CPHRM Exam Questions and Correct Answers

Actuary Ans: a person who uses statistics to compute loss probabilities to establish premiums for insurance companies and self-insurance trusts. Advance directive Ans: lawful written instruction that describes an individual's preferences for health care should he or she become unable to express them later. Examples+ living wills, power of attorney for health care, advance health care directive. Adverse event Ans: any injury (undesirable clinical outcome anticipated or not anticipated) caused by medical care and not an underlying disease process. Adverse outcome Ans: a clinical outcome that, while neither desirable nor necessarily anticipated, may still have been a known possibility associated with the treatment or procedure. Age Discrimination in Employment Act (29 U.S.C. Section 621 et seq) Ans: federal statutes prohibiting certain types of employment discrimination on the basis of age. Alternative dispute resolution Ans: a process or system to resolve disputes outside the formal judicial process. (A) Negotiation - a voluntary, usually informal, unstructured process. There is no third-party facilitator, but parties may be represented by legal counsel. (B) Mediation - a process in which a neutral third party helps the parties reach a mutuallyacceptable agreement. Arbitration Ans: the hearing and determination of a case in question by an individual or group of individuals either chosen by the opposing parties or by a person appointed under statutory authority. (A) Binding - an agreement that is final and not appealable. (B) Non-Binding - an agreement is not final until it is entered by the court into the record allowing the party to continue the civil litigation process. Americans with Disabilities Act (42 USC §§ 12101 et seq) Ans: 1990 federal statute aimed at prohibiting discrimination against individuals with certain mental and physical disabilities in the areas of employment and public accommodation. Answer Ans: a document filed with the court in response to a complaint or petition. The answer deadline is defined by the state or federal court with jurisdiction. Generally the answer must+ 1.) admit that the plaintiffs' allegations are true, 2.) deny that the plaintiffs' allegations are true or 3.) state that the defendant does not have information regarding the truth or falsity of the allegations. Anti-kickback statutes Ans: Medicare-Medicaid Anti-Kickback Statute (42 USC §1320a-7b) knowingly and willfully seeking or receiving a bribe, rebate or kickback for a referral for a program, reimbursable item or service. Appeal Ans: an action that is taken after the trial or after a dispositive motion has been entered in a matter. An appeal may be taken for the purpose of correcting an error made by the trial court or to obtain a new trial or resort to a higher court for th