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FBLA Healthcare Administration
FBLA Healthcare Administration
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1
The focus of inpatient data collection is on the principal diagnosis, but the focus of outpatient data collection is on:
The same as inpatient data collection.
Cost of treatment
Treatment plan
Reason for encounter
2
What does ACF stand for?
Ambulatory Care Facility
Ambulatory Care Federation
Acceptable Care Facility
Available Care Foundation
3
Also known as a medical clinic or center, provides variety of care in a centralized location
AMF
Hospital
ACF
Office
4
Can balance billing be utilized with Medicare beneficiaries?
No.
Yes, in all cases.
Yes, if recipient is a veteran.
Yes, if recipient qualifies based on income.
5
Which part of medicare defines the limits of medicare usage?
Part A
Part B
Part D
Part C
6
Most healthcare information standards have been implemented by:
State law
Federal law
Federal regulations
State regulations
7
What are laws enacted by a state or federal legislature that in certain cases can overwrite common law?
Civil laws
Memorandums
Statutes
Regulations
8
What are open systems?
An insurance system allowing negotiations on contracts.
Organizations which are affected by, and also affect, their environment.
This is a fake term.
A political system that has no parties.
9
When was CHIP passed?
1999
1991
1997
2001
10
When was the Fair Labor Standards Act passed?
1940
1938
1935
1943
11
What is the % of goods and services used in hospitals that have been negotiated with the GPO's?
Negotiated products
Total usage
Compliance
Congruence
12
Which part of Medicare covers inpatient care, home health, and hospice?
Part B
Part C
Part D
Part A
13
What are technical skills?
Expertise or ability to perform a specific work task.
Ability to critically analyze and solve complex problems.
Enables a manager to communicate with and work well with other individuals.
Ability to work with mathematical concepts.
14
Unexpected medical problem that occurs during treatment
Bad thing
Adverse event
Treatment complication
Adverse care
15
What part of Medicare allows recipients to enroll in supplemental indemnity plans?
Part C
Part B
Part A
Part D
16
What is the corporate structure of hospitals?
1)Department Heads; 2) Medical Executive Committee; 3) Board.
1) Medical Executive Committee; 2) Board; 3) Department Heads
1) Department Heads; 2) Board; 3) Medical Executive Committee
1) Board; 2) Medical Executive Committee; 3) Department Heads
17
What refers to an incubation period or time when infections go into relapse?
Latent
Hibernating
Waiting
Dormant
18
When was AAPPO established?
1983
1986
1993
1984
19
What is a rule issued by the president that has the force of law?
Federal mandate
Executive order
Federal statute
Executive mandate
20
COBRA stands for Consolidated Omnibus Budget Reconciliation Act.
True
False
21
What act passed in 1963 prevents discrepancies in pay between men and women?
Equal Pay Act
Labor Standards Act
Female Workers Act
Civil Rights Act
22
What is a restriction on free agency?
Conservatorship
Contract
Covenant
Clause
23
What are premiums?
Down payments on health care
Benefits in a salary
Money paid to insurers to negate the risk of loss.
Money received from loans
24
What is surgery where the entrance wound is through the stomach or v. canal?
Abdominopelvic surgery
Natural cavity surgery
Natural orifice surgery
Abdominal surgery
25
What settles payment on insurance claims?
Affidavite
Copay
Adjudicate
Insurance plan
26
What is adverse selection?
Transferring employees between workplaces
Hiring employees with little related job experience
Attracting patients that are sicker than usual
Attracting patients with no means of affording care
27
What does CMP stand for?
Capital Money Payment
Consumer Medical Plan
Customary Medical Payment
Competitive Medical Plan
28
What are the components of the Care Triad?
Quality, cost, access.
Cost, efficiency, availability
Quality, quantity, qualifications.
Efficiency, stability, cost.
29
Process of completing all validity, process, and file edits necessary to prepare a claim for final payment or denial.
Adjudication
Filing
Accounting
Preparation
30
When was the Rehabilitation Act passed?
1989
1940
1972
1973
31
What is health?
Sound mind, body, and spirit; fundamental right of human beings
Physical well-being; fundamental right of human beings
Legal right within most first-world countries
Maintainence of homeostasis
32
When was COBRA passed?
1990
1986
1988
1982
33
What is an EMR?
Electronic record of specific patients
Medical record of a specific hospital
Medical record for a population
Electronic record for a population
34
When was the Employee Retirement Income Security Act passed?
