1. Overall aggregate payments made to a hospice are subject to a computed
"cap amount" calculated by ✔✔✔ The Medicare Administrative Contractor
... [Show More]
(MAC) at the end of the hospice cap period
2. Which of the following is required for participation in Medicaid ✔✔✔
Meet In-come and Assets Requirements
3. In choosing a setting for patient financial discussions, organizations
should first and foremost ✔✔✔ Respect the patients privacy
4. A nightly room charge will be incorrect if the patient's ✔✔✔ Tr✔✔✔fer
from ICU(intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
5. The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can ✔✔✔ Purchase
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qualified health benefit pl✔✔✔ regardless of insured's
health status
6. A portion of the accounts receivable inventory which has NOT qualified for
billing includes ✔✔✔ Charitable pledges
7. What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare? ✔✔✔ Revenue codes
8. 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 ✔✔✔ Patient bill of rights
9. The activity which results in the accurate recording of patient bed and
level of care assessment, patient tr✔✔✔fer and patient discharge status on
areal-time basis is known as ✔✔✔ Case management
10. Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation? ✔✔✔ Registration staff may routinely contact
managed arepl✔✔✔ for prior authorizations before the patient is seen by the onduty physician
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11. HIPAA had adopted Employer Identification Numbers (EIN) to be used in
standard tr✔✔✔actions to identify the employer of an individual described
ina tr✔✔✔action EIN's are
assigned by ✔✔✔ The Internal Revenue Service
12. Checks received through mail, cash received through mail, and lock box
are all examples of ✔✔✔ Control points for cash posting
13. What are some core elements if a board-approved financial assistance
policy? ✔✔✔ Eligibility, application process, and nonpayment collection
activities
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14. A recurring/series registration is characterized by ✔✔✔ The creation
of oneregistration record for multiple days of service
15. With the advent of the Affordable Care Act Health Insurance Marketplaces
and the exp✔✔✔ion of Medicaid in some states, it is more important than
everfor hospitals to ✔✔✔ Assist patients in understanding their insurance
coverage and their financial obligation
16. The purpose of a financial report is to ✔✔✔ Present financial
information todecision makers
17. Patient financial communications best practices produce communications that are ✔✔✔ Consistent, clear and tr✔✔✔parent
18. Medicare has established guidelines called the Local Coverage Determinations (LCD) and National Coverage Determinations (NCD) that establish
✔✔✔ -What services or healthcare items are covered under Medicare
19. Any provider that has filed a timely cost report may appeal an adverse
final decision received from the Medicare Administrative Contractor (MAC).
This appeal may be filed with ✔✔✔ The Provider Reimbursement Review
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Board
20. Concurrent review and discharge planning ✔✔✔ Occurs during service
21. Duplicate payments occur ✔✔✔ When providers re-bill claims based on
nonpay-ment from the initial bill submission
22. An individual enrolled in Medicare who is dissatisfied with the government's claim determination is entitled to reconsideration of the decision.This
type of appeal is known as ✔✔✔ A beneficiary appeal
23. Insurance verification results in which of the following ✔✔✔ The
accurateidentification of the patient's eligibility and benefits
24. The Medicare fee-for service appeal process for both beneficiaries and
providers includes all of the following levels EXCEPT ✔✔✔ Judicial review
by afederal district court
25. Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the providermay not ask about a patient's insurance information if it
would delay what? ✔✔✔ Medical screening and stabilizing treatment
26. Ambulance services are billed directly to the health plan for ✔✔✔
Services provided before a patient is admitted and for ambulance rides arranged
to pick up the patient from the hospital after discharge to take him/her home or to
another facility [Show Less]