BAYCARE PAS EXAM UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Define Revenue Cycle - CORRECT ANSWER - The life of a patient account from
creation to payment.
Name three areas within the hospital involved in the revenue cycle - CORRECT
ANSWER - 1. Registration
2. Billing
3.Collections
True/False: Minors on medicaid are always their own guarantor? - CORRECT ANSWER -
False. Minors are their own subscriber
True/False: HDX response displays, "Inactive coverage for Medicaid." The registrar should ask
the patient, "Are you enrolled in Medically Needy/Share of cost program? - CORRECT
ANSWER - True
What do program codes tell you about a patients Medicaid coverage? - CORRECT
ANSWER - Limitations of coverage
Define: "Third-Party Liability" - CORRECT ANSWER - When another payer may be
responsible for a part of whole coverage of a bill.
What is the most important registration issue regarding compliance with EMTALA - CORRECT
ANSWER - Emergency Medical Treatment Active Labor Act
True/False: "Once triaged by the Emergency Department nurse, payment arrangements can be
made with the patient". - CORRECT ANSWER - False. Must be seen by PCP or Physician
Assistant first
, True/False: "It is appropriate for the hospitals Emergency Department to withhold providing
emergency medical treatment until obtaining prior authorization on only those patients whose
health plans or insurance companies require such authorization - CORRECT ANSWER -
False.
True/False: Assignment of a health care provider is an example of an advance directive? -
CORRECT ANSWER - False
Who can sign a consent on file? - CORRECT ANSWER - Patient or Power of Attorney
What organization evaluates and accredits hospitals? - CORRECT ANSWER - The Joint
Commission (TJC)
Name three issues that general consent forms cover - CORRECT ANSWER - 1.
Bloodwork
2. Lab Testing
3. Diagnostic Radiology
True/False: Providing information to the patient from the system is a HIPPAA violation and can
lead to termination. (ex- do you still live at 123 street) - CORRECT ANSWER - True. IT
IS A HIPPAA VIOLTATION
True/False: "The patient bill of rights guarantees basic rights that every patient should have when
accessing healthcare services" - CORRECT ANSWER - True.
What four organizations, statutes, or regulations affect our daily process in the healthcare
industry? - CORRECT ANSWER - EMTALA, HIPPAA, PPACA, TJC
Name three different types of insurance payers - CORRECT ANSWER - Government,
Managed Care, Commercial
ACTUAL Exam Questions and CORRECT
Answers
Define Revenue Cycle - CORRECT ANSWER - The life of a patient account from
creation to payment.
Name three areas within the hospital involved in the revenue cycle - CORRECT
ANSWER - 1. Registration
2. Billing
3.Collections
True/False: Minors on medicaid are always their own guarantor? - CORRECT ANSWER -
False. Minors are their own subscriber
True/False: HDX response displays, "Inactive coverage for Medicaid." The registrar should ask
the patient, "Are you enrolled in Medically Needy/Share of cost program? - CORRECT
ANSWER - True
What do program codes tell you about a patients Medicaid coverage? - CORRECT
ANSWER - Limitations of coverage
Define: "Third-Party Liability" - CORRECT ANSWER - When another payer may be
responsible for a part of whole coverage of a bill.
What is the most important registration issue regarding compliance with EMTALA - CORRECT
ANSWER - Emergency Medical Treatment Active Labor Act
True/False: "Once triaged by the Emergency Department nurse, payment arrangements can be
made with the patient". - CORRECT ANSWER - False. Must be seen by PCP or Physician
Assistant first
, True/False: "It is appropriate for the hospitals Emergency Department to withhold providing
emergency medical treatment until obtaining prior authorization on only those patients whose
health plans or insurance companies require such authorization - CORRECT ANSWER -
False.
True/False: Assignment of a health care provider is an example of an advance directive? -
CORRECT ANSWER - False
Who can sign a consent on file? - CORRECT ANSWER - Patient or Power of Attorney
What organization evaluates and accredits hospitals? - CORRECT ANSWER - The Joint
Commission (TJC)
Name three issues that general consent forms cover - CORRECT ANSWER - 1.
Bloodwork
2. Lab Testing
3. Diagnostic Radiology
True/False: Providing information to the patient from the system is a HIPPAA violation and can
lead to termination. (ex- do you still live at 123 street) - CORRECT ANSWER - True. IT
IS A HIPPAA VIOLTATION
True/False: "The patient bill of rights guarantees basic rights that every patient should have when
accessing healthcare services" - CORRECT ANSWER - True.
What four organizations, statutes, or regulations affect our daily process in the healthcare
industry? - CORRECT ANSWER - EMTALA, HIPPAA, PPACA, TJC
Name three different types of insurance payers - CORRECT ANSWER - Government,
Managed Care, Commercial
