State Of Michigan Nursing Home
Administrator Exam Questions And
Answers.
PATIENT TRUST FUNDS - correct answer.
1) Policy: - correct answer.Must have a policy.
May state that the facility will not handle monies in excess of $5,000.00.
The facility may charge a reasonable fee not to exceed the ACTUAL COST of providing
service.
2) Required Printed Information: - correct answer.This must be given resident upon
admission.
A statement that the facility will handle personnal funds if no other person is available.
Periodic statement of accounts (Minimum: Quarterly)
3) Procedure: American Institute of CPA - correct answer.Quarterly statements
including all activity, (A-H) in easily readable form.
Written account of all personal funds held in trust must be sent to the executor,
administrator, rep payee or next of kin within 10 DAYS OF THE DEATH OF A
PATIENT.
Account must be closed and balance sent to resident within 3 DAYS OF DISCHARGE.
Access to Funds - correct answer.
4) Financial records: - correct answer.not less than two (2) hours during normal
business hours.
5) Petty Cash: - correct answer.during all normal business hours.
Accounts - correct answer.
6) Funds: - correct answer.Cannot be CO-MINGLED with any other facility funds (Can
with Residents')
,7) Interest Bearing Accounts: - correct answer.May keep up to $200.00 in a non-
interest bearing account of petty cash fund.
Money in excess of $200.00 shall be deposited in an interest bearing account within 15
days of the date the $200.00 minimum is exceeded.
8) Designation For Patient Unable To Handle Own Funds: - correct answer.Facility
notifies the Family Independence Agency, Adult Protective Services in writing when a
mentally incompetent patient has no one to act on his behalf.
9) Sale Or Transfer of Ownership - correct answer.Written receipt from new owner
acknowledge receipt of the funds for safeguarding.
10) Surety Bond: - correct answer.Not LESS than $2,000.00 or 125% of the previous
year's patient trust funds average balance held, whichever is greater.
Michigan State Plan For Long Term Care - correct answer.
11) Department of Community Health (MDCH or DCH) - correct answer.DCH is
responsible for the Medicaid Program under contract to the federal agency named
Centers for Medicare and Medicaid Services (CMS).
MDCH also contracts with other departments and agencies to provide specific services.
12) Medical Services Administration (MSA) - correct answer.This agency, under
authority of MDCH writes policy, acts as fiscal intermediary, designs categorical
reimbursement programs, audits and authorizes facility-specific reimbursement rates.
13) Bureau of Health Systems: DCH - correct answer.has this bureau under its
department for oversight of the quality of care within nursing homes through the
certification process.
The actual certifying agency is CMS. This is accomplished through the surveys and
inspections.
14) Department of Community Health, Bureau of Construction Codes, Office of Fire
Safety. - correct answer.DCH contracts with Office of Fire Safety to conduct the Life
Safety Code portion of the survey.
15) Michigan Department of Human Services (DHS): - correct answer.DCH contacts
with DHS who determine an individuals Medicaid eligibility and "co-payment"
responsibility. DHS utilized the local offices for direct contract with applicants.
16) Bureau of Health Professions: DCH - correct answer.Has this bureau under its
department for oversight and licensing of Nursing Home Administrator (NHA)
, 17) Michigan Department Community Health - correct answer.This Department
contracts directly with the federal agency CMS and as such is designated responsibility
for Title XIX of the Social Security Act.
Currently this program is 56% federally funded and 44% state funded.
18) Medical Service Administration (MSA) - correct answer.itself handles two primary
aspects of the program POLICY AND REIMBURSEMENT.
Medicaid Policy - correct answer.
19) Providers must adhere to - correct answer.ALL POLICIES TO PARTICIPATE
20) Facility must be licensed - correct answer.MANDATORY
21) Certification of Facility - correct answer.VOLUNTARY
22) MDCH uses the - correct answer.Bureau of Health Systems to perform surveys for
this certification.
23) Delivery of Services (Fairness/Non-Discrimination Doctrine) - correct
answer.Services Reimbursed by MSA are listed in the Medicaid manual.
Facilities MUST render covered services to ALL ELIGIBLE recipients in the same
scope, quality, and manner as provided to the general public.
24) Compliance: - correct answer.Facility must render services in accordance with all
federal and state statutory and regulatory requirements.
25) Medicaid is Payor of : - correct answer.LAST RESORT
26) Medicaid Payment is: - correct answer.PAYMENT IN FULL (critical issue)
For covered services the facility must except the Medicaide reimbursement rate as
payment in full for each and every Medicaid recipient.
The facility may not seek additional payment from residents or families for covered
services.
27) For NON-COVERED SERVICES - correct answer.The facility may seek payment
from the recipient IF the resident chooses the service AND is informed of the charge
PRIOR to receiving the service.
