HCA 303 Final Exam Questions with Answers

HCA 303 Final Exam Questions with Answers

1. The difference between a hospital’s charges for an inpatient stay in the facility and the amount the hospital has agreed to accept from the patient’s insurance carrier is called:
2. A) Capitation
3. B) A contractual allowance
4. C) Fee-for-service
5. D) Uncompensated care

ORDER A PLAGIARISM-FREE PAPER HERE

2. Which of the following is NOT a possible outcome of the decision-making process in cost accounting in health care organizations?
3. A) Elimination of services that are losing money
4. B) Enhancement of departments that are making money
5. C) Management of “loss leaders” to the organization
6. D) Management of financial investments for the organization HCA 303 Final Exam Questions with Answers

 

3. The largest category of health care workers is:
4. A) Nurses
5. B) Physicians
6. C) Respiratory Therapists
7. D) Physician Assistants
8. E) Occupational Therapists

 

4. Residency training lasts from ________, depending on the specialty.
5. A) 6 months to a year
6. B) 4 to 5 years
7. C) 1 to 2 years
8. D) 3 to 10 years
9. E) 12 to 15 years

 

5. The impetus to change resident work hours was:
6. A) The death of Libby Zion
7. B) Strong unions
8. C) Concerns about paying overtime
9. D) Worries that doctors were too tired
10. E) All of these are correct.
11. F) None of these are correct.

 

6. Licensure is:
7. A) Voluntary for medical practice
8. B) Granted by the state
9. C) Mandatory for medical and nursing practice
10. D) Granted by the state, and mandatory for medical and nursing practice
11. E) Voluntary for medical practice, and mandatory for medical and nursing practice

 

7. Criminal background checks for nurses and physicians are:
8. A) Voluntary
9. B) Not required to practice nursing
10. C) Mandatory in most states for licensure
11. D) An invasion of privacy
12. E) Voluntary, and not required to practice nursing
13. F) None of these are correct.

 

8. Board certification is:
9. A) Mandatory
10. B) Part of a criminal background check
11. C) Involuntary
12. D) A form of credentialing that a physician has competency in a specific area
13. E) All of these are correct.

 

9. The highest forecast percentage growth in health occupations employment by 2022 is for which of the following occupations?
10. A) Physician Assistants
11. B) Registered Nurses
12. C) Physicians and Surgeons
13. D) Medical and Health Services Managers
14. E) None of these are correct.

 

10. Which of the following is an example of a “workforce planning and recruitment” function?
11. A) Offering training and development
12. B) Assessing employee performance
13. C) Managing compensation and benefits
14. D) Advertising for employees

 

11. Private health insurance coverage includes all of the following EXCEPT:
12. A) PPOs
13. B) HMOs
14. C) Indemnity plans
15. D) SNFs
16. E) HDHPs
17. F) All of these are correct.

 

12. The growth in health insurance in the U.S. came about as a result of all of the following EXCEPT:
13. A) The rising cost of health care
14. B) The increased government role in providing access to care
15. C) The urging of employers to add this benefit
16. D) The involvement of unions and collective bargaining
17. E) All of these are correct.

 

13. In purchasing health insurance, which of the following is NOT typically a consideration?
14. A) Benefit packages
15. B) Provider choice
16. C) Ethical issues
17. D) Coinsurance

 

14. Which type of HMO offers the most flexibility for participating physicians?
15. A) Independent Practice Association
16. B) Closed-panel HMO
17. C) Open-panel HMO
18. D) None of these are correct.

 

15. Which type of managed care plan offers patients flexibility in accessing their physician of choice?
16. A) Health Maintenance Organization
17. B) Preferred Provider Organization
18. C) Point of Service Plan
19. D) All of these are correct.
20. E) Preferred Provider Organization and Point of Service Plan

 

16. Access to the care of specialist physicians is limited in which type of health plan?
17. A) Point of Service Plan
18. B) Conventional Indemnity Plan
19. C) Preferred Provider Organization
20. D) All of these are correct.
21. E) None of these are correct.

 

17. The chief financial officer (CFO) of a hospital supervises all of the following officers EXCEPT:
18. A) The controller
19. B) The treasurer
20. C) The internal auditor
21. D) The independent auditor

 

18. The Medicare prospective payment system for reimbursing hospitals utilizes:
19. A) A “Cost Plus” charging system
20. B) DRGs
21. C) Per diem rates
22. D) The RBRVS system

 

19. Which of the following is NOT a characteristic of not-for-profit health care organizations?
20. A) Must provide designated amounts of community benefit
21. B) Revenues cannot benefit individuals in the organization
22. C) May participate in political campaigns
23. D) Are exempt from paying taxes and most business fees

 

20. The Balanced Budget Act of 1997 implemented cost controls for Medicare expenditures in all of the following health care sectors EXCEPT:
21. A) Home health agencies
22. B) Outpatient hospitals and clinics
23. C) Pharmaceutical companies
24. D) Skilled nursing facilities

 

21. Incentive compensation is believed to have what effect on employee performance?
22. A) Increase retention
23. B) Increase motivation
24. C) Decrease performance
25. D) No effect

 

22. Performance appraisals are useful to:
23. A) Identify areas of performance needing improvement
24. B) Adjust based on performance
25. C) Decide promotions of staff
26. D) All of these are correct.