The same year as the Pregnancy Discrimination Act
The same year as COBRA
The same year as the Americans with Disabilities Act
The same year as the Rehabilitation Act
35
Jidoka is the safety element (be watchful for all defects)
True
False
36
According to this, ethnicity should be recorded as either Hispanic, non-Hispanic, or unknown.
NACHRI
ORYX
UHDDS
National Equality Act
37
EHR refers to an electronic record for a population
True
False
38
What is a problem affecting healthcare today?
Declining reimbursement
Declining supply of workers
Increasing population need
All three are problems affecting healthcare today
39
When was the Age Discrimination in Employment Act passed?
1960
1963
1970
1967
40
What does the Nursing Relief for Disadvantaged Areas Act do?
Allows hospitals to forcibly transfer nurses
Outlaws per dm employment in disadvantaged areas
Permits temporary employment of illegal aliens/foreign Registered Nurses.
Allows untrained CNAs to take roles of LPNs
41
What does the average US family pay for insurance each year?
$41,000
$1,400
$14,000
$4,000
42
What enables a manager to communicate with and work well with other individuals?
Management skills
Interpersonal/human relations skills
Technical skills
Conceptual skills
43
What is civil law?
Wrongs against a particular person or organization
Laws made by state governments
Laws found to be unconstitutional
Wrongs against the country as a whole
44
Part B of Medicare covers outpatient care and extends to supplemental treatments + physicians
True
False
45
Common laws are wrongs against a particular person or organization.
False
True
46
Which of these laws/acts was passed in 1935?
National Labor Relations Act
Civil Rights Act
Fair Labor Standards Act
Pregnancy Discrimination Act
47
What does DMAIR stand for?
Destroy, manslaughter, arson, irrigation, redrum
Doctor, manager, artist, innovator, realtor
Design, manage, arrange, improve, rebuild
Design, measure, assess, improve, redesign
48
What is the biggest risk in a practice?
Infection
Profitability
Productivity
Sustainability
49
What must HR ensure in HSO?
High performance
Quality equipment
Surplus of healthcare workers
High salaries
50
Which of these reviews and accredits hospitals?
JCHAO
COBRA
NCQA
CHIP
51
What does CMS help to run?
Only helps with Medicaid
Part of the FDA
Helps run Medicaid w/states and runs Medicare
Only runs Medicare
52
What are conceptual skills?
Expertise or ability with language-related tasks.
Ability to critically analyze and solve complex problems.
Expertise or ability to perform a specific work task.
Ability to reason and work with people.
53
What does AAPCC stand for?
Adjusted Average per Consumer Cost
Adjusted Average per Capita Cost
Available Adjustment per Capita Cost
American Average per Capita Cost
54
What is NACHRI?
This isn't a real organization.
A union for pedatricians.
A non-profit advocacy group for pediatric hospitals in the US.
A conservative group against the creation of gender care clinics.
55
What part of Medicare handles drug coverage?
Part A
Part C
Part B
Part D
56
What is admission certification?
Admitting patients who are registered with the clinic
Hiring employees with lots of related work experience
Admitting patients that need more care
Hiring trained specialists as advisors
57
What is TRICARE?
Educators' health insurance program
Health coverage for minors and students
Health coverage for those in health professions
Military health insurance program
58
Ability of a patient to take medication or follow a treatment protocol correctly, also called compliance
Collaboration
Obedience
Adherence
Intelligence
59
What two programs are designed to collect data to be used for performance improvement programs?
HEDIS and the Joint Commission's ORYX program
COBRA and NACHRI
NACHRI and the Joint Commission's ORYX program
HEDIS and NACHRI
60
JCHAO compares health plan performance
True
False
61
What is a disability?
Section on tax deductibles
No legal definition, determined based on income
Any physical/mental impairment that significantly limits major activities
Not a true legal term; irrelevant
62
Who does D and O insurance protect?
Doctors and occupants
Doctors and officials
Directors and Occupied
Directors and officers
63
In regards to suppliers and equipment what is most important?
Quantity
Quality
Disposability
Reusability
64
Medical treatment towards short-term illnesses or conditions
Acute treatments
Acute care
Short-term care
Simple treatments
65
A patient's ability to obtain medical care determined by availability of med. services, travel and location
Acceptance
Access
Availability
Adaptability