Record Keeping - correct answer.
Administrator Exam Questions And
Answers.
PATIENT TRUST FUNDS - correct answer.
1) Policy: - correct answer.Must have a policy.
May state that the facility will not handle monies in excess of $5,000.00.
The facility may charge a reasonable fee not to exceed the ACTUAL COST of providing
service.
2) Required Printed Information: - correct answer.This must be given resident upon
admission.
A statement that the facility will handle personnal funds if no other person is available.
Periodic statement of accounts (Minimum: Quarterly)
3) Procedure: American Institute of CPA - correct answer.Quarterly statements
including all activity, (A-H) in easily readable form.
Written account of all personal funds held in trust must be sent to the executor,
administrator, rep payee or next of kin within 10 DAYS OF THE DEATH OF A
PATIENT.
Account must be closed and balance sent to resident within 3 DAYS OF DISCHARGE.
Access to Funds - correct answer.
4) Financial records: - correct answer.not less than two (2) hours during normal
business hours.
5) Petty Cash: - correct answer.during all normal business hours.
Accounts - correct answer.
6) Funds: - correct answer.Cannot be CO-MINGLED with any other facility funds (Can
with Residents')
,7) Interest Bearing Accounts: - correct answer.May keep up to $200.00 in a non-
interest bearing account of petty cash fund.
Money in excess of $200.00 shall be deposited in an interest bearing account within 15
days of the date the $200.00 minimum is exceeded.
8) Designation For Patient Unable To Handle Own Funds: - correct answer.Facility
notifies the Family Independence Agency, Adult Protective Services in writing when a
mentally incompetent patient has no one to act on his behalf.
9) Sale Or Transfer of Ownership - correct answer.Written receipt from new owner
acknowledge receipt of the funds for safeguarding.
10) Surety Bond: - correct answer.Not LESS than $2,000.00 or 125% of the previous
year's patient trust funds average balance held, whichever is greater.
Michigan State Plan For Long Term Care - correct answer.
11) Department of Community Health (MDCH or DCH) - correct answer.DCH is
responsible for the Medicaid Program under contract to the federal agency named
Centers for Medicare and Medicaid Services (CMS).
MDCH also contracts with other departments and agencies to provide specific services.
12) Medical Services Administration (MSA) - correct answer.This agency, under
authority of MDCH writes policy, acts as fiscal intermediary, designs categorical
reimbursement programs, audits and authorizes facility-specific reimbursement rates.
13) Bureau of Health Systems: DCH - correct answer.has this bureau under its
department for oversight of the quality of care within nursing homes through the
certification process.
The actual certifying agency is CMS. This is accomplished through the surveys and
inspections.
14) Department of Community Health, Bureau of Construction Codes, Office of Fire
Safety. - correct answer.DCH contracts with Office of Fire Safety to conduct the Life
Safety Code portion of the survey.
15) Michigan Department of Human Services (DHS): - correct answer.DCH contacts
with DHS who determine an individuals Medicaid eligibility and "co-payment"
responsibility. DHS utilized the local offices for direct contract with applicants.
16) Bureau of Health Professions: DCH - correct answer.Has this bureau under its
department for oversight and licensing of Nursing Home Administrator (NHA)
, 17) Michigan Department Community Health - correct answer.This Department
contracts directly with the federal agency CMS and as such is designated responsibility
for Title XIX of the Social Security Act.
Currently this program is 56% federally funded and 44% state funded.
18) Medical Service Administration (MSA) - correct answer.itself handles two primary
aspects of the program POLICY AND REIMBURSEMENT.
Medicaid Policy - correct answer.
19) Providers must adhere to - correct answer.ALL POLICIES TO PARTICIPATE
20) Facility must be licensed - correct answer.MANDATORY
21) Certification of Facility - correct answer.VOLUNTARY
22) MDCH uses the - correct answer.Bureau of Health Systems to perform surveys for
this certification.
23) Delivery of Services (Fairness/Non-Discrimination Doctrine) - correct
answer.Services Reimbursed by MSA are listed in the Medicaid manual.
Facilities MUST render covered services to ALL ELIGIBLE recipients in the same
scope, quality, and manner as provided to the general public.
24) Compliance: - correct answer.Facility must render services in accordance with all
federal and state statutory and regulatory requirements.
25) Medicaid is Payor of : - correct answer.LAST RESORT
26) Medicaid Payment is: - correct answer.PAYMENT IN FULL (critical issue)
For covered services the facility must except the Medicaide reimbursement rate as
payment in full for each and every Medicaid recipient.
The facility may not seek additional payment from residents or families for covered
services.
27) For NON-COVERED SERVICES - correct answer.The facility may seek payment
from the recipient IF the resident chooses the service AND is informed of the charge
PRIOR to receiving the service.
Record Keeping - correct answer.
