Answers
Overall aggregate payments made to a hospice are
subject to a computed "cap amount" calculated by
✔✔✔ The Medicare Administrative
Contractor (MAC) at the end of the hospice
cap period
,1. Which of the following is required for participation in Medicaid ✔✔✔
Meet In- come and Assets Requirements
2. In choosing a setting for patient financial discussions, organizations
should first and foremost ✔✔✔ Respect the patients privacy
3. 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
4. The Affordable Care Act legislated the development of Health Insurance
Exchanges, where individuals and small businesses can ✔✔✔ Purchase
qualified health benefit pl✔✔✔ regardless of insured's health status
5. A portion of the accounts receivable inventory which has NOT qualified
for billing includes ✔✔✔ Charitable pledges
6. What is required for the UB-04/837-I, used by Rural Health Clinics to
generate payment from Medicare? ✔✔✔ Revenue codes
,7. 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
8. The activity which results in the accurate recording of patient bed and
level of care assessment, patient tr✔✔✔fer and patient discharge status
on a real-time basis is known as ✔✔✔ Case management
9. Which statement is an EMTALA (Emergency Medical Treatment and Ac-
tive Labor Act) violation? ✔✔✔ Registration staff may routinely contact
managed are pl✔✔✔ for prior authorizations before the patient is seen by the
onduty physician
10. HIPAA had adopted Employer Identification Numbers (EIN) to be used
in standard tr✔✔✔actions to identify the employer of an individual
described in a tr✔✔✔action EIN's are
, assigned by ✔✔✔ The Internal Revenue Service
11. Checks received through mail, cash received through mail, and lock
box are all examples of ✔✔✔ Control points for cash posting
12. What are some core elements if a board-approved financial assistance
policy? ✔✔✔ Eligibility, application process, and nonpayment collection
activities