility care, a beneficiary must be in a hospital for at least:

    • Three (3) consecutive days, not counting the day of discharge, before entering a SNF

    • Three (5) consecutive days, including the day of discharge, before entering a SNF

    • Three (3) consecutive days, including the day of discharge, before entering a SNF

    • Three (5) consecutive days, not counting the day of discharge, before entering a SNF

    Correct Answer
    A. Three (3) consecutive days, not counting the day of discharge, before entering a SNF
  • 29. 

    Medicare is also know as:

    • Title XVIII

    • Itle XVII

    • Title XIII

    • Title XIX

    Correct Answer
    A. Title XVIII
  • 30. 

    Under EMTALA, what is the purpose of the examination?

    • To determine if the patient needs to be admitted

    • To determine if the patient is stable

    • To determine if the patient is stable

    • To determine if the patient is in an emergency medical condition

    Correct Answer
    A. To determine if the patient is in an emergency medical condition
  • 31. 

    The Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 required what:

    • Required EGHP with 50 or more employees to be primary to Medicare

    • Required EGHP with 15 or more employees to be primary to Medicare

    • Required EGHP with 40 or more employees to be primary to Medicare

    • Required EGHP with 20 or more employees to be primary to Medicare

    Correct Answer
    A. Required EGHP with 20 or more employees to be primary to Medicare
  • 32. 

    PAT is the acronym for:

    • Patient Account Technician

    • Patient Accounting Technician

    • Pre-Admission Testing

    • Pre-Admission Test

    Correct Answer
    A. Pre-Admission Testing
  • 33. 

    Criteria pertaining to the maintenance of the patient’s medical record include all of the following except:

    • Specific authorizations are required for diagnoses such as HIV/AID, psychiatric, alcohol, or drug dependency conditions

    • Records may be furnished in any civil or criminal action upon issuance of a subpoena from a court C. Information can be released without the patient’s written consent D. Records shall be stored in areas free from water damage, insects and theft

    • Information can be released without the patient’s written consent

    • Records shall be stored in areas free from water damage, insects and theft

    Correct Answer
    A. Information can be released without the patient’s written consent
  • 34. 

    When is an Advance Directive activated?

    • When the patient is taken into surgery

    • When the patient is admitted

    • Per the patient’s request

    • When the patient becomes incapacitated

    Correct Answer
    A. When the patient becomes incapacitated
  • 35. 

    The intentional or illegal deception or misrepresentation made for the purpose of personal gain, or to harm or manipulate another person or organization is:

    • Fraud

    • Kickbacks

    • Abuse

    • Misrepresentation

    Correct Answer
    A. Fraud
  • 36. 

    The limiting charge is what percentage of the fee schedule amount?

    • 120%

    • 150%

    • 115%

    • 125%

    Correct Answer
    A. 115%
  • 37. 

    The Patient Bill of Rights was developed by which association?

    • AMA

    • DHHS

    • CMS

    • IRS

    Correct Answer
    A. AMA
  • 38. 

    CHAMPVA is the acronym for:

    • Civil Health and Medical Program of the Veterans Administration

    • Civilian Health and Medical Program of the Veterans Association

    • Civilian Health and Medical Program of the Veterans Administration

    • Civilian Health and Medical Process of the Veterans Administration

    Correct Answer
    A. Civilian Health and Medical Program of the Veterans Administration
  • 39. 

    The State Children’s Health Insurance Program (SCHIP) is also known as:

    • Title XXI

    • Title XVII

    • Title XIII

    • Title XIX

    Correct Answer
    A. Title XXI
  • 40. 

    ANSI X12 837I is the transaction standard for which of the following:

    • Healthcare claims status

    • Eligibility for a health plan

    • Institutional claim

    • None of the above

    Correct Answer
    A. Institutional claim
  • 41. 

    The basic components of the Bill of Rights include:

    • If the entity accepts Medicare assignment

    • Private room

    • Considerate and respectful care

    • Both A and C

    • All of the above

    Correct Answer
    A. Both A and C
  • 42. 

    TRICARE claims must be submitted within:

    • 18 months

    • 1 year

    • 6 months

    • 2 years

    Correct Answer
    A. 1 year
  • 43. 

    Advantages to a Living Will include:

    • Difficult decisions about future care are made while the patient is competent and alert

    • It states the patients’ desire regarding organ donation at the time of death

    • The patients directions allows them to die under circumstances that they have chosen

    • Both A and C

    • All of the above

    Correct Answer
    A. All of the above
  • 44. 

    The mission of the QIO includes all of the following except:

    • Quality

    • Effectiveness

    • Efficiency

    • Privacy

    Correct Answer
    A. Privacy
  • 45. 

    General admitting responsibilities include all of the following except:

    • Public Relations

    • Recognition of Financial Risks

    • Insurance Verification

    • Insurance Claims Filing

    Correct Answer
    A. Insurance Claims Filing
  • 46. 

    Information to be gathered during the scheduling process include:

    • Admission data

    • Employer information

    • Reason for seeking treatment

    • Both A and B

    • All of the above

    Correct Answer
    A. All of the above
  • 47. 

    Utilization Review and/or Case Management are responsible for all of the following except:

    • Approve payment of claims

    • Reduction of unnecessary admissions

    • Assist with the appeals process for denials

    • Advise the patient of discharge

    Correct Answer
    A. Approve payment of claims
  • 48. 

    The admission of a patient to a hospital requires decision by all of the following except:

    • Admitting physician

    • Admitting clerk

    • Hospital administrator

    • Administrator on call

    Correct Answer
    A. Admitting clerk
  • 49. 

    All of the following are parts to HIPAA’s Administrative Simplification except:

    • NPI

    • Health savings accounts

    • Security requirements

    • Electronic transactions and code set standards

    Correct Answer
    A. Health savings accounts

Quiz Review Timeline (Updated): Jan 22, 2013 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Jan 22, 2013
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 06, 2011
    Quiz Created by
    Jalmeida
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