UPDATED VERSION |
VERIFIED QUESTIONS
The 501(r) regulations require not-for-profit providers 501(c) (3) to
do which of the following activities?
A. Complete a community needs assessment and develop a discount
program for client balances after insurance payment.
B. Pursue extraordinary collection activities with all client s eligible
for financial assistance.
C. Implement a financial assistance program for uninsured and
underinsured client s.
D. Discount all charges to self-pay client s to an amount generally
billed to all other client s. - CORRECT ANSWER -A. Complete a
community needs assessment and develop a discount program for
client balances after insurance payment
The accurate capture of charges remains critically important because:
A. Of the potential of fraud and abuse charges from erroneous billing.
,B. Charges remain one of the few consistent indicators available to
monitor resource use.
C. Charges are means of measuring physician productivity.
D. Charges provide the data used in activity based costing. - CORRECT
ANSWER -B. Charges remain one of the few consistent indicators
available to monitor resource use
The ACO investment model will test the use of pre-paid shared
savings to:
A. Invest in treatment protocols that reduce costs to Medicare
B. Attract physicians to participate in the ACO payment system.
C. Raise quality ratings in designated hospitals.
D. Encourage new ACOs to form in rural and underserved areas. -
CORRECT ANSWER -D. Encourage new ACOs to form in rural and
underserved areas
Across all care settings, if a client consents to a financial discussion
during a medical encounter to expedite discharge, the HFMA best
practice is to:
,A. Have a client financial responsibilities kit ready for the client ,
containing all of the required registration forms and instructions.
B. Make sure that the attending staff can answer questions and assist
in obtaining required client financial data.
C. Support that choice, providing that the discussion does not
interfere with client care or disrupt client flow.
D. Decline such request as finance discussions can disrupt client care
and client flow. - CORRECT ANSWER -C. Support that choice,
providing that the discussion does not interfere with client care or
disrupt client flow
Activities completed when the scheduled, pre-registered client
arrives for service includes:
A. Verifying insurance, activating the record and directing the client
to the service area.
B. Scanning the driver's license or other phot identification and
directing the client to the financial counselor.
C. Activating the record, obtaining signatures and finalizing financial
issues.
, D. Registering the client and directing the client to the service area. -
CORRECT ANSWER -C. Activating the record, obtaining signatures
and
The activity which results in the accurate recording of client bed and
level of care assessment, client transfer and client discharge status
on a real-time basis is known as:
A. Utilization review
B. Case Management
C. Census Management
D. Client through-put - CORRECT ANSWER -A. Utilization review
or
B. Case Management
An advantage of a pre-registration program is:
A. The markets value of such a program
B. The ability to eliminate no-show appointments.
C. The opportunity to reduce processing times at the time of service.