PN HESI EXIT FINAL EXAM SCRIPT 2026
QUESTIONS AND ANSWERS VERIFIED
● 1) Policy: 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: 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 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 Answer:
● 4) Financial records: Answer: not less than two (2) hours during
normal business hours.
● 5) Petty Cash: Answer: during all normal business hours.
● Accounts Answer:
● 6) Funds: Answer: Cannot be CO-MINGLED with any other facility
funds (Can with Residents')
● 7) Interest Bearing Accounts: 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: 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 Answer: Written receipt from new
owner acknowledge receipt of the funds for safeguarding.
● 10) Surety Bond: 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 Answer:
● 11) Department of Community Health (MDCH or DCH) 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) 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 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. 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): 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 Answer: Has this bureau
under its department for oversight and licensing of Nursing Home
Administrator (NHA)
● 17) Michigan Department Community Health 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.
QUESTIONS AND ANSWERS VERIFIED
● 1) Policy: 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: 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 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 Answer:
● 4) Financial records: Answer: not less than two (2) hours during
normal business hours.
● 5) Petty Cash: Answer: during all normal business hours.
● Accounts Answer:
● 6) Funds: Answer: Cannot be CO-MINGLED with any other facility
funds (Can with Residents')
● 7) Interest Bearing Accounts: 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: 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 Answer: Written receipt from new
owner acknowledge receipt of the funds for safeguarding.
● 10) Surety Bond: 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 Answer:
● 11) Department of Community Health (MDCH or DCH) 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) 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 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. 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): 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 Answer: Has this bureau
under its department for oversight and licensing of Nursing Home
Administrator (NHA)
● 17) Michigan Department Community Health 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.
