CAPSTONE PROCTORED MODULE 3
ATI QUIZ QUESTIONS AND
ANSWERS 2026 COMPLETE EXAM
PREP WITH VERIFIED SOLUTIONS
◉ Medicare Financing.
Answer: Part A:
- payroll deductions
- 2.9% of earned income
~employees 1.45%; if earn >200,000, 2.35%
~employers pay the remainder
Part B:
- general revenue
- premiums
◉ Key Legislation Impacting Medicare.
Answer: 1983:
- Social Security Amendment Act (prospective payment systems- cost
containment)
1997:
- Balanced Budget Act 1997
,2005:
- Deficit Reduction Act 2005 ( high cost conditions that could
reasonably have been prevented through EBP, "Present on admission")
2010:
- Affordable Care Act 2010 (access, quality measures, patient
experience)
2014:
- IMPACT Act 2014
◉ Improving Medicare Post0Acute Care Transformation Act (IMPACT)
2014.
Answer: Submitting standardized and interoperable outcomes
Cross setting quality comparison
- skin integrity and changes in skin integrity
- functional status, cognitive function, and changes in function and
cognitive function
-Medication reconciliation
- Incidence of major fallls
- Transfer of health information and care preferences when an individual
transitions
-resource use measures, including total estimated Medicare spending per
beneficiary
,- Discharge to community
- All-condition risk-adjusted potentially preventable hospital
readmission rates
◉ Medicare Part A: 2018 Hospital Costs.
Answer: Hospital Inpatient
1-60 days
- medicare pays: 100% after deductible
- you pay: 1,340 deductible
61-90 days
-medicare pays: 100% after copay
- you pay: 335/ day co-insurance
60 Reserve days
- medicare pays: 100% after copay
- you pay: 670/ day co-insurance
After 150 days
- medicare pays: 0%
- you pay: 100% for each day
, Psychiatric Hospital
- same as hospital inpatient (see above) with a 190 day lifetime limit
- after 190 days, you pay 100%
◉ When does hospital benefit period end (aka start over?).
Answer: when you are home for 60 consecutive days!
◉ Medicare Part A: 2018 SNF costs.
Answer: 1-20 days
-medicare pays: 100%
-you pay: 0%
21-11 days
- medicare pays: 100% after copay
- you pay: 167.50/ day co-insurance
After 100 days
- medicare pays: 0%
- you pay: 100%
◉ Medicare Part A: 2018 Home Health and Hospice Costs.
Answer: Home Health Care
-Medicare pays: 100% minus 20% of covered medical equipment
ATI QUIZ QUESTIONS AND
ANSWERS 2026 COMPLETE EXAM
PREP WITH VERIFIED SOLUTIONS
◉ Medicare Financing.
Answer: Part A:
- payroll deductions
- 2.9% of earned income
~employees 1.45%; if earn >200,000, 2.35%
~employers pay the remainder
Part B:
- general revenue
- premiums
◉ Key Legislation Impacting Medicare.
Answer: 1983:
- Social Security Amendment Act (prospective payment systems- cost
containment)
1997:
- Balanced Budget Act 1997
,2005:
- Deficit Reduction Act 2005 ( high cost conditions that could
reasonably have been prevented through EBP, "Present on admission")
2010:
- Affordable Care Act 2010 (access, quality measures, patient
experience)
2014:
- IMPACT Act 2014
◉ Improving Medicare Post0Acute Care Transformation Act (IMPACT)
2014.
Answer: Submitting standardized and interoperable outcomes
Cross setting quality comparison
- skin integrity and changes in skin integrity
- functional status, cognitive function, and changes in function and
cognitive function
-Medication reconciliation
- Incidence of major fallls
- Transfer of health information and care preferences when an individual
transitions
-resource use measures, including total estimated Medicare spending per
beneficiary
,- Discharge to community
- All-condition risk-adjusted potentially preventable hospital
readmission rates
◉ Medicare Part A: 2018 Hospital Costs.
Answer: Hospital Inpatient
1-60 days
- medicare pays: 100% after deductible
- you pay: 1,340 deductible
61-90 days
-medicare pays: 100% after copay
- you pay: 335/ day co-insurance
60 Reserve days
- medicare pays: 100% after copay
- you pay: 670/ day co-insurance
After 150 days
- medicare pays: 0%
- you pay: 100% for each day
, Psychiatric Hospital
- same as hospital inpatient (see above) with a 190 day lifetime limit
- after 190 days, you pay 100%
◉ When does hospital benefit period end (aka start over?).
Answer: when you are home for 60 consecutive days!
◉ Medicare Part A: 2018 SNF costs.
Answer: 1-20 days
-medicare pays: 100%
-you pay: 0%
21-11 days
- medicare pays: 100% after copay
- you pay: 167.50/ day co-insurance
After 100 days
- medicare pays: 0%
- you pay: 100%
◉ Medicare Part A: 2018 Home Health and Hospice Costs.
Answer: Home Health Care
-Medicare pays: 100% minus 20% of covered medical equipment
