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WorksheetsFBLA Healthcare Administration
Total questions: 100
Worksheet time: 50mins
The primary role of a healthcare administrator is to:
Diagnose and treat patients
Code medical records
Coordinate operations and resources to deliver safe, efficient care
Dispense medications
Medicare Part A primarily covers:
Inpatient hospital, SNF, hospice, and some home health
Outpatient physician services and preventive care
Prescription drugs
Medicare Advantage plans
The HIPAA Privacy Rule primarily protects:
Financial information only
Individually identifiable health information in any form (PHI)
Only electronic health information
Facility safety reports
The HIPAA Security Rule focuses on safeguards for:
Paper PHI
Verbal PHI
Electronic PHI (ePHI)
De-identified data
EMTALA requires hospital EDs to:
Collect copays before any service
Offer only telehealth screenings
Provide a medical screening exam and stabilize/appropriately transfer regardless of ability to pay
Admit all patients who arrive
ICD-10-CM codes are used to report:
Inpatient facility procedures
Medical supplies and DME
Professional services
Diagnoses
CPT codes are used to report:
Diagnoses
Inpatient facility procedures
Professional/outpatient services and procedures
Lab catalog numbers
ICD-10-PCS codes are used to report:
Physician office visits
Inpatient facility procedures
Dental services
Ambulance transport
HCPCS Level II codes primarily describe:
Diagnoses
Physician E/M services
Supplies, DME, ambulance, certain drugs
Inpatient procedures
The UB-04 (CMS-1450) form is used for:
Pharmacy claims
Institutional (facility) claims
Professional claims
Dental claims
The CMS-1500 form is used for:
Institutional claims
Professional claims
Prescription claims
Appeals only
MS-DRGs are primarily used to pay for:
Ambulatory surgery center services
Inpatient hospital stays
Physician office visits
Home health
APCs are used for payment under Medicare’s:
Inpatient Prospective Payment System (IPPS)
Outpatient Prospective Payment System (OPPS)
Skilled nursing facility PPS
Hospice per diem
HCAHPS is a standardized survey that measures:
Staff satisfaction
Patient experience of care
Facility safety compliance
Physician productivity
The correct order of the PDSA cycle is:
Do–Plan–Study–Act
Plan–Study–Act–Do
Plan–Do–Study–Act
Prepare–Develop–Standardize–Apply
Root cause analysis (RCA) is best described as:
A prospective hazard analysis
A retrospective investigation after a serious event
A staffing model
A billing audit
Failure Modes and Effects Analysis (FMEA) is:
Used after an event occurs
Used to forecast and prevent failures proactively
Used to assign staff schedules
A method to calculate DRGs
Six Sigma’s DMAIC approach focuses on:
Increasing inventory
Reducing variation and defects
Eliminating communication
Maximizing overtime
Lean process improvement primarily targets:
Additional documentation
Eliminating waste to increase value
Raising prices
Increasing downtime
SBAR stands for:
Situation, Background, Assessment, Recommendation
Status, Baseline, Action, Result
Scope, Budget, Accountability, Review
Safety, Briefing, Analysis, Response
OSHA’s Bloodborne Pathogens Standard requires employers to:
Prohibit HBV vaccines
Maintain an exposure control plan and offer HBV vaccination to at-risk staff
Use only cloth gloves
Report all needle sticks to CMS
In fire response, RACE stands for:
Run, Alert, Call, Exit
Rescue, Alarm/Activate, Contain, Extinguish/Evacuate
React, Assess, Control, Evacuate
Remove, Alert, Close, Egress
Using a fire extinguisher, PASS stands for:
Position, Align, Spray, Stop
Pull, Aim, Squeeze, Sweep
Push, Alert, Spray, Sweep
Pull, Attack, Squeeze, Spray
Which item belongs in a red biohazard bag (regulated medical waste) in most facilities?
