PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Overall aggregate payments made to a hospice are subject to a computed
"cap amount" calculated by.
Answer: The Medicare Administrative Contractor (MAC) at the end of the
hospice cap period
◍ What organization issues the CISA certification?.
Answer: ISACA
◍ Which of the following is required for participation in Medicaid.
Answer: Meet Income and Assets Requirements
◍ In choosing a setting for patient financial discussions, organizations should
first and foremost.
Answer: Respect the patients privacy
◍ A nightly room charge will be incorrect if the patient's.
Answer: Transfer from ICU (intensive care unit) to the
Medical/Surgicalfloor is not reflected in the registration system
◍ The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can.
Answer: Purchase qualified health benefit plans regardless of insured'shealth
status
◍ What is the purpose of the CISA certification?.
Answer: To validate knowledge and skills in IT auditing, control, and
security
◍ How many domains are in the CISA exam?.
, Answer: Five
◍ What score is required to pass the CISA exam?.
Answer: 450 on a scale of 200-800
◍ List the five CISA domains..
Answer: Information Systems Auditing Process. Governance and
Management of IT. Information Systems Acquisition, Development, and
Implementation. Information Systems Operations and Business Resilience.
Protection of Information Assets
◍ A portion of the accounts receivable inventory which has NOT qualified for
billing includes:.
Answer: Charitable pledges
◍ What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare?.
Answer: Revenue codes
◍ This directive was developed to promote and ensure healthcare quality and
value and also to protect consumers and workers in the healthcare system.
This directive is called.
Answer: Patient bill of rights
◍ What is auditor independence?.
Answer: Being free from bias and undue influence
◍ What is the first step in an audit?.
Answer: Defining audit objectives
◍ 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.
Answer: Case management
◍ Which statement is an EMTALA (Emergency Medical Treatment and
Active Labor Act) violation?.
Answer: Registration staff may routinely contact managed are plans for
, prior authorizations before the patient is seen by the on-duty physician
◍ HIPAA had adopted Employer Identification Numbers (EIN) to be used in
standard transactions to identify the employer of an individual described in a
transaction EIN's areassigned by.
Answer: The Internal Revenue Service
◍ What determines the depth and breadth of an audit?.
Answer: Audit scope
◍ What is compliance testing?.
Answer: Evaluating the internal control system
◍ Checks received through mail, cash received through mail, and lock box are
all examples of.
Answer: Control points for cash posting
◍ What are some core elements if a board-approved financial assistance
policy?.
Answer: Eligibility, application process, and nonpayment collection
activities
◍ A recurring/series registration is characterized by.
Answer: The creation of one registration record for multiple days of service
◍ What is an operational audit?.
Answer: Evaluating efficiency and effectiveness of operations
◍ What is an integrated audit?.
Answer: Combines financial, operational, and IT audits
◍ With the advent of the Affordable Care Act Health Insurance Marketplaces
and the expansion of Medicaid in some states, it is more important than ever
for hospitals to.
Answer: Assist patients in understanding their insurance coverage and their
financial obligation
◍ The purpose of a financial report is to:.
Answer: Present financial information to decision makers