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ISC HCISPP Practice Test - Questions Answers, Page 17

Question list

List of questions

Question 161

(0)

Regulatory strategies for health insurance financing seek to control public expenditures for health care by.

Question 162

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The cost controlling strategy that attempts to influence physician behavior by denying payment for services deemed unnecessary is called.

Question 163

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When controlling the type of supply, increasing the amount of generalists could contain costs because.

Question 164

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The continuous quality improvement model (CQI) seeks to.

Question 165

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Clinical practice guidelines are often ineffective in improving quality of care because.

Question 166

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The malpractice liability system negatively impacts quality of care because.

Question 167

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The CQI approach of producing health care "report cards," specifically HEDIS is a tool to encourage health care consumers to choose high-quality caregivers, but often.

Question 168

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Which of the following is a true statement about both the amount and quality of medical services available:

Question 169

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Under HIPAA, what is the entity that processes healthcare claims and performs related functions for a health plan?

Question 170

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When responding to a client's request for information about the disclosure of his/her protected health information, which is NOT required?

Related questions

Which of the following statements is NOT correct?

DRAG DROP During the risk assessment phase of the project the CISO discovered that a college within the University is collecting Protected Health Information (PHI) data via an application that was developed in-house. The college collecting this data is fully aware of the regulations for Health Insurance Portability and Accountability Act (HIPAA) and is fully compliant. What is the best approach for the CISO? Below are the common phases to creating a Business Continuity/Disaster Recovery (BC/DR) plan. Drag the remaining BC\DR phases to the appropriate corresponding location.

If you see other staff violating privacy policies you should?

The First Blue Cross plan was given to teachers at Baylor University allowing them 21 days of hospital care at six dollars a year.

Which of the following is a characteristic of a socialized health insurance system?

A company whose Information Technology (IT) services are being delivered from a Tier 4 data center, is preparing a companywide Business Continuity Planning (BCP). Which of the following failures should the IT manager be concerned with?

What is the MOST important consideration from a data security perspective when an organization plans to relocate?

Substance abuse regulations do not allow disclosure with a subpoena unless a court has issued an order following a show cause hearing.

You receive a call from staff at a local hospital stating that they need information regarding a former client of yours who is scheduled for surgery. They fax you a release of information form which only authorizes the release of medications but the person on the phone is asking for dates of treatment and diagnoses. How would you respond?

You always abide by the HIPAA privacy rule.

Question 161

Regulatory strategies for health insurance financing seek to control public expenditures for health care by.

Implementing tax-financed health insurance or limiting premiums

Limiting the annual use of services among patients

Increasing competition among health insurance plans

Only A and C

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Question 162

The cost controlling strategy that attempts to influence physician behavior by denying payment for services deemed unnecessary is called.

Supply limits

Utilization management

Patient cost sharing

Aggregate unites of payment

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Question 163

When controlling the type of supply, increasing the amount of generalists could contain costs because.

Generalists earn lower incomes than specialists

Generalists practice resource-intensive medicine and generate lower overall health care expenditures

Generalists use less hospital and laboratory services

All of the above

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Question 164

The continuous quality improvement model (CQI) seeks to.

improve access to care

develop formalized standards of care

separate financial and clinical decisions

focus on individual caregivers

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Question 165

Clinical practice guidelines are often ineffective in improving quality of care because.

they are not appropriate for many clinical situations

they may conflict with patient preferences

they are unsuccessful in influencing physicians' practices

all of the above

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Question 166

The malpractice liability system negatively impacts quality of care because.

The fear and stress of malpractice litigation creates an "I didn't do it" response from the physician, rather than working on improvement

The system is economically wasteful and takes dollars away from improving care

It wreaks unnecessary stress on often innocent and talented physicians

All of the above

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Question 167

The CQI approach of producing health care "report cards," specifically HEDIS is a tool to encourage health care consumers to choose high-quality caregivers, but often.

these report cards are inaccurate

cost, not quality is the driving motivator for employers to choose health care plans for their employees

HEDIS includes only a limited number of quality performance indicators

None of the above

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Question 168

Which of the following is a true statement about both the amount and quality of medical services available:

an increase in medical services also increases the quality of care because it provides greater access to care

minimal medical services is needed for increasing quality of care because it reduces misdiagnoses

medical services can be overused or underused which can both be detrimental to the quality of care

the quantity and quality of care are not related

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Question 169

Under HIPAA, what is the entity that processes healthcare claims and performs related functions for a health plan?

Policy Advisory Group

Third Party Administrator

Joint Commission on Accreditation of Healthcare Organizations

Plan Sponsor

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Question 170

When responding to a client's request for information about the disclosure of his/her protected health information, which is NOT required?

The purpose of the disclosure

A description of what information was sent

Disclosures for treatment, payment, or health care operations

The dates of disclosure and to whom the information was sent

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Total 305 questions

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