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HSA Block 1 Exam with questions & Answers| 100% solved

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HSA

A complete staff package accomplishes what five things? - 1) States the problem/issue/situation and IMPACT 2) Provides background information 3) Spells out options/courses of action 4) Recommends action 5) Records coordination with affected agencies

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HSA Block 1 Exam with questions & Answers|
100% solved
A complete staff package accomplishes what five things? - ✔✔

1) States the problem/issue/situation and IMPACT

2) Provides background information

3) Spells out options/courses of action

4) Recommends action

5) Records coordination with affected agencies

A Health Maintenance Organization (HMO) focuses on preventive care and coordinates all care

through what? - ✔✔A Primary Care Manager (PCM)

A panel of providers who agree to deliver services for a discounted fee schedule is a

characteristic of which type of healthcare insurance plan? - ✔✔Preferred Provider Organization

According to the HUD, what is the goal % for Primary Care leakage? - ✔✔Less than 12%

According to Title 10, what is the priority for enrollment and access to MTFs? - ✔✔1)

AD members

2) ADFM and survivors enrolled in Prime

3) Retirees, their dependents, and survivors enrolled in Prime

4) Dependents + retirees not enrolled in Prime

,Aligning personal and organizational conduct with ethical standards is a component of which

medical administration competency? - ✔✔Professionalism

As the GPM do you have authority to do anything? - ✔✔No, he/she must work with clinical

and administrative staff to accomplish anything

Define "Non-Personal Service Contracts" - ✔✔1) Contract personnel are direct employees of

the contract company

2) No govt supervision - only contract compliance monitoring

3) Medical support services (MSS) contract = non-patient care

4) Ex: clerical, transcription, coding, medical billing, referral management

Define "personal service contracts" - ✔✔(Needs to be directly touching patients -->

interference to prevent patient harm)

1) Contractor is (or acts as) direct employee of the government

2) Govt supervisor is appointed

3) Contract company recruits, place healthcare workers, manages workforce, and

resolves performance issues

Define baseline and one-time requirements and provide two examples of each - ✔✔1) Baseline -

in the POM/MTF Program. Ex) utilities and civilian pay

,2) One time - significant purchase that varies from year to year (often unexpectedly);

funding provided for one fiscal year only. Ex) modernization/expansion/construction, Non-

POM contracts

Define HMO (Health Maintenance Organization) - ✔✔1) You have a PCM guiding your

care (PCM = gatekeeper)

2) Enrollment required for non-ADSM

3) AD = Prime

4) Referral required for specialty care

5) Enrollment fees for retirees and family members + a copay

Define PPO (Preferred Provider Organization) - ✔✔1) You use preferred providers within

the "network" to receive a cost discount

2) Enrollment required

3) Annual deductible

4) No referral needed

5) Space available access at MTF

6) No claims to file for network providers

Define the process to report and repair facility maintenance issues - ✔✔All work orders must

be entered into DMLSS

Define the three tenets of fiscal law - ✔✔1) Purpose - used for the purpose intended by Congress

, 2) Time - within the timeframe set by Congress

3) Amount - not to exceed limit set by Congress

Define the two exceptions to the Bona Fide Need Rule - ✔✔1) Lead Time - buy something

in FY18 and use it in FY19 (equipment normally, according to industry standard; ex: MRI

machine)

2) Stock Level - buy supplies to use in early FY19 until you get funding for that year (usually

no more than 1 month)

E&M codes assign an RVU value to patient visits, resulting in what? - ✔✔The higher the

E&M code, the higher the RVU

Equipment that costs >250k - ✔✔Investment or Other Procurement (OP) Medical Equipment

Equipment that costs between 0-100K - ✔✔Expense Equipment - O&M Funds

Equipment that costs between 100-250k - ✔✔High Cost Medical Expense Equipment (O&M

or centrally funded)

For a specific Air Force Specialty Code, who is the best person to contact when you have a

manpower/manning issue? - ✔✔The functional manager

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