Type
Quiz
Book Title
Handbook of Informatics for Nurses & Healthcare Professionals 5th Edition
ISBN 13
978-0132574952

978-0132574952 Chapter 20 Part 1

August 31, 2019
Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 20
Question 1
Type: MCSA
President Obama signed into law on March 23, 2010, The Health Care and Education Reconciliation Act of 2010
(Pub.L.111-152, 124Stat.1029), which amended the Patient Protection and Affordable Care Act (PPAC) and
further strengthened the federal grip on health care regulation in the United States. Which of the following
statements best reflects the intentions of the act?
1. The health care of children under the age of 15 will be covered by local government funds.
2. Veterans from the Iraq War will have all health insurance benefits excluding dental.
3. The act guarantees health insurance for every citizen.
4. The act moves regulation of federal health insurance to the state levels.
Question 2
Type: MCSA
The ratification of the Title XVIII and Title XIX Acts in 1965 led to which of the following?
1. The GI Bill
2. State informatics and licensing agencies
3. Medicare and Medicaid
4. Welfare benefits
Question 3
Type: MCSA
Which of the following organizations is the umbrella under which all regulatory agencies eventually fall because
the health and welfare of the citizens of the nation are ultimately deemed to be federal responsibility?
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
1. Centers for Disease Control (CDC)
2. The U.S. Department of Health and Human Services (USDHHS)
3. Health and Human Services (HHS)
4. The Federal Employees Health Benefits Program (FEHBP)
Question 4
Type: MCSA
The system called Pay for Performance (P4P) is also known as which of the following?
1. Value-based purchasing (VBP)
2. Diagnostic related groups
3. Children's Health Initiative Program
4. Medicaid
Question 5
Type: MCSA
Medicare is an age or disability based benefit. How is Medicare funded?
1. Through tax dollars
2. Through the state lotteries
3. Through federal earmarks
4. From personal savings
Question 6
Type: MCMA
Which of the following statements about Medicare Part A are correct?
Standard Text: Select all that apply.
1. Medicare Part A has an annual deductible.
2. Medicare Part A covers immunizations.
3. Medicare Part A covers facility related expenses.
4. Medicare Part A covers medical supplies.
5. Medicare Part A is also called the Advantage Plan.
Question 7
Type: MCSA
Mrs. Owens has come to the clinic to see the nurse practitioner about her persistent cough. Recently, she was laid
off from her job at the retail store and lost all benefits. She has had a fever and chills for several days. As the nurse
begins the assessment, Mrs. Owens begins to cry and says: "I have no money to pay for medicine or this visit.
Please do not order an antibiotic, because I cannot pay for it." The nurse's best response would be which of the
following?
1. "I understand your concerns, Mrs. Owens. I have free medicine from donors to give you."
2. "I understand your concerns Mrs. Owens. It looks like you will qualify for Medicaid benefits."
3. "Don't worry Mrs. Owens, I won't prescribe an antibiotic."
4. "Mrs. Owens, perhaps you can be seen in the emergency department. They can give you free antibiotics."
Question 8
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
Type: MCSA
Electronic data interchange (EDI) has been instrumental in facilitating the health care process. Which of the
following responses best describes the impact of the EDI?
1. EDI has the potential to eliminate second opinions.
2. EDI interacts with multiple databases.
3. EDI supplies proof of recovery.
4. EDI facilitates the approval of patient claims.
Question 9
Type: FIB
Hebda, Handbook of Informatics, 5/e Test Bank
Copyright 2012 by Pearson Education, Inc.
The Centers for Medicare and Medicaid Services (CMS) mandated all providers, insurers and any middlemen
involved in the health care industry submission of claims for reimbursement or registering of care, the verifying of
eligibility, the precertification of services, or any other client- related information to adhere to a uniform format
by October 2002. This action forced all providers to install_______________________ transmission programs in
their billing and medical record systems.
Standard Text:
Correct Answer: Electronic Data Interchange (EDI)
Rationale : The Centers for Medicare and Medicaid Services (CMS) mandated all providers, insurers and any
middlemen involved in the health care industry submission of claims for reimbursement or registering of care, the
verifying of eligibility, the precertification of services, or any other client- related information to adhere to a
uniform format by October 2002. This action forced all providers to install Electronic Data Interchange (EDI)
transmission programs in their billing and medical record systems and has altered the methods of communication
for all health care professionals.
Global Rationale:
Cognitive Level: Evaluating
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
Question 10
Type: MCSA
Electronic data interchange (EDI) is an effort to help phase out paper claims except under extensive appeal
circumstances. The result of this initiative is which of the following?
1. Health care providers were forced to install EDI transmission programs in their billing and medical record
systems.
2. A large savings on paper supplies
3. An increased need for assistive software
4. A decrease in the denial of claims
Question 11
Type: MCSA
Which of the following responses is not a benefit of Pay for Performance (P4P) legislation?
1. The system rewards health care providers upon good service to consumers.
2. The system rewards physicians and other health care professionals when patients receive good results from that
care.
3. Reimbursement is related to quality and efficiency of care provided.
4. Patients will play a more active role in the determination of performance-based payment.
Question 12
Type: MCMA
Pay for Performance (P4P) otherwise known as value-based purchasing (VBP) system has been developed
through ObamaCare. Which of the following are considered goals of this initiative?
Standard Text: Select all that apply.
1. Financial viability
2. Payment initiatives
3. Effectiveness
4. Ensuring access
5. Smooth transitions