CPHRM Claims Management 2

Question 1

Which document formally notifies a healthcare organization that a patient intends to pursue legal action?

Accepted Answer

Notice of intent

Answer

A notice of intent is a pre-suit document that formally alerts a healthcare provider of a patient's intent to file a malpractice claim.

Question 2

In claims management, 'excess exposure' refers to a situation where:

Accepted Answer

Potential damages exceed available policy limits

Answer

Excess exposure occurs when a claim's potential verdict or settlement value surpasses the organization's insurance policy limits, creating personal financial risk.

Question 3

A healthcare risk manager discovers a pattern of similar medication errors across three departments. The BEST first action is to:

Accepted Answer

Conduct a root cause analysis and implement system-wide corrective action

Answer

Identifying systemic issues through root cause analysis and implementing corrective actions addresses the underlying problem and prevents future claims.

Question 4

Which legal doctrine holds a hospital liable for the negligent acts of its employees performed within the scope of their employment?

Accepted Answer

Respondeat superior

Answer

Respondeat superior ('let the master answer') makes employers vicariously liable for employees' negligent acts committed within the scope of employment.

Question 5

When evaluating a claim for early resolution, which factor MOST influences the decision to offer a settlement?

Accepted Answer

Liability exposure combined with potential damages

Answer

Settlement decisions are primarily driven by assessing the strength of liability and the magnitude of potential damages if the case proceeds to trial.

CPHRM Exam Practice Test

CPHRM Exam Practice Test

CPHRM Claims Management 2