1. In general a hospitals CC/MCC capture rate should be related to the CMI in which of the following ways?

Positively correlated

Equal

Negatively correlated

No relationship

2. Which of the following situations might result in a compliance audit?

Decreased volume

Low CMI

High CC/MCC capture rate

Lower reimbursement

3. If the total practice expense for a group is $1,500,000, and the total RVUs provided by that practice is 125,000, what is the break-even conversion factor?

12

62

60

11

4. RVUs are used as the basis of Medicare payment for which type of provider?

Group of answer choices

Laboratory

Physician

Hospital outpatient

Hospital inpatient

5. Benchmarking may be used to:

Determine areas of improvement

Find solutions to quality issues

Data mine for patterns

Hire new physician staff

6. A data collection program that is administered by CMS is:

Leapfrog

HCUP

HEDIS

Hospital Compare