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,Quiz: 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 patient
balances after insurance payment.
B. Pursue extraordinary collection activities with all patients eligible for financial assistance.
C. Implement a financial assistance program for uninsured and underinsured patients.
D. Discount all charges to self-pay patients to an amount generally billed to all other
patients.
Ans: A. Complete a community needs assessment and develop a discount program for
patient balances after insurance payment
Quiz: 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.
Ans: B. Charges remain one of the few consistent indicators available to monitor resource
use
Quiz: 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.
Ans: D. Encourage new ACOs to form in rural and underserved areas
Quiz: 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:
,A. Have a patient financial responsibilities kit ready for the patient, containing all of the
required registration forms and instructions.
B. Make sure that the attending staff can answer questions and assist in obtaining required
patient financial data.
C. Support that choice, providing that the discussion does not interfere with patient care or
disrupt patient flow.
D. Decline such request as finance discussions can disrupt patient care and patient flow.
Ans: C. Support that choice, providing that the discussion does not interfere with patient
care or disrupt patient flow
Quiz: Activities completed when the scheduled, pre-registered patient arrives for
service includes:
A. Verifying insurance, activating the record and directing the patient to the service area.
B. Scanning the driver's license or other phot identification and directing the patient to the
financial counselor.
C. Activating the record, obtaining signatures and finalizing financial issues.
D. Registering the patient and directing the patient to the service area.
Ans: C. Activating the record, obtaining signatures and
Quiz: The activity which results in the accurate recording of patient bed and level of
care assessment, patient transfer and patient discharge status on a real-time basis is known
as:
A. Utilization review
B. Case Management
C. Census Management
D. Patient through-put
Ans: A. Utilization review
or
, B. Case Management
Quiz: 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.
D. The opportunity to reduce corporate compliance failures within the registration process.
Ans: C. The opportunity to reduce processing times at the time of service.
Quiz: The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can:
A. Obtain price estimates for medical services
B. Negotiate the price of medical services with providers
C. Purchase qualified health benefit plans regardless of insured's health status
D. Meet federal mandates for insurance coverage and obtain the corresponding tax
deduction
Ans: C. Purchase qualified health benefit plans regardless of insured's health status.
Quiz: All of the following are conditions that disqualify a procedure or service from
being paid for by Medicare EXCEPT:
A. Offered in an outpatient setting
B. Medically unnecessary
C. Not delivered in a Medicare licensed care setting.
D. Services and procedures that are custodial in nature
Ans: C. Not delivered in a Medicare licensed care setting
Quiz: All of the following are reference resources used to help guide in the application
for business ethics EXCEPT: