Deck 3: Freestanding Ambulatory Care

Question 1

This ambulatory setting was developed in the 1960s specifically to bring health care to the economically disadvantaged of a particular geographical area of a community.

A) Urgent care center
B) Community health center
C) On-site ambulatory care facility
D) Group model health maintenance organization

Answer 1

Community health center

Question 2

Which of the following is NOT a characteristic of urgent care centers?

A) Generally no appointment system
B) Extended hours/days of operation
C) Often "not­for­profit," charging reduced fees
D) Provide routine care or treat minor emergencies

Answer 2

Often "not­for­profit," charging reduced fees

Question 3

A __________ is a registered nurse who has had additional training in areas such a family or pediatric care and has credentials for limited independent practice.

A) physician assistant
B) nurse practitioner
C) chiropractor
D) podiatrist

Answer 3

nurse practitioner

Question 4

Which of the following groups does NOT publish standards for some type of ambulatory health care?

A) The Joint Commission
B) Accreditation Association for Ambulatory Health Care
C) Commission for the Accreditation of Birth Centers
D) American Association for On-Site Health Care

Question 5

Services provided by an NP or PA while a physician is on-site and services are termed ________ and are fully reimbursed.

A) LCD
B) EPSDT
C) "incident to"
D) locum tenens

Question 6

An arrangement by which one physician temporarily works in place of another physician is ____________________.

A) LMRP
B) locum tenens
C) OIG
D) program transmittal

Question 7

Which are considered the main caregivers in ambulatory care?

A) physicians
B) physical therapists
C) nurse practitioners
D) physician assistants

Question 8

Which is a governmental process that requires a facility to comply with state laws and standards to operate?

A) authorization
B) accreditation
C) attestation
D) licensure

Question 9

A freestanding ambulatory care facility generates which of the following at the conclusion of a patient's visit?

A) UB-04
B) incident report
C) chargemaster
D) encounter form

Question 10

When the consent for treatment is generated at an ambulatory surgery center, who is responsible for explaining the risks and alternatives associated with the surgery and for obtaining the patient's consent prior to the procedure?

A) nurse
B) surgeon
C) admission clerk
D) anesthesiologist

Question 11

The method for physician reimbursement currently in place based on relative value units is the ____________________.

A) Medicare Physician Fee Schedule
B) Diagnosis Related Group System
C) Uniform Ambulatory Care Data Set
D) Ambulatory Payment Classification System

Question 12

An appointment scheduling method in which all patients are assigned in a large block for the same appointment time (e.g., 9 a.m. for all morning appointments) then seen on a first-come, first-served basis is called a
______________.

A) standard scheduling system
B) walk-in scheduling system
C) block appointment system
D) capitation appointment system

Question 13

A ___________________________ is a plan for ensuring that a facility or practice is following all laws and regulations, including those pertaining to reimbursement under Medicare and Medicaid.

A) public health plan
B) strategic plan
C) follow-up plan
D) compliance plan

Question 14

_____________________________ is a program of Medicaid for children younger than 21 which ensures that certain services are provided and paid for whether or not they are normally included under the state's Medicaid program.

A) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services
B) Children's Health Assurance Program (CHAP)
C) Federally Qualified Health Center (FQHC) program
D) National Coverage Determination (NCD) program

Question 15

A record format in which the documentation is maintained in chronological order regardless of the type or author of the documentation is _______________.

A) problem oriented
B) source oriented
C) sequential
D) integrated

Question 16

Community health centers were designed to meet the medical needs of people who, because of their location and/or their inability to pay, were not receiving the care they needed in the traditional physician's office.

Question 17

Urgent care centers arose to meet the need for care outside regular physicians' office

Question 18

Industrial health centers provide care to employees at their places of work or at employer contracted sites.

Question 19

A physician assistant is a registered nurse who has had additional training in areas such as family or pediatric care.

Question 20

Physicians' private offices are required to be licensed by the state in most states.

Question 21

The Commission for the Accreditation of Birth Centers publishes the Accreditation Handbook for Ambulatory Health Care

Question 22

The Joint Commission accredits ambulatory health care facilities under the same standards as hospitals.

Question 23

Two approaches to utilization management in ambulatory care are prospective and retrospective review.

Question 24

It is not necessary for an ambulatory facility to document telephone communication with patients because insurance companies will not pay for telephone consultations

Question 25

Reimbursement for physicians under Medicare has changed from the resource-based relative value scale to the ambulatory payment classification system.

