CHC Practice Test/ Questions and Correct
Answers/ 2024-2025
According to the Institute of Medicine, which of the following is NOT one of the domains of
quality of care?
a. government regulation
b. customization
c. safety
d. interventions consistent with the latest findings - Answer: a. government regulation
According to the OIG, which of the following would likely be the least helpful measure for
improving outpatient services?
a. describe the hospital's post-submission testing process to a fiscal intermediary
b. evaluate all possible bills for outpatient services provided at the hospital and within the
applicable time period
c. implement computer programs to identify outpatient services that are not billed separately
from inpatient services
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,d. establish a regular manual review of outpatient service claims - Answer: a. describe the
hospital's post-submission testing process to a fiscal intermediary
According to title II of HIPAA, disclosure of Protected Health Information related to which of the
following actions requires the patient's express written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - Answer: a. state in which the treatment occur
A covered entity may disclose PHI for TPO (treatment, payment, and healthcare operations)
At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a
qualified independent contractor?
a. first level appeal
b. second level appeal
c. third level appeal
d. fourth level appeal - Answer: b. second level appeal
There are five levels of appeal.
First level entails a redetermination of claim; second level involves reconsideration by a
qualified independent contractor; third level includes a hearing overseen by admin law judge;
fourth level is a review of Medicare Review Council; and fifth level is a judicial review in federal
court.
Because of a doctor's poor handwriting, a prescription must be reworked before it leaves the
pharmacy. Which of the following is true?
a. the doctor should be reprimanded
b. the pharmacy should incorporate bar coding
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, c. the prescription should not count towards the pharmacy's yield
d. the error should be reported to the FDA - Answer: c. the prescription should not count
towards the pharmacy's yield
Before conducting a safety audit in an emergency department, and administrator first needs to
obtain:
a. a list of the employees in that department
b. a map of the department
c. a written set of safety standards
d. statistics on adverse events - Answer: c. a written set of safety standards
Hospitals that implement Computerized Provider Order Entry (CPOE) almost always see a
decline in:
a. medication errors
b. diagnostic errors
c. adverse events
d. latent errors - Answer: a. medication errors
CPOE programs diminish error related to faulty transcript or unclear handwriting, and simplify
inventory and decrease delays in order completion.
If an at-risk patient is left unattended and has an adverse response to medication, this is known
as:
a. sentinel event
b. initiator
c. latent outcome
d. slip - Answer: a. sentinel event
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Answers/ 2024-2025
According to the Institute of Medicine, which of the following is NOT one of the domains of
quality of care?
a. government regulation
b. customization
c. safety
d. interventions consistent with the latest findings - Answer: a. government regulation
According to the OIG, which of the following would likely be the least helpful measure for
improving outpatient services?
a. describe the hospital's post-submission testing process to a fiscal intermediary
b. evaluate all possible bills for outpatient services provided at the hospital and within the
applicable time period
c. implement computer programs to identify outpatient services that are not billed separately
from inpatient services
Page 1 of 17
,d. establish a regular manual review of outpatient service claims - Answer: a. describe the
hospital's post-submission testing process to a fiscal intermediary
According to title II of HIPAA, disclosure of Protected Health Information related to which of the
following actions requires the patient's express written authorization?
a. state in which the treatment occur
b. health care operations
c. treatment
d. payment - Answer: a. state in which the treatment occur
A covered entity may disclose PHI for TPO (treatment, payment, and healthcare operations)
At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a
qualified independent contractor?
a. first level appeal
b. second level appeal
c. third level appeal
d. fourth level appeal - Answer: b. second level appeal
There are five levels of appeal.
First level entails a redetermination of claim; second level involves reconsideration by a
qualified independent contractor; third level includes a hearing overseen by admin law judge;
fourth level is a review of Medicare Review Council; and fifth level is a judicial review in federal
court.
Because of a doctor's poor handwriting, a prescription must be reworked before it leaves the
pharmacy. Which of the following is true?
a. the doctor should be reprimanded
b. the pharmacy should incorporate bar coding
Page 2 of 17
, c. the prescription should not count towards the pharmacy's yield
d. the error should be reported to the FDA - Answer: c. the prescription should not count
towards the pharmacy's yield
Before conducting a safety audit in an emergency department, and administrator first needs to
obtain:
a. a list of the employees in that department
b. a map of the department
c. a written set of safety standards
d. statistics on adverse events - Answer: c. a written set of safety standards
Hospitals that implement Computerized Provider Order Entry (CPOE) almost always see a
decline in:
a. medication errors
b. diagnostic errors
c. adverse events
d. latent errors - Answer: a. medication errors
CPOE programs diminish error related to faulty transcript or unclear handwriting, and simplify
inventory and decrease delays in order completion.
If an at-risk patient is left unattended and has an adverse response to medication, this is known
as:
a. sentinel event
b. initiator
c. latent outcome
d. slip - Answer: a. sentinel event
Page 3 of 17
