HBI CORE COMPETENCY ASSESSMENT EXAM QUESTIONS AND
ANSWERS
When should ABNS be issued to a patient? - CORRECT ANSWER✅✅✅Before treatment
To be a valid ABN, the organization should list at least ___ entry/entities in the "Reason Medicare May
Not Pay" field and should make sure the language is _____ - CORRECT ANSWER✅✅✅1, patient
friendly
ABN stands for _____ and should be given to ______ beneficiaries - CORRECT
ANSWER✅✅✅Advanced Beneficiary Notice of Non-coverage; Medicare
When using a single ABN for covering an extended course of treatment, what should the healthcare
organization keep in mind?Select all that apply - CORRECT ANSWER✅✅✅The single ABN will only be
valid for 1 year
The ABN must show all of the services and the duration of the period of treatment
Which of the following is the most patient friendly way to let a patient know that they may have to pay
out of their own pocket for a service? - CORRECT ANSWER✅✅✅It is completely up to you whether
you want to go ahead with this test. If you would like, you can get back in touch with your doctor and
choose whether or not to move forward with what you have scheduled for today.
The important message from medicare should be delivered to which kind of medicare patients? -
CORRECT ANSWER✅✅✅Inpatients
An important message from medicare provides patients with which of the following information? Select
all that apply - CORRECT ANSWER✅✅✅Rights as an inpatient
How to appeal their discharge to a QIO
Rights relating to discharge
Which of the following behaviors will NOT help you communicate effectively with patients? - CORRECT
ANSWER✅✅✅Multitasking
, Healthcare organizations are required to give patients at least ______ to consider whether he or she will
accept the discharge or appeal it. - CORRECT ANSWER✅✅✅four hours
Indemnity health plans are also known as - CORRECT ANSWER✅✅✅Fee-for-Service
Failing to verify a patient's insurance can result in - CORRECT ANSWER✅✅✅All of the above
If both parents have insurance from their employers, the insurance coverage of their child is dependent
of 'The Birthday Rule' What does the birthday rule specify? - CORRECT ANSWER✅✅✅The policy of
the parent whose birthday comes first in year is primary
Which of the following is not an example of a government insurance program? - CORRECT
ANSWER✅✅✅Aetna
Which of these is not characteristic of a health maintenance organization? - CORRECT
ANSWER✅✅✅A referral from their PCP is advised but not required to see a specialist
Also known as the "policy holder" the ____ is the originator of the insurance policy while the _____ is
the a family member that is covered under the plan. - CORRECT ANSWER✅✅✅Subscriber,
Dependent
Which insurance type reduces cost for the patient in exchange for utilizing a preferred network of
providers? - CORRECT ANSWER✅✅✅PPO
The policy number on an insurance card could also be called the - CORRECT ANSWER✅✅✅ID
number
Which of the following are ways research grants related to health care coverage? Select all that apply -
CORRECT ANSWER✅✅✅
How often does the MSP have to be filled out for a non recurring patient? - CORRECT
ANSWER✅✅✅Every 90 days
ANSWERS
When should ABNS be issued to a patient? - CORRECT ANSWER✅✅✅Before treatment
To be a valid ABN, the organization should list at least ___ entry/entities in the "Reason Medicare May
Not Pay" field and should make sure the language is _____ - CORRECT ANSWER✅✅✅1, patient
friendly
ABN stands for _____ and should be given to ______ beneficiaries - CORRECT
ANSWER✅✅✅Advanced Beneficiary Notice of Non-coverage; Medicare
When using a single ABN for covering an extended course of treatment, what should the healthcare
organization keep in mind?Select all that apply - CORRECT ANSWER✅✅✅The single ABN will only be
valid for 1 year
The ABN must show all of the services and the duration of the period of treatment
Which of the following is the most patient friendly way to let a patient know that they may have to pay
out of their own pocket for a service? - CORRECT ANSWER✅✅✅It is completely up to you whether
you want to go ahead with this test. If you would like, you can get back in touch with your doctor and
choose whether or not to move forward with what you have scheduled for today.
The important message from medicare should be delivered to which kind of medicare patients? -
CORRECT ANSWER✅✅✅Inpatients
An important message from medicare provides patients with which of the following information? Select
all that apply - CORRECT ANSWER✅✅✅Rights as an inpatient
How to appeal their discharge to a QIO
Rights relating to discharge
Which of the following behaviors will NOT help you communicate effectively with patients? - CORRECT
ANSWER✅✅✅Multitasking
, Healthcare organizations are required to give patients at least ______ to consider whether he or she will
accept the discharge or appeal it. - CORRECT ANSWER✅✅✅four hours
Indemnity health plans are also known as - CORRECT ANSWER✅✅✅Fee-for-Service
Failing to verify a patient's insurance can result in - CORRECT ANSWER✅✅✅All of the above
If both parents have insurance from their employers, the insurance coverage of their child is dependent
of 'The Birthday Rule' What does the birthday rule specify? - CORRECT ANSWER✅✅✅The policy of
the parent whose birthday comes first in year is primary
Which of the following is not an example of a government insurance program? - CORRECT
ANSWER✅✅✅Aetna
Which of these is not characteristic of a health maintenance organization? - CORRECT
ANSWER✅✅✅A referral from their PCP is advised but not required to see a specialist
Also known as the "policy holder" the ____ is the originator of the insurance policy while the _____ is
the a family member that is covered under the plan. - CORRECT ANSWER✅✅✅Subscriber,
Dependent
Which insurance type reduces cost for the patient in exchange for utilizing a preferred network of
providers? - CORRECT ANSWER✅✅✅PPO
The policy number on an insurance card could also be called the - CORRECT ANSWER✅✅✅ID
number
Which of the following are ways research grants related to health care coverage? Select all that apply -
CORRECT ANSWER✅✅✅
How often does the MSP have to be filled out for a non recurring patient? - CORRECT
ANSWER✅✅✅Every 90 days
