41. What is Pooling?
A. The act of combing the risk of all the groups in several groups into one risk pool
B. The act of pooling resources of various individual subscribers so as to make the cost of healthcare more manageable for all members of the group
C. The act of pooling resources by a group of hospitals so as to better manage the cost of healthcare
D. The bundling together of various network providers so as to compile a more effective and varied list of providers
Ans: A
42. A concussion is:
A. An open injury
B. A type of skull fracture.
C. A violent shaking of the brain.
D. A bruise on brain tissue.
Ans: C
43. The AAPPCC is used by CMS
A. As a means of estimating outlier expenses in a hospital setting
B. as a basis of payments to managed care plans
C. To limit healthcare benefits to specific covered conditions
D. As a way to define who qualifies for health care under a particular managed care plan
Ans: B
44. Medicare is available to:
A. All US citizens or permanent residents with disabilities.
B. All US citizens or permanent residents over age 65 who have paid Medicare taxes, have a disability , or are diagnosed with kidney failure.
C. All US citizens or permanent residents without resources for medical payment.
D. All US citizens or permanent residents over age 65 who have paid Medicare taxes.
Ans: B
45. A quality system only _______________ the positives on what needs to be worked on.
A. Eliminates
B. Enhances
C. Submits to
D. Completes
Ans: B
46. Who most often provides rehabilitation services to Social Security beneficiaries?
A. County agencies
B. Private sector
C. Federal agencies
D. State rehabilitation agencies
Ans: D
47. The size of the lump sum payment to a hospital is based on
A. The relative weight of the particular DRG
B. The DRG
C. Prospective reimbursement payment
D. Omnibus budget reconciliation actions
Ans: A
48. An individual sustaining a sacral injury:
A. Will become a paraplegic and lose function of the chest, abdomen, and other areas.
B. May retain function of most areas, depending upon extent of injury.
C. Will become a quadriplegic and may require a ventilator.
D. May possibly be rendered paraplegic, depending upon extent of injury.
Ans: B
49. The reliability of an assessment tool is an indicator of:
A. Faking good or faking bad
B. Whether the assessment tool is measuring what it is supposed to measure
C. How dependable the assessment tool is
D. How effective the assessment tool is with different cultural populations
Ans: C
50. Which of the following statements regarding antidepressants is true?
A. When an individual feels better he/she can stop taking antidepressants
B. Antidepressants can make one feel "normal"
C. Antidepressants are very effective when taken without other forms of intervention
D. Antidepressants are addictive
Ans: B
A. The act of combing the risk of all the groups in several groups into one risk pool
B. The act of pooling resources of various individual subscribers so as to make the cost of healthcare more manageable for all members of the group
C. The act of pooling resources by a group of hospitals so as to better manage the cost of healthcare
D. The bundling together of various network providers so as to compile a more effective and varied list of providers
Ans: A
42. A concussion is:
A. An open injury
B. A type of skull fracture.
C. A violent shaking of the brain.
D. A bruise on brain tissue.
Ans: C
43. The AAPPCC is used by CMS
A. As a means of estimating outlier expenses in a hospital setting
B. as a basis of payments to managed care plans
C. To limit healthcare benefits to specific covered conditions
D. As a way to define who qualifies for health care under a particular managed care plan
Ans: B
44. Medicare is available to:
A. All US citizens or permanent residents with disabilities.
B. All US citizens or permanent residents over age 65 who have paid Medicare taxes, have a disability , or are diagnosed with kidney failure.
C. All US citizens or permanent residents without resources for medical payment.
D. All US citizens or permanent residents over age 65 who have paid Medicare taxes.
Ans: B
45. A quality system only _______________ the positives on what needs to be worked on.
A. Eliminates
B. Enhances
C. Submits to
D. Completes
Ans: B
46. Who most often provides rehabilitation services to Social Security beneficiaries?
A. County agencies
B. Private sector
C. Federal agencies
D. State rehabilitation agencies
Ans: D
47. The size of the lump sum payment to a hospital is based on
A. The relative weight of the particular DRG
B. The DRG
C. Prospective reimbursement payment
D. Omnibus budget reconciliation actions
Ans: A
48. An individual sustaining a sacral injury:
A. Will become a paraplegic and lose function of the chest, abdomen, and other areas.
B. May retain function of most areas, depending upon extent of injury.
C. Will become a quadriplegic and may require a ventilator.
D. May possibly be rendered paraplegic, depending upon extent of injury.
Ans: B
49. The reliability of an assessment tool is an indicator of:
A. Faking good or faking bad
B. Whether the assessment tool is measuring what it is supposed to measure
C. How dependable the assessment tool is
D. How effective the assessment tool is with different cultural populations
Ans: C
50. Which of the following statements regarding antidepressants is true?
A. When an individual feels better he/she can stop taking antidepressants
B. Antidepressants can make one feel "normal"
C. Antidepressants are very effective when taken without other forms of intervention
D. Antidepressants are addictive
Ans: B
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