 

23. The low supply of some health care workers (e.g., nurses) has led to which of the following impacts on HSOs?
24. A) Lower satisfaction for existing staff
25. B) Lower human resources costs
26. C) Higher satisfaction for existing staff
27. D) Higher retention of existing staff
28. E) Greater motivation of existing staff

 

24. Flexible benefits are helpful to employees because:
25. A) They can choose benefits in line with their needs
26. B) Coverage is limited to high-quality providers
27. C) Employer covers total cost
28. D) All of these are correct.

 

25. A team is:
26. A) A sports franchise
27. B) A short-term group pulled together to address a specific agenda that disbands after a report is issued
28. C) A group of people working together to achieve a common goal
29. D) A long-term entity with revolving members, elected for three-year terms, staffed by a full-time employee
30. E) None of these are correct.

 

26. One of the ways to engage medical staff is to:
27. A) Buy them cars
28. B) Give them free lunches
29. C) Promote alignment between hospitals and physicians
30. D) Allow them to make all the decisions
31. E) All of these are correct.

 

27. Which of the following is NOT a benefit of effective health care teams?
28. A) Improved coordination of care
29. B) Less efficient use of health care services
30. C) Increased job satisfaction among team members
31. D) Higher patient satisfaction
32. E) All of these are correct.

 

28. Which of the following is NOT correct about Cross Functional Teams (CFTs)?
29. A) They are not common in health care organizations.
30. B) They address specific organizational needs.
31. C) They include clinicians.
32. D) All of these are correct.
33. E) None of these are correct.

 

29. Teamwork is NOT taught in:
30. A) Nursing school
31. B) Medical school
32. C) Allied health programs
33. D) All of these are correct.
34. E) None of these are correct.

 

30. Participation in the VHA Medical Team Training program was NOT associated with:
31. A) Higher patient satisfaction
32. B) Increased productivity
33. C) A higher surgical mortality rate
34. D) Greater costs of health care delivery
35. E) None of these are correct.

 

31. Health disparities have been identified based on the following criteria:
32. A) Race
33. B) Ethnicity
34. C) Sexual orientation
35. D) Language
36. E) Income
37. F) All of these are correct.’
38. HCA 303 Final Exam Questions with Answers

 

32. The CLAS Standards:
33. A) If not implemented, cause hospitals to face steep fines and legal ramifications
34. B) Inform, guide, and facilitate culturally and linguistically appropriate practices across the continuum of health care services
35. C) Suggest guidelines for how to practice medicine, particularly preventive care for underserved populations
36. D) Offer free translation services for every language
37. HCA 303 Final Exam Questions with Answers

 

33. Social determinants that contribute to health disparities include:
34. A) Living or working conditions
35. B) Geographic isolation
36. C) Income and socioeconomic status
37. D) Education
38. E) Access to insurance
39. F) All of these are correct.
40. HCA 303 Final Exam Questions with Answers

 

34. Structural barriers may impede patient care and increase disparities; for example:
35. A) Providers who don’t respect traditional healing practices of Native Americans
36. B) Clinic hours from 9 to 5 when most workers cannot take time off for an appointment
37. C) Beliefs that only traditional Western medicine is appropriate
38. D) Research data that shows a higher incidence of cardiovascular disease among minorities

 

35. Select all the terms that can be used interchangeably with cultural competency:
36. A) Cultural autonomy
37. B) Cultural proficiency
38. C) Cultural conditioning
39. D) Cultural sensitivity
40. E) Cultural proficiency, cultural conditioning, and cultural sensitivity
41. HCA 303 Final Exam Questions with Answers

 

36. Concerns with the term cultural competence include:
37. A) Changing nature
38. B) Inability to achieve 100%
39. C) Difficulty measuring
40. D) Subjectivity
41. E) Changing nature, inability to achieve 100%, difficulty measuring, and subjectivity

 

37. Which of the following is not a primary source of ethics?
38. A) Personal beliefs
39. B) Legal decisions
40. C) Family traditions
41. D) Religion
42. E) Community culture

 

38. What are the main sources of American law?
39. A) Legislatures
40. B) Judicial decisions
41. C) Executive orders and administrative regulations
42. D) State and federal constitutions
43. E) All of these are correct.

