EXAM 2025 | 157 QUESTIONS WITH VERIFIED ACCURATE SOLUTIONS
1. A patient receives an ABN before a scheduled procedure. How
should the patient interpret this notice, and what actions might they
consider taking?
The procedure is guaranteed to be covered by Medicare, and no
further action is needed.
The patient should seek clarification on the potential costs and
consider alternative options if they are concerned about
expenses.
The patient must pay the full amount upfront without any
questions.
The notice indicates that the procedure will not be performed
under any circumstances.
2. What does the acronym ACS stand for in the context of
healthcare services?
Ambulatory Care Services
Advanced Care
Systems Acute Care
Solutions
Allied Care Services
,3. If a health plan collects $1,000,000 in premiums and spends $150,000
on administrative costs, what is the Administrative Load Ratio, and
what does this indicate about the plan's financial management?
15% - indicating efficient management of administrative costs
10% - suggesting excessive spending on administration
20% - showing a balanced approach to administrative
expenses 25% - reflecting poor financial management
,4. What is the formula used to calculate the Accounts Receivable
(A/R) collections period?
Accounts Receivable Turnover divided by Number of Days
Number of Days divided by Accounts Receivable
Turnover Accounts Receivable Turnover multiplied by
Number of Days Accounts Receivable divided by Total
Revenue
5. If a healthcare provider implements an all-inclusive rate for a
rehabilitation program, how might this affect patient care and service
delivery?
Patients may receive more comprehensive care as all necessary
services are included in one rate.
Patients will likely experience longer wait times as services
are billed separately.
Healthcare providers may reduce the number of services offered
to stay within the all-inclusive rate.
Patients will have to pay additional fees for any services not
covered by the all-inclusive rate.
6. What is the definition of 'acuity' in the context of healthcare?
A measure of patient satisfaction with healthcare services
A measurement of the severity of an illness or the resources
required to treat an illness or injury
A classification of healthcare providers based on their
, specialties A financial term related to healthcare billing
processes
7. Explain how accrual accounting differs from cash accounting in
terms of revenue and expense recognition.
Accrual accounting recognizes revenue and expenses based
on cash flow.
, Accrual accounting recognizes revenue when earned and
expenses when incurred, while cash accounting recognizes them
when cash is exchanged.
Accrual accounting does not recognize any revenue or
expenses. Accrual accounting is only applicable to non-profit
organizations.
8. Explain the significance of accounts receivable in healthcare
financial management.
It represents the total revenue generated from patient services.
It indicates the amount owed to the healthcare provider by
patients and insurers.
It reflects the administrative costs incurred by the healthcare
facility. It measures the quality of care provided to patients.
9. If a healthcare facility has an ADSC of $500 and serves an average
of 30 patients per day, what would be the expected daily revenue
from patient services?
$15,000
$10,000
$12,500