Question 1

When reviewing a client's medical record, which hospital-acquired condition (HAC) would be considered Medicare reimbursable?&#10;A) Air embolism&#10;B) Stage II pressure ulcer&#10;C) Surgical infection post-bariatric surgery&#10;D) Catheter-associated urinary tract infection

Accepted Answer

Stage II pressure ulcer&#10;

Question 2

The nurse practitioner (NP) is reviewing the medical records for several clients who are diagnosed with hospital-acquired conditions (HACs). Which HAC diagnoses are ineligible for Medicare reimbursement? Select all that apply.

A) Blood incompatibility
B) Diabetic ketoacidosis
C) Stage I pressure ulcer
D) Deep venous thrombosis post-hip replacement
E) Peripherally inserted central catheter infection

Blood incompatibility
Diabetic ketoacidosis
Deep venous thrombosis post-hip replacement
Peripherally inserted central catheter infection

Accepted Answer

Blood incompatibility&#10;Diabetic ketoacidosis&#10;Deep venous thrombosis post-hip replacement&#10;Peripherally inserted central catheter infection&#10;

Question 3

Which is categorized as an account code when tracking and managing the health-care facility's financial systems?&#10;A) Blood bank&#10;B) Cancer care center&#10;C) Treatment hemodialysis&#10;D) Nurse practitioner (NP) salary

Accepted Answer

Account codes in financial systems are used to categorize and track expenses and revenues. The salary of a nurse practitioner (NP) is a direct financial transaction and would be tracked using an account code to manage payroll expenses. Choices A, B, and C refer to departments or services, not financial transactions or accounts.

Question 4

Which is an example of a third-party payer that provides the health-care facility with operating revenue?&#10;A) Medicare&#10;B) Medicaid&#10;C) Veteran affairs benefits&#10;D) Health maintenance organizations

Accepted Answer

Health maintenance organizations (HMOs) are third-party payers that provide health-care facilities with operating revenue. HMOs contract with employers or other groups to provide health care services to their members. HMOs receive a fixed monthly payment from each member, regardless of the amount of care that the member uses. This payment provides the HMO with operating revenue that it can use to pay for the health care services that it provides to its members.

Question 5

Which is an example of a federal government payer that provides the health-care facility with operating revenue? Select all that apply.&#10;A) Medicare&#10;B) Medicaid&#10;C) Veteran affairs benefits&#10;D) Fee-for-service insurance plan&#10;E) Health maintenance organizations

Accepted Answer

Medicare and Veteran affairs benefits are federal government payers that provide the health-care facility with operating revenue.

Question 6

Which is an example of a state government payer that provides the health-care facility with operating revenue?&#10;A) Medicare&#10;B) Medicaid&#10;C) Veteran affairs benefits&#10;D) Fee-for-service insurance plan

Accepted Answer

Medicaid is a state government payer system that provides health-care facilities with operating revenue. It is a joint federal and state program that helps with medical costs for some people with limited income and resources.

Question 7

Which health-care provider incurs direct costs when providing patient care?&#10;A) Unit secretary&#10;B) Nurse manager&#10;C) Nurse practitioner (NP)&#10;D) Clinical nurse specialist (CNS)

Accepted Answer

Nurse practitioners (NPs) incur direct costs when providing patient care because they are directly involved in diagnosing and treating patients, which includes procedures, tests, and consultations that have associated costs.

Question 8

Which health-care provider incurs indirect costs when providing patient care? Select all that apply.&#10;A) Unit secretary&#10;B) Nurse manager&#10;C) Nurse practitioner (NP)&#10;D) Respiratory therapist&#10;E) Clinical nurse specialist (CNS)

Accepted Answer

Unit secretaries, nurse managers, and clinical nurse specialists (CNSs) are all involved in the administrative and support aspects of patient care, which can incur indirect costs.

Question 9

__________ planning is likely to be translated into a long-range budget that addresses the direction of the organization during the next 3 to 5 years or more.

Accepted Answer

Feedback: Strategic planning is likely to be translated into a long-range budget that addresses the direction of the organization during the next 3 to 5 years or more.

Question 10

The measurement for identifying the individual practitioner's contribution to the organization most frequently is based on __________ billed.

Accepted Answer

The measurement for identifying the individual practitioner’s contribution to the organization most frequently is based on services billed.

Deck 11: Resource Management