 

39. What are some of the ways in which health care organizations protect the rights of their patients?
40. A) Utilization review processes
41. B) Institutional review boards
42. C) Patient advocacy or ombudsman offices
43. D) Institutional ethics committees
44. E) All of these are correct.
45. HCA 303 Final Exam Questions with Answers

 

40. A wrong against society as a whole, even if a particular individual is harmed, is considered a violation of which type of law?
41. A) Civil
42. B) Criminal
43. C) Administrative
44. D) All of these are correct.
45. E) None of these are correct.

 

41. Contract violations are generally considered to be part of which type of law?
42. A) Criminal
43. B) Civil
44. C) Administrative
45. D) All of these are correct.
46. E) None of these are correct.

 

42. Which of these elements is NOT necessary for a contract to be binding?
43. A) An agreement between two or more parties
44. B) Must be for something of value
45. C) Must be lawful
46. D) Must be written
47. E) Both must be competent to consent

 

43. The investigative and enforcement authority to deal with fraud and abuse violations was granted to the Department of Health and Human Services (DHHS) through:
44. A) False Claims Act
45. B) Stark Laws
46. C) Operation Restore Trust
47. D) Anti-Kickback Act

 

44. Examples of health care fraud and abuse include:
45. A) Claims do not meet medical necessity
46. B) Duplicate billing
47. C) Upcoding of services
48. D) Kickbacks for referrals
49. E) All of these are correct.

 

45. Violations of the Criminal Disclosure Provision of the Social Security Act include which of the following penalties?
46. A) No criminal penalties
47. B) Up to 10 years in prison and/or $50,000 in fines
48. C) Up to 1 year in prison and/or up to $10,000 in fines
49. D) Up to 5 years in prison and/or up to $25,000 in fines
50. E) None of these are correct.
51. HCA 303 Final Exam Questions with Answers

 

46. An example of a Stark Law violation is:
47. A) A hospital offering a physician office space at fair market value
48. B) Paying a physician for a referral
49. C) Hiring a doctor who is an excluded party as a Medicare Provider
50. D) Upcoding a claim to receive higher reimbursement
51. E) All of these are correct.

 

47. Violations of the Emergency Medical Treatment and Active Labor Act (EMTALA) include all of the following, except:
48. A) Dumping a patient on another hospital because they are very sick
49. B) Diverting a patient to another hospital because they are unable to pay for services
50. C) Completing a Medical Screening exam and stabilizing the patient
51. D) Refusing to treat a patient because their benefits are better at a different hospital
52. E) None of these are correct.
53. HCA 303 Final Exam Questions with Answers

 

48. The Anti-Kickback Statutes:
49. A) Only apply civil penalties for willful payment or receipt of money for referring patients
50. B) Impose a civil monetary penalty of $10,000 per violation
51. C) Are not restricted by the Safe Harbor Laws
52. D) Impose criminal liability for the knowing and willful payment of any kind or receipt of payment of any kind for a patient or service referral
53. E) All of these are correct.

 

49. Seven essential elements of an effective compliance program include:
50. A) Establishing compliance standards of conduct and procedures
51. B) Overall compliance program oversight
52. C) Due care in delegation of authority
53. D) Monitoring and auditing systems
54. E) All of these are correct.

 

50. Gursky identified which of the following issues putting rural hospitals at risk for bioterrorism?
51. A) Lack of training on how to identify early signs of potential biological hazards
52. B) Lack of reliable communication equipment
53. HCA 303 Final Exam Questions with Answers
54. C) Lack of vaccinations
55. D) Lack of quarantine facilities or up-to-date facilities
56. E) None of these are correct.

 

51. Human error is:
52. A) Intentional act
53. B) Disregard for human life
54. C) Inadvertent slip, lapse, or mistake
55. D) All of these are correct.
56. E) None of these are correct.

 

52. Human trafficking involves:
53. A) Modern-day slavery
54. B) Exploitation of laborers
55. C) Exploitation of women and children
56. D) Sexual exploitation
57. E) All of these are correct.
58. F) None of these are correct.

 

53. Medical tourism includes:
54. A) Outbound
55. B) Inbound
56. C) Intrabound
57. D) All of these are correct.
58. E) None of these are correct.

 

54. Which of the following is NOT an example of stalking?
55. A) Unwanted phone calls, texts, letters, emails, or social media posts
56. HCA 303 Final Exam Questions with Answers
57. B) Following or spying on a person
58. C) Leaving unwanted items, gifts, or flowers
59. D) Spreading rumors about someone
60. E) All of these are correct.
61. F) None of these are correct.
62. HCA 303 Final Exam Questions with Answers