Question 26

Medicare certification of rural health clinics permits cost-based reimbursement as part of the effort to increase access to primary care in medically underserved rural areas.

Question 27

Because the federal government establishes requirements for licensure of health care facilities, the requirements are the same in each state.

Question 28

A family numbering system is a simple way of organizing records because the numbers rarely change.

Question 29

NCDs list diagnosis codes that would indicate that a particular procedure is medically necessary.

Question 30

Standard scheduling assigns all patients in a large block at the same appointment time.

Question 31

​A(n) _____________________is a face-to-face contact between the patient and the provider.

Question 32

The __________________ is a numbering system in which the family is given a number and each individual receives that number with a suffix indicating his or her position within the family.​

Question 33

The_______________________ is the office in the Department of Health and Human Services responsible for monitoring compliance with reimbursement laws and regulations.​

Question 34

A(n) ___________________ is a nonprofit or public organization that provides or arranges for comprehensive health care services to a medically underserved area or population.​

Question 35

The _________________________ is a joint federal and state government initiative to identify fraud and abuse in the Medicaid system​

Question 36

_________________________ are guidance documents published by Medicare Administrative Contractors (MACs) that include information on codes that indicate medical necessity of services. These policies apply to services covered under Medicare in the region served by the contractor.​

Question 37

​The ___________________________ is a system for physicians to report quality measures to CMS.

Question 38

​A(n) ____________________ is a health care professional whose license permits a degree of independent judgment in treating patients, generally under the supervision of a physician, for example, a nurse practitioner or physician assistant.

Question 39

​A(n) _______________________ is a secure method of patient access to his or her own information through a facility's electronic information system.

Question 40

______________________ are patients who arrive without an appointment or who receive an appointment at the last minute.​

Question 41

A(n) ________________________ is a health care clinic that, in addition to physician services, utilizes providers such as physician assistants and nurse practitioners, and is located in an underserved rural area.​

Question 42

Match each description with the correct item

- Organization that provides services to promote the health of the community, such as immunizations and disease screening

A) Community health center
B) Physician private practice
C) Urgent care center
D) University health center
E) Public health department
F) Birth center
G) Ambulatory surgery center
H) Industrial health center

Question 43

Match each description with the correct item

- Ambulatory setting in which care is provided to students while they are in college

A) Community health center
B) Physician private practice
C) Urgent care center
D) University health center
E) Public health department
F) Birth center
G) Ambulatory surgery center
H) Industrial health center

Question 44

Match each description with the correct item

- Setting that provides surgery on an ambulatory basis, without an overnight stay

A) Community health center
B) Physician private practice
C) Urgent care center
D) University health center
E) Public health department
F) Birth center
G) Ambulatory surgery center
H) Industrial health center

Question 45

Match each description with the correct item

- Setting in which physicians practice independently rather than being employed by an organization

A) Community health center
B) Physician private practice
C) Urgent care center
D) University health center
E) Public health department
F) Birth center
G) Ambulatory surgery center
H) Industrial health center

Question 46

Match each description with the correct item

- Ambulatory setting in which care is provided to employees at their place of work or at an employer-contracted site

A) Community health center
B) Physician private practice
C) Urgent care center
D) University health center
E) Public health department
F) Birth center
G) Ambulatory surgery center
H) Industrial health center

Question 47

Match each description with the correct item

- Ambulatory setting developed in the 1960s to provide care to the indigent

A) Community health center
B) Physician private practice
C) Urgent care center
D) University health center
E) Public health department
F) Birth center
G) Ambulatory surgery center
H) Industrial health center

Question 48

Match each description with the correct item

- Ambulatory setting that provides labor and delivery services for uncomplicated deliveries

A) Community health center
B) Physician private practice
C) Urgent care center
D) University health center
E) Public health department
F) Birth center
G) Ambulatory surgery center
H) Industrial health center

Question 49

Match each description with the correct item

- Ambulatory care setting in which patients are seen without appointments

A) Community health center
B) Physician private practice
C) Urgent care center
D) University health center
E) Public health department
F) Birth center
G) Ambulatory surgery center
H) Industrial health center

Question 50

Describe similarities and differences among the following health care providers: nurse practitioners, certified nurse midwife, and physician assistant

Question 51

Describe the differences in source-oriented, integrated and problem-oriented records.​

Question 52

Describe the two basic approaches to utilization management: prospective and retrospective review.​

Question 53

?Describe three main items that should be included in labor and delivery record documentation.