CHFP PRACTICE TEST EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GRADED A++
What are the key factors that have contributed to the higher cost of healthcare?
Contributing key factors to increased health care costs:
Technology
Aging population
Chronic disease
Litigation
What changed the basis of payment for hospital OP services from a flat fee for
individual services to fixed reimbursement for bundled services?
Ambulatory payment classifications (APC)
What is cost shifting?
When providers try to get one payer to pay for costs that have not been covered by
another payer
True or False:
The combination of age and technology has increased cost with the passage of
time.
True
Aging population and technology are to the 4 key factors to increased cost.
What is Medicare Part D?
, Prescription drug coverage program available to all Medicare beneficiaries. Private
companies approved by Medicare provide the coverage.
What is the definition of compliance?
The need to abide by governmental regulations, whether they are for the provision of
care, billing, privacy accounting standards, security or the like.
What is the impact of litigation on providers?
Increased insurance premiums that providers have to pay malpractice insurers to cover
the cost of defending against the lawsuits and paying large jury awards.
What is the federal law setting compliance regulations to ensure standardization
of billing, privacy and reporting as institution convert to electronic systems?
Health Insurance Portability and Accountability Act (HIPAA)
What is the federal legislation designed to tighten accounting standards in
financial reporting and that holds top executives personally liable as to the
accuracy and fairness of their financial statements?
Sarbanes-Oxley Act (SOX)
What does the Stark Law prohibit?
Stark Law legislation enacted by CMS to guard against providers ordering self-referrals
for MCR or MCD patients directly to settings in which they have a vested financial
interest.
What are the factors of Uninsured on health care?
1. Healthcare insurance premiums becoming too costly
2. Individuals being screened out of insurance policies
COMPLETE SOLUTIONS GRADED A++
What are the key factors that have contributed to the higher cost of healthcare?
Contributing key factors to increased health care costs:
Technology
Aging population
Chronic disease
Litigation
What changed the basis of payment for hospital OP services from a flat fee for
individual services to fixed reimbursement for bundled services?
Ambulatory payment classifications (APC)
What is cost shifting?
When providers try to get one payer to pay for costs that have not been covered by
another payer
True or False:
The combination of age and technology has increased cost with the passage of
time.
True
Aging population and technology are to the 4 key factors to increased cost.
What is Medicare Part D?
, Prescription drug coverage program available to all Medicare beneficiaries. Private
companies approved by Medicare provide the coverage.
What is the definition of compliance?
The need to abide by governmental regulations, whether they are for the provision of
care, billing, privacy accounting standards, security or the like.
What is the impact of litigation on providers?
Increased insurance premiums that providers have to pay malpractice insurers to cover
the cost of defending against the lawsuits and paying large jury awards.
What is the federal law setting compliance regulations to ensure standardization
of billing, privacy and reporting as institution convert to electronic systems?
Health Insurance Portability and Accountability Act (HIPAA)
What is the federal legislation designed to tighten accounting standards in
financial reporting and that holds top executives personally liable as to the
accuracy and fairness of their financial statements?
Sarbanes-Oxley Act (SOX)
What does the Stark Law prohibit?
Stark Law legislation enacted by CMS to guard against providers ordering self-referrals
for MCR or MCD patients directly to settings in which they have a vested financial
interest.
What are the factors of Uninsured on health care?
1. Healthcare insurance premiums becoming too costly
2. Individuals being screened out of insurance policies
