HITT 2335- TEST 2 Healthcare Reimbursement and Insurance Systems:
Medicare & Medicaid Programs, IPPS IPF PPS LTCH PPS IRF PPS SNF
PPS HH PPS Payment Models, DRG APC HHRG RUG CMG Case-Mix
Index Calculations, Managed Care HMO PPO ACO Models, CHAMPVA
TRICARE CHIP Coverage Eligibility, Medical Documentation Standards
EMR EHR SOAP Charting Compliance, Coding Systems ICD-10-CM CPT
HCPCS Accuracy, Revenue Cycle Management Processes, CMS Federal
Register Guidelines, Prospective vs Retrospective Payment
Methodologies, Clinical Data Tools OASIS MDS IRF-PAI CARE Dataset
Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026
The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is
available for:
A) Veterans of the armed forces
B) Spouse or widow(er) of a veteran meeting specific criteria
C) Children of a veteran meeting specific criteria
D) Any spouse, widow(er), or children of a veteran
E) B and C
E) B and C
,Which of the following is/are true of CHIP?
A) It is a federal/state program
B)It is a state/local program
C)It varies from state to state
D) A and C are true
E) B and C are true
D) A and C are true
Medicare Part C is a ____ option know as Medicare Advantage.
A) Managed care
B) Fee for service
C) Self-insured
D) Free
A) Managed care
All of the following are true of state Medicaid programs EXCEPT:
A) Federal funds allocated to each state are based on the average income per person for that
state
B) The program must cover infants born to Medicaid-eligible pregnant women
C) State may offer a managed care option
, D) Services offered to beneficiaries are the same in each state
D) Services offered to beneficiaries are the same in each state
The key to substantiating procedure and diagnostic code selections for proper reimbursement
is:
A) The information on the daysheet
B) Supporting documentation in the medical record
C) The data on the patient's information sheet
D) The data checked off on the patient's encounter form
B) Supporting documentation in the medical record
An electronic medical report is a:
A) Permanent legal document
B) Progress note
C) Part of the health record
D) Both A and C
D) Both A & c
an advantage of electronic medical record is:
A) Increased confidentiality and security
Medicare & Medicaid Programs, IPPS IPF PPS LTCH PPS IRF PPS SNF
PPS HH PPS Payment Models, DRG APC HHRG RUG CMG Case-Mix
Index Calculations, Managed Care HMO PPO ACO Models, CHAMPVA
TRICARE CHIP Coverage Eligibility, Medical Documentation Standards
EMR EHR SOAP Charting Compliance, Coding Systems ICD-10-CM CPT
HCPCS Accuracy, Revenue Cycle Management Processes, CMS Federal
Register Guidelines, Prospective vs Retrospective Payment
Methodologies, Clinical Data Tools OASIS MDS IRF-PAI CARE Dataset
Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026
The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is
available for:
A) Veterans of the armed forces
B) Spouse or widow(er) of a veteran meeting specific criteria
C) Children of a veteran meeting specific criteria
D) Any spouse, widow(er), or children of a veteran
E) B and C
E) B and C
,Which of the following is/are true of CHIP?
A) It is a federal/state program
B)It is a state/local program
C)It varies from state to state
D) A and C are true
E) B and C are true
D) A and C are true
Medicare Part C is a ____ option know as Medicare Advantage.
A) Managed care
B) Fee for service
C) Self-insured
D) Free
A) Managed care
All of the following are true of state Medicaid programs EXCEPT:
A) Federal funds allocated to each state are based on the average income per person for that
state
B) The program must cover infants born to Medicaid-eligible pregnant women
C) State may offer a managed care option
, D) Services offered to beneficiaries are the same in each state
D) Services offered to beneficiaries are the same in each state
The key to substantiating procedure and diagnostic code selections for proper reimbursement
is:
A) The information on the daysheet
B) Supporting documentation in the medical record
C) The data on the patient's information sheet
D) The data checked off on the patient's encounter form
B) Supporting documentation in the medical record
An electronic medical report is a:
A) Permanent legal document
B) Progress note
C) Part of the health record
D) Both A and C
D) Both A & c
an advantage of electronic medical record is:
A) Increased confidentiality and security
