Health Care:Questions and Correct Answers
A(n) ?'s primary responsibility is to diagnose and treat disease and injury - ansphysicians assistant
Being ? about health care will help you make the best decisions for your personal health - ansinformed
In the United States, the main federal agency for the promotion of public health and welfare is the: -
ansDepartment of Health and Human Services
Medicine: The art and ? of ? and ? human disease - ansScience, preventing, treating
Public health systems seek to promote the health of an entire community by controlling the spread of disease.
- ansTrue
The agency responsible for promoting public health by providing free immunization programs and educating
health workers is the: - ansCenters of Disease Control and Prevention
The government agency concerned with tracking outbreaks and developing methods to combat the spread of
disease is the: - ansCenters of Disease Control and Prevention
What is the difference between a nursing home and a hospice? - ansA nursing home delivers highly
personalized care for a fee while a hospice offers care from individuals employed by a corporation
What is the role of a dentist? - ansto diagnose and treat diseases affecting the teeth and gums
What type of health care facility offers the most personalized medical care? - ansDoctors office
Which of the following are goals of public health programs? - ansto provide reliable and sanitary systems of
waste disposal, to ensure adequate supplies of clean water, to provide educational programs to the public and
to provide immunization programs
,"Hard-coded" is the term used to refer to - ansCodes for services, procedures, and drugs automatically assigned
by the charge master
A balance sheet is - ansA statement of assets, liabilities, and capital for an organization at a specified point in
time
A claim for reimbursement submitted to a third-party payer that has all the information and documentation
required for the payer to make a decision on it is known as - ansA clean claim
A claim is denied for the following reasons, EXCEPT: - ansThe submitted claim does not have the physicians
signature
A comprehensive "Compliance Program" is defined as - ansSystematic procedures to ensure that the provisions
of regulations imposed by a government agency are being met
A decision on whether a patient should be admitted as an inpatient or become about patient observation
patient requires medical judgments based on all of the following EXCEPT - ansThe patient's home care coverage
A four digit number code established by the National Uniform Billing Committee (NUBC)that
categorizes/classifies a line item in the charge master is known as - ansRevenue codes
A large number of credit balances are not the result of overpayments but of - ansPosting errors in the patient
accounting system
A Medicare Part A benefit period begins: - ansWith admission as an inpatient
A nightly room charge will be incorrect if the patient's - ansTransfer from ICU (intensive care unit) to the
Medical/Surgical
floor is not reflected in the registration system
,A portion of the accounts receivable inventory which has NOT qualified for billing includes - ansCharitable
pledges
A portion of the accounts receivable inventory which has NOT qualified for billing includes: - ansCharitable
pledges
A recurring/series registration is characterized by - ansThe creation of one registration record for multiple days
of service
A scheduled inpatient represents an opportunity for the provider to do which of the following? - ansComplete
registration and insurance approval before service
A typical routine patient financial discussion would include - ansExplaining the benefits identified through
verifying the patients insurance
Account Receivable (A/R) Aging reports - ansDivide accounts receivable into 30, 60, 90 ,120 days past due
categories
Across all care settings, if a patient consents to a financial discussion during a medical encounter - ansSupport
that choice, providing that the discussion does not interfere with patient care or disrupt patient flow
Across all care settings, if a patient consents to a financial discussion during a medical encounter to expedite
discharge, the HFMA best practice is to: - ansSupport that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
All Hospitals are required to establish a written financial assistance policy that applies to - ansAll emergency
and medically necessary care
All of the following are conditions that disqualify a procedure or service from being paid for by Medicare
EXCEPT - ansServices and procedures that are custodial in nature
, All of the following are forms of hospital payment contracting EXCEPT - ansContracted Rebating
All of the following are minimum requirements for new patients with no MPI number EXCEPT - ansAddress
All of the following are potential causes of credit balances EXCEPT - ansA patient's choice to build up a credit
against future medical bills
All of the following are reference resources used to help guide in the application of business ethics EXCEPT -
ansConsumer satisfaction reports
All of the following are steps in safeguarding collections EXCEPT - ansIssuing receipts
All of the following are steps in verifying insurance EXCEPT - ansThe patient signing the statement of financial
responsibility
All of the following information should be reviewed as part of schedule finalization EXCEPT: - ansThe results of
any and all test
Ambulance services are billed directly to the health plan for - ansServices provided before a patient is admitted
and for ambulance rides arranged to pick up the patient from the hospital after discharge to take him/her
home or to another facility
Ambulance services are billed directly to the health plan for - ansThe portion of the bill outside of the patient's
self-pay
An advantage of a pre-registration program is - ansThe opportunity to reduce the corporate compliance
failures within the registration process
An individual enrolled in Medicare who is dissatisfied with the government's claim determination is entitled to
reconsideration of the decision. This type of appeal is known as - ansA beneficiary appeal
A(n) ?'s primary responsibility is to diagnose and treat disease and injury - ansphysicians assistant
Being ? about health care will help you make the best decisions for your personal health - ansinformed
In the United States, the main federal agency for the promotion of public health and welfare is the: -
ansDepartment of Health and Human Services
Medicine: The art and ? of ? and ? human disease - ansScience, preventing, treating
Public health systems seek to promote the health of an entire community by controlling the spread of disease.
