Cms review questions - Study guides, Class notes & Summaries

HCCA CHC Exam Prep | 750+ Questions and Verified Answers| 2023/ 2024 Q: True of False: A self-audit is an examination or inspection for providers in reducing non-compliance. Self-audits can lower chances of an external audit and create a robust culture of compliance Answer: True Source: CHC Exam Secrets Study Guide Q: CMS released areas of high-risk fraud, some of those include: A. Sudden changes in billing and billing inappropriate specialties B. Billing of inappropriate d...

1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designatedas a Level 1 ACO. What is part of this designation? a. Bonuses based on achievement of benchmarks b. Care coordination for chronic diseases c. Standards for minimum cash reserves d. Strict requirements for financial reporting ANS: A A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings bonuses based on achievement of benchmarks for quality measures and ...

Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest Rated A+. Which government insurance plans offers 4 different parts or areas of different coverage? A. MedicareB. Medicaid C. TRICARE D. CHAMPVA 2. DAW/DNS stand for which of the following? A. Dispense as written B. Distribute and work C. Distribution and working D. Dispense as well 3. Which of the following third party plans requires the patient to designate a primary care physician (PCP)? A. Health ...

1. A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? a. An increase in venous pressure b. a decrease in peripheral edema c. a decrease in cardiac output d. an increase in potassium levels 2. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect (select all that apply). a. Increased a...

PTCB Pharmacy Billing and Reimbursement Practice Test Questions and Answers Latest Rated 100%. DAW/DNS stand for which of the following? A. Dispense as written B. Distribute and work C. Distribution and working D. Dispense as well 3. Which of the following third party plans requires the patient to designate a primary care physician (PCP)? A. Health maintenance organization (HMO) B. Preferred provider organization (PPO) C. Medicare Part D D. TRICARE 4. The cost of the coverage of an i...

ATI Pediatrics CMS Exam Review Questions and Answers

ATI Med Surg Review (CMS) Questions & Answers

CMS 315M Final Exam Review Questions and Answers

ATI CMS EXAM REVIEW- MENTAL HEALTH UPDATED 2024 TEST BANK. LOC - ALERT (Correct Answer) - patient is responsive opens eyes spontaneously answers questions appropriately LOC - LETHARGIC (Correct Answer) - patient can open eyes and respond to questions falls asleep easily LOC - OBTUNDED (Correct Answer) - patient responds to light shaking is confused slow to respond LOC - STUPOROUS (Correct Answer) - patient barely responds to painful stimuli *example* rubbing sternum ATI CMS EX...

Midterm Exam: NR 511/ NR511 (Latest 2025/ 2026 Update) Differential Diagnosis and Primary Care Practicum Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain Q: What is the likelihood ratio? Answer: How likely it is that a patient has the disease. When the ratio is higher, it is more likely they have the disease. This is determined by sensitivity and specific If a patient comes in with flu-like symptoms and it is peak flu season, there is a strong poss...