Empty IV bag without blood
Urine specimen container (no blood)
Gauze saturated with blood
Paper packaging
Preferred hand hygiene method when hands are not visibly soiled is:
Alcohol-based hand rub
Water only
Bar soap only
No need if gloves were worn
Recommended PPE donning order is generally:
Gloves → Gown → Goggles → Mask
Gown → Mask/Respirator → Goggles/Face Shield → Gloves
A Business Associate Agreement (BAA) is required when a vendor:
Sells food in the cafeteria
May create, receive, maintain, or transmit PHI on behalf of a covered entity
Park-cars in employee lots
Provides volunteer services
The HIPAA “minimum necessary” standard does NOT apply to disclosures for:
Treatment
Payment
Operations
Fundraising
HIPAA’s Safe Harbor de-identification method requires removing:
Two identifiers
Five identifiers
18 types of identifiers
All clinical data
Under HIPAA, breach notification to affected individuals must occur:
Within 7 calendar days
Within 30 business days
Without unreasonable delay and no later than 60 calendar days
Only if media asks
Role-based access control supports the principle of:
Open access
Maximum convenience
Least privilege
Random assignment
Two-factor authentication requires:
Two passwords
Two employees to log in
Two of: something you know, have, or are
Two network connections
FHIR is a standard primarily used for:
Financial audits
Clinical data exchange and interoperability
Supply chain barcoding
HR payroll
HL7 messaging is commonly used for:
Music streaming
Clinical system-to-system communication (e.g., lab results)
Construction management
Facility maintenance
For telehealth, licensure requirements are typically determined by the state where the:
Provider lives
Provider is licensed only
Patient is located at the time of service
Health system HQ resides
A key benefit of clinical decision support (CDS) in EHRs is:
Longer documentation time
Automatic denial of claims
Alerts that can reduce adverse drug events (e.g., allergy interactions)
Removal of all privacy controls
An NPI is:
A hospital accreditation
A 10-digit identifier for covered healthcare providers
A billing platform license
A patient account number
Incident reports should:
Include opinions and blame
Be part of the medical record
Document objective facts and be routed per policy (not part of the medical record)
Be shared on social media
The primary purpose of Joint Commission accreditation is to:
Set drug prices
Evaluate and improve organizational quality and patient safety
Enforce local zoning laws
Manage insurance exchanges
A sentinel event is best defined as:
A billing denial
An unexpected occurrence involving death or serious physical/psychological injury
A near miss
A minor paperwork error
Under HIPAA, patients generally have the right to:
Edit the physician’s note
Access and obtain a copy of their PHI with limited exceptions
Delete the entire record
Force providers to use paper charts
An advance directive may include:
Tax withholdings
Durable power of attorney for healthcare
Driver’s license restrictions
Jury duty excuses
Valid informed consent generally requires:
Coercion
Disclosure, comprehension, voluntariness, and competence
Secrecy
A notary public
Minor consent rules generally:
Are identical in all states
Disallow all minor consent
Vary by state, with certain services allowing minors to consent
Require court approval for all care
The Stark Law primarily prohibits:
Refusing ED care
Physician self-referrals for designated health services to entities with a financial relationship (unless an exception applies)
Nurse overtime
Retail clinic expansion
The Anti-Kickback Statute prohibits:
Free patient education
Any remuneration to induce or reward referrals for items/services reimbursable by federal programs
Posting prices online
Offering charity care
The False Claims Act imposes liability for:
Overstaffing nursing units
Knowingly submitting false or fraudulent claims to the government
Under-communicating with staff
HIPAA violations only
An element of an effective OIG compliance program is:
Eliminating training to save time
Written policies, a compliance officer, training, monitoring, enforcement, and corrective action
Rewarding noncompliance
Hiding hotline numbers
Utilization review (UR) primarily evaluates:
Gift shop inventory
Medical necessity and appropriate level of care
Social media engagement
