CHAP Healthcare Operations & Management 3

Question 1

Under HIPAA's Minimum Necessary Standard, covered entities must:

Accepted Answer

Limit PHI disclosures to the least amount needed for the intended purpose

Answer

The Minimum Necessary Standard requires covered entities to make reasonable efforts to use, disclose, or request only the minimum PHI needed to accomplish the intended purpose.

Question 2

Which financial metric measures the average number of days it takes a practice to collect payment after a service is rendered?

Accepted Answer

Days in accounts receivable (DAR)

Answer

Days in accounts receivable (DAR) measures the average time between service delivery and payment receipt, with lower values indicating more efficient collections.

Question 3

A hospital implements a Pay-for-Performance (P4P) program. The primary goal of this reimbursement model is to:

Accepted Answer

Tie provider payments to quality metrics and outcomes

Answer

P4P models incentivize providers by linking reimbursement to achieving defined quality, efficiency, and outcome benchmarks rather than volume alone.

Question 4

Which accreditation organization uses the 'tracer methodology' during on-site surveys of hospitals?

Accepted Answer

The Joint Commission (TJC)

Answer

The Joint Commission uses tracer methodology, following individual patients through their care experience to evaluate systems and processes across departments.

Question 5

A healthcare organization's operating margin is calculated by dividing:

Accepted Answer

Operating income by net patient service revenue

Answer

Operating margin = operating income ÷ net patient service revenue, expressed as a percentage, indicating profitability from core operations.

(CHAP) Certified Healthcare Administrative Professional Practice Test

(CHAP) Certified Healthcare Administrative Professional Practice Test

CHAP Healthcare Operations & Management 3