Healthcare Reimbursement Study Guide
Ch. 8 ACTUAL QUESTIONS AND
CORRECT ANSWERS
Under the SNF PPS, which one of these healthcare services are excluded in the
consolidated payment? - CORRECT ANSWERS Radiation Therapy
Which classification system is used to case-mix adjust the SNF payment rate? -
CORRECT ANSWERS Resource Utilization Groups (RUG)
In the SNF PPS, which data set determines a resident's classification into a
resource utilization group? - CORRECT ANSWERS Minimum Data Set
The therapist in the skilled nursing facility is treating multiple patients who are
each performing different therapies. How does CMS classify this mode of
delivery? - CORRECT ANSWERS Concurrent
In the PAC payment systems, which tool does CMS use to adjust its payment
rates to account for geographic variations in costs? - CORRECT ANSWERS
Market Basket
In which of the PAC payment systems is the unit of payment the 60-day episode
of care? - CORRECT ANSWERS Home Health Agency
CMS analysts divide SNF admissions into upper and lower categories. What
category requires the resident's admission to be justified on an individual basis?
- CORRECT ANSWERS Reduced Physical Function
Generally, what is the average length of stay of long-term care hospitals? -
CORRECT ANSWERS 25 Days or more
Ch. 8 ACTUAL QUESTIONS AND
CORRECT ANSWERS
Under the SNF PPS, which one of these healthcare services are excluded in the
consolidated payment? - CORRECT ANSWERS Radiation Therapy
Which classification system is used to case-mix adjust the SNF payment rate? -
CORRECT ANSWERS Resource Utilization Groups (RUG)
In the SNF PPS, which data set determines a resident's classification into a
resource utilization group? - CORRECT ANSWERS Minimum Data Set
The therapist in the skilled nursing facility is treating multiple patients who are
each performing different therapies. How does CMS classify this mode of
delivery? - CORRECT ANSWERS Concurrent
In the PAC payment systems, which tool does CMS use to adjust its payment
rates to account for geographic variations in costs? - CORRECT ANSWERS
Market Basket
In which of the PAC payment systems is the unit of payment the 60-day episode
of care? - CORRECT ANSWERS Home Health Agency
CMS analysts divide SNF admissions into upper and lower categories. What
category requires the resident's admission to be justified on an individual basis?
- CORRECT ANSWERS Reduced Physical Function
Generally, what is the average length of stay of long-term care hospitals? -
CORRECT ANSWERS 25 Days or more