- ansTrue
The agency responsible for promoting public health by providing free immunization programs and educating
health workers is the: - ansCenters of Disease Control and Prevention
The government agency concerned with tracking outbreaks and developing methods to combat the spread of
disease is the: - ansCenters of Disease Control and Prevention
What is the difference between a nursing home and a hospice? - ansA nursing home delivers highly
personalized care for a fee while a hospice offers care from individuals employed by a corporation
What is the role of a dentist? - ansto diagnose and treat diseases affecting the teeth and gums
What type of health care facility offers the most personalized medical care? - ansDoctors office
Which of the following are goals of public health programs? - ansto provide reliable and sanitary systems of
waste disposal, to ensure adequate supplies of clean water, to provide educational programs to the public and
to provide immunization programs
,"Hard-coded" is the term used to refer to - ansCodes for services, procedures, and drugs automatically assigned
by the charge master
A balance sheet is - ansA statement of assets, liabilities, and capital for an organization at a specified point in
time
A claim for reimbursement submitted to a third-party payer that has all the information and documentation
required for the payer to make a decision on it is known as - ansA clean claim
A claim is denied for the following reasons, EXCEPT: - ansThe submitted claim does not have the physicians
signature
A comprehensive "Compliance Program" is defined as - ansSystematic procedures to ensure that the provisions
of regulations imposed by a government agency are being met
A decision on whether a patient should be admitted as an inpatient or become about patient observation
patient requires medical judgments based on all of the following EXCEPT - ansThe patient's home care coverage
A four digit number code established by the National Uniform Billing Committee (NUBC)that
categorizes/classifies a line item in the charge master is known as - ansRevenue codes
A large number of credit balances are not the result of overpayments but of - ansPosting errors in the patient
accounting system
A Medicare Part A benefit period begins: - ansWith admission as an inpatient
A nightly room charge will be incorrect if the patient's - ansTransfer from ICU (intensive care unit) to the
Medical/Surgical
floor is not reflected in the registration system
,A portion of the accounts receivable inventory which has NOT qualified for billing includes - ansCharitable
pledges
A portion of the accounts receivable inventory which has NOT qualified for billing includes: - ansCharitable
pledges
A recurring/series registration is characterized by - ansThe creation of one registration record for multiple days
of service
A scheduled inpatient represents an opportunity for the provider to do which of the following? - ansComplete
registration and insurance approval before service
A typical routine patient financial discussion would include - ansExplaining the benefits identified through
verifying the patients insurance
Account Receivable (A/R) Aging reports - ansDivide accounts receivable into 30, 60, 90 ,120 days past due
categories
Across all care settings, if a patient consents to a financial discussion during a medical encounter - ansSupport
that choice, providing that the discussion does not interfere with patient care or disrupt patient flow
Across all care settings, if a patient consents to a financial discussion during a medical encounter to expedite
discharge, the HFMA best practice is to: - ansSupport that choice, providing that the discussion does not
interfere with patient care or disrupt patient flow
All Hospitals are required to establish a written financial assistance policy that applies to - ansAll emergency
and medically necessary care
All of the following are conditions that disqualify a procedure or service from being paid for by Medicare
EXCEPT - ansServices and procedures that are custodial in nature
, All of the following are forms of hospital payment contracting EXCEPT - ansContracted Rebating
All of the following are minimum requirements for new patients with no MPI number EXCEPT - ansAddress
All of the following are potential causes of credit balances EXCEPT - ansA patient's choice to build up a credit
against future medical bills
All of the following are reference resources used to help guide in the application of business ethics EXCEPT -
ansConsumer satisfaction reports
All of the following are steps in safeguarding collections EXCEPT - ansIssuing receipts
All of the following are steps in verifying insurance EXCEPT - ansThe patient signing the statement of financial
responsibility
All of the following information should be reviewed as part of schedule finalization EXCEPT: - ansThe results of
any and all test
Ambulance services are billed directly to the health plan for - ansServices provided before a patient is admitted
and for ambulance rides arranged to pick up the patient from the hospital after discharge to take him/her
home or to another facility
Ambulance services are billed directly to the health plan for - ansThe portion of the bill outside of the patient's
self-pay
An advantage of a pre-registration program is - ansThe opportunity to reduce the corporate compliance
failures within the registration process
An individual enrolled in Medicare who is dissatisfied with the government's claim determination is entitled to
reconsideration of the decision. This type of appeal is known as - ansA beneficiary appeal
