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ACMPE Quality Improvement and Compliance Flashcards

6 cards from real ACMPE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 ACMPE Quality Improvement and Compliance flashcards as text

  1. Which tool is commonly used in quality improvement to visually display the frequency of defects or problems in descending order of occurrence?

    Answer: Pareto chart

    A Pareto chart ranks problems by frequency, helping teams focus on the 'vital few' causes that account for most defects (the 80/20 rule).

  2. The Stark Law (Physician Self-Referral Law) primarily prohibits physicians from referring Medicare patients to entities in which they have a financial relationship for which type of services?

    Answer: Designated health services (DHS)

    The Stark Law prohibits physician self-referral to entities with which they have a financial relationship for designated health services covered by Medicare.

  3. Which quality improvement framework defines quality in healthcare across six domains: safe, effective, patient-centered, timely, efficient, and equitable?

    Answer: IOM's 'Crossing the Quality Chasm' framework

    The Institute of Medicine's 'Crossing the Quality Chasm' report established six aims for improving the U.S. healthcare system.

  4. In a medical practice, which document establishes the policies and procedures for handling, reporting, and investigating compliance violations?

    Answer: Compliance plan

    A compliance plan formally documents the practice's commitment to legal and ethical standards, including reporting and investigation protocols.

  5. Which statistical tool used in quality management displays data over time to distinguish normal process variation from significant, assignable-cause variation?

    Answer: Control chart (Shewhart chart)

    A control chart plots data over time with upper and lower control limits to identify points where a process is out of statistical control.

  6. A medical practice subject to the Anti-Kickback Statute must ensure that any financial arrangement with a referring physician falls within a recognized what?

    Answer: Safe harbor

    Safe harbors are defined exceptions under the Anti-Kickback Statute that protect certain business arrangements from prosecution when all requirements are met.

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