Facility landscaping
Case management focuses on:
Medical imaging
Coordinating care, discharge planning, and resource use
Parking assignments
Lab specimen handling
The revenue cycle typically begins with:
Denial management
Patient scheduling and registration
Claim submission to the payer
Collections after write-offs
A deductible is:
A fixed fee paid per visit
The percentage of cost a patient pays after the deductible
The amount a patient must pay before the plan starts sharing costs
The annual premium
Coinsurance is:
A fixed dollar copay
A percentage of allowed charges the patient pays after meeting the deductible
A premium subsidy
A provider discount
A copayment (copay) is:
A percentage of cost
A fixed dollar amount paid at time of service
A monthly premium
A tax credit
An out-of-pocket maximum generally:
Excludes coinsurance
Caps the patient’s annual cost-sharing (excluding premiums)
Is illegal
Applies only to dental care
A document that explains payer adjudication and adjustments to providers is the:
Explanation of Benefits (EOB)
Remittance Advice (RA) / ERA
Superbill
Itemized bill
A common reason for claim denial is:
Legible documentation
Lack of preauthorization when required
Accurate coding
Eligibility verified
Modifier -25 indicates:
Bilateral procedure
Distinct procedural service
Significant, separately identifiable E/M service on the same day as a procedure by the same provider
Multiple procedures
Modifier -59 indicates:
Distinct procedural service (separate session/site)
Unrelated E/M
Telehealth
Postoperative care only
A “clean claim” is one that:
Was mailed with a stamp
Is free of errors and can be processed without additional information
Requires multiple appeals
Has no CPT codes
Capitation is a payment model where:
Providers are paid per test
Providers are paid a fixed amount per member per month
Patients pay cash only
Payers pay after appeals only
Bundled payments are best described as:
Multiple invoices per service
One payment for all services in an episode of care
A capitation alternative for primary care only
A pharmacy-only method
An Accountable Care Organization (ACO) typically:
Operates only emergency departments
Is accountable for cost and quality for a defined population, sharing in savings
Sets national medical licensing rules
Manages dental plans only
Value-Based Purchasing (VBP) links payment to:
Only patient complaints
Quality measures and outcomes
Hospital size
Number of beds
Break-even occurs when:
Profit is maximized
Total revenues equal total costs
Variable costs are zero
Fixed costs are negative
Straight-line depreciation is calculated by:
(Cost − Salvage Value) ÷ Useful Life
Cost × Useful Life
Cost ÷ 2 each year
Salvage Value × Useful Life
A capital budget typically includes:
Routine supplies
Long-term assets above a threshold with multi-year useful life
Overtime approval forms
Snack bar expenses
Variance analysis compares:
This year’s goals to next year’s goals
Budgeted results to actual results to investigate differences
Competitors’ profits only
Prices to wages only
An example of an indirect (overhead) cost is:
OR nurse wages for a specific case
Medication used for a patient
Hospital CEO salary
Surgical implant used in one procedure
FEFO (First-Expire, First-Out) is most appropriate for:
Office furniture
Pharmaceuticals and perishable supplies
IT licenses
Staff badges
A PAR level is:
Peak allowable reimbursement
The minimum on-hand quantity to meet demand until next reorder
The maximum annual revenue
A staff performance rating
A value analysis committee typically helps organizations:
Increase the number of unique items
Standardize products and reduce unnecessary variation
Eliminate competitive bidding
Replace all vendors annually
A proven strategy to reduce clinic no-show rates is:
Overbooking every slot
Sending appointment reminders (text/email) and easy rescheduling options
Eliminating late policies
Removing waitlists
To address a patient flow bottleneck at triage, an effective step is to:
Close early
Add capacity/staff at the bottleneck and streamline triage protocols
Lengthen each visit time
Reduce active rooms
Transformational leadership is characterized by:
Focus on transactions and punishment
Inspiring a shared vision and empowering staff to change
Avoiding feedback
Micromanagement
In Lewin’s change model, “Unfreeze” means to:
