GUIDE, PRACTICE QUESTIONS AND
ANSWERS
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Updated 2026 Questions and Answers
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,In what type of payment Case rates
methodology is a lump sum or
bundled payment negotiated
between the payer and some or all
providers?
What customer service Holding staff accountable for customer service
improvements might improve the during performance reviews
patient accounts department?
What is an ABN (Advance Inform a Medicare beneficiary that Medicare
Beneficiary Notice of Non- may not pay for the order or service
coverage) required to do?
What type of account adjustment Bad debt adjustment
results from the patient's
unwillingness to pay for a self-pay
balance?
What is the initial hospice benefit? Two 90-day periods and an unlimited number of
subsequent periods
When does a hospital add If the patient requires ambulance transportation
ambulance charges to the to a skilled nursing facility
Medicare inpatient claim?
, How should a provider resolve a Post a late-charge adjustment to the account
late-charge credit posted after an
account is billed?
an increase in the dollars aged They are not being processed in a timely manner
greater than 90 days from date of
service indicate what about
accounts
What is an advantage of a It reduces processing times at the time of
preregistration program? service
What are the two statutory Medically unnecessary services and custodial
exclusions from hospice coverage? care
What core financial activities are Scheduling, insurance verification, discharge
resolved within patient access? processing, and payment of point-of-service
receipts
What statement applies to the The services do not involve an overnight stay
scheduled outpatient?
How is a mis-posted contractual Comparing the contract reimbursement rates
allowance resolved? with the contract on the admittance advice to
identify the correct amount