.png){kind=logo}
pg. 1
CSBI – HFMA LATEST EXAM/ ACTUAL EXAM
QUESTIONS WITH CORRECT DETAILED
ANSWERS/ GRADED A+
Professionalism - Correct Answer - Basic values: Honesty and integrity, accountability, self regulation, specialized knowledge, building expertise, competency, image.The obligation to use one's specialized knowledge and expertise to add value
What are the components of Healthcare delivery services? - Correct Answer - 1-What is provided - the healthcare care services 2-What ways it is provided - types of services 3-Whom/Where? Providers and locations, payment providers 4-How - components of effective operations - providers, locations, supplier, payors, insurers 5-Influencers - education, government, research
What are internal components of healthcare service delivery? - Correct Answer - Medical care services, types of health services, providers and locations, ACA providers, Provider organization ownership status, supplier supply chain, payors, education/research, government.
What are external components of healthcare service delivery? - Correct Answer - Economic factors, social values, global influences, population characteristics, political climate, technology developments, physical environment
SDoH - Correct Answer - social determinants of health ( where people live, learn, work.and play) Their socioeconomic status, education, age, and access to health care.
- / 3
pg. 2 Healthcare Care Services - Correct Answer - How the patient is served and is the mission of the healthcare industry. Examples are: preventive, treatment-curative, treatment-chronic, restorative
Types of Health Services - Correct Answer - Refer to locations, care settings or providers of care. Examples are: preventive, primary care, acute, specialty, subacute, chronic, long term, rehabilitative, end of life care
What are misalignment with healthcare user and hospitals? - Correct Answer - 1-focus on cost 2-drivers of service utilization 3-financing mechanism
What are the Foundational Ideas for Change? - Correct Answer - 1 - Triple Aim
- - Transparency in cost - gave way to Meaningful Use and now Promoting
- - Understand Production Cost - gave way to Activity Based Costing (ABC type
Interoperability
analysis) 4- Community Based Services
Disruptive Innovation - Correct Answer - disrupts and replaces existing markets with ways of working or products previously not thought of as possible, now are possible due to new technology or other catalysts.
Disruptive Innovation - Correct Answer - Examples are- telehealth, retail health, pharma firms exploring more direct connections with healthcare users,
Providers & Locations - Correct Answer - Adds complexity to the healthcare delivery service that patients must navigate. Patients must have contacts with these touch points are required for care.
CPP Constrained Payment Providers - Correct Answer - Method in which payments for services paid are defined in advance of care. Examples are Accountable Care 2 / 3
pg. 3 Organizations (ACO), Patient Centered Medical Homes (PCMHs), Medicare Advantage Plans, and service specific bundled payments
Bundled Payments - Correct Answer - service programs where payment is made on the basis of expected costs for clinically defined episodes of care. Also known as global payments, case rate, episodic payment.
Provider Organization Ownership Status - Correct Answer - Refers to Not For Profit or For Profit. Historically, physician entities were largely for profit, but now many are changing to not for profit status. Tax issues are affecting this area where efforts must be taken to ensure community service requirements are maintained for tax-exemptions.
Supplier and supply chain - Correct Answer - Comprised of all for-profit entities, manufacturers of all kind, distributions organizations, purchasing entities. Examples are
- pharmaceuticals, biomedical, life sciences, comsumables
Government - Correct Answer - Key system component at the federal level. Has vast influence - Medicare, ACA implementation, FDA, Public health service, and general health regulations. examples are - public insurance financing, health regulations/policy, research funding, public health
Economic Factors - Correct Answer - general economy, consumer sentiments and demand elasticity, economic development, demand elasticity by service, labor market/union strength, employer strength, demand elasticity, market liquidity
Social Values - Correct Answer - Diversity, social cohesion, established precedents, religious preferences
Global Influences - Correct Answer - Immigration, vacation travel, tourism, epidemics, terrorism, demands for equity in medication distribution
Population Characteristics - Correct Answer - demographics - education level, age; socio-economics morbidity related to ethnic and gender gaps, social morbidity, social determinants of health
- / 3
.png)