Finalize the new process
Prepare the organization by creating awareness and readiness for change
A RACI chart clarifies:
Salaries
Project roles: Responsible, Accountable, Consulted, Informed
Medical record retention
Insurance eligibility
SMART goals are:
Simple, Mysterious, Agile, Rapid, Tight
Specific, Measurable, Achievable, Relevant, Time-bound
Strategic, Mandatory, Abstract, Realistic, Timely
Short, Medium, Annual, Recurring, Targeted
Effective meeting minutes should capture:
Every spoken word
Jokes and side comments
Decisions, action items, owners, and due dates
Only attendance
Best practice for language access is to:
Use a minor child to interpret
Use untrained staff
Use a qualified medical interpreter
Decline all interpreter services
An example of a Social Determinant of Health (SDOH) is:
Blood pressure
Housing stability
White blood cell count
Pulse oximetry reading
A risk register typically includes:
Staff birthdays
Risks with likelihood, impact, owner, and mitigation plans
Laundry schedules
Patient meal preferences
Professional liability insurance primarily covers:
Retail theft
Medical malpractice claims
Building fires
Cyberattacks only
A “near miss” is an event that:
Caused severe harm
Was reported to the media
Could have caused harm but did not, due to chance or timely intervention
Requires no analysis
When a patient files a grievance, the best first step is to:
Ignore it
Acknowledge, document, and initiate investigation per policy
Post it in the lobby
Blame the patient
Under HIPAA, which generally requires patient authorization (not just TPO)?
Treatment coordination
Payment activities
Marketing communications
Healthcare operations
Data integrity in health information management refers to:
Data volume
Accuracy, consistency, and completeness across the data lifecycle
Data encryption only
Data deletion frequency
An audit log in an EHR typically records:
Lab reference ranges
Who accessed which records and when
Supply purchases
Patient diet orders
During planned EHR downtime, a standard procedure is to:
Stop all patient care
Use paper downtime forms and back-enter data once systems are restored
Cancel all appointments
Disable phone lines
Business continuity vs. disaster recovery:
They are identical
Business continuity maintains critical operations; disaster recovery restores IT systems and data
Both only apply to finance
Only apply to natural disasters
Under HIPAA, public health reporting (e.g., certain infectious diseases) is generally:
Prohibited
Allowed without patient authorization as permitted by law
Allowed only with court order
Allowed only if de-identified
OSHA’s Hazard Communication Standard requires:
Removing all labels
Safety Data Sheets (SDS) and proper chemical labeling
Verbal instructions only
No training
In the Incident Command System (ICS), which is NOT a standard section?
Operations
Logistics
Finance/Administration
Procurement Council
In START disaster triage, a patient not breathing who begins breathing after airway repositioning should be tagged:
Green (Minor)
Yellow (Delayed)
Red (Immediate)
Black (Deceased/Expectant)
An appropriate response to escalating aggressive behavior is to:
Move closer and raise your voice
Maintain safe distance, use de-escalation techniques, and summon security per policy
Turn your back
Remove all staff from the unit
To reduce musculoskeletal strain at a workstation, a best practice is to:
Place the monitor well above eye level
Keep feet unsupported
Adjust chair and monitor for neutral posture; use proper keyboard/mouse placement
Type without wrist support on sharp edges
Health equity efforts primarily aim to:
Standardize prices
Eliminate avoidable, unfair differences in health outcomes
Reduce accreditation surveys
Increase wait times
The “teach-back” method is used to:
Test staff only
Confirm patient understanding by having them explain information in their own words
Replace discharge instructions
Eliminate interpreters
A commonly tracked quality KPI is:
Number of parking spaces
30-day hospital readmission rate
Gift shop revenue
Number of social events
Which activity most likely requires IRB review as human subjects research?
Internal audit for billing accuracy only
Publicly presenting a systematic study of patient survey data to generate generalizable knowledge
Scheduling refresher training
Updating the staff directory
