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CHC Practice Test Questions And Answers(Verified)

1. At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a qualified

independent contractor?

a. first level appeal

b. second level appeal

c. third level appeal

d. fourth level appeal

ANS> second level appeal

There are five levels of appeal.

First level entails a redetermination of claim; second level involves reconsideration by a qualified independent

contractor; third level includes a hearing overseen by admin law judge; fourth level is a review of Medicare Review

Council; and fifth level is a judicial review in federal court.

2. If an at-risk patient is left unattended and has an adverse response to medication, this is known as:

a. sentinel event

b. initiator

c. latent outcome

d. slip

ANS> sentinel event

Sentinel event is an adverse occurrence that is not in the normal progression of a patient's illness. In this scenario, an

adverse drug event is considered a sentinel event. AND whenever a sentinel events is confirmed, the facility should

perform a Root Cause Analysis (RCA).

A Latent Outcome - less apparent failures of organization or design that contributed to the error/patient harm.

A Slip - can be a fall or an everyday risk at hospitals.

3. A behavioral health specialist notices a particularly high number of re- straint deaths at a facility. An

analysis of the root causes of these events is most likely to indicate problems with:

a. Equipment

b. Staff orientation and training