HSA 400 Midterm Chapters 1-11 Latest Update
2025-2026 Exam 100 Questions with 100%
Verified Correct Answers Guaranteed A+
____________ Asset values do not equal the amount of money that could be realized if
the assets were sold. - CORRECT ANSWER: -Cost of Valuation.
_______________ The primary financial criterion that should be used to evaluate &
target financial performance for voluntary not-for-profit health organizations. -
CORRECT ANSWER: -Return on Equity.
___________________ Can be different than the legal entity but is the entity which the
accounting it being completed. - CORRECT ANSWER: Accounting entity.
_____________________ In year 2000 the dollar is considered to be equal to the value
of the dollar in year 2009. - CORRECT ANSWER: -Stable Monetary Unit.
A __________________ has the right to appeal any decision about the beneficiary's
Medicare services regardless of the coverage plan. - CORRECT ANSWER: -Medicare
beneficiary.
A transaction must be able to be expressed & translated into monetary terms
_________________. - CORRECT ANSWER: -Money measurements.
An effective compliance plan should contain what items? - CORRECT ANSWER: -
Adoption of reasonable compliance standard of conduct & procedures.
-Appointment of a high-level compliance officer.
-Employee education & systemic compliance training.
-Development of effective lines of communication.
,-Consistent and continuous enforcement of compliance standards through well-
publicized disciplinary standards.
-Development of auditing & monitoring programs.
-Development of a mechanism for reporting detected violations agency.
Appreciate the consequences of failing to manage the finances of an HCO with regard
for the complex & ever changing array of laws & regulations that are unique to this
industry. - CORRECT ANSWER: -Develop a compliance plan that is well-written & helps
an organization's employees understand how laws & regulations relate to their jobs &
enables management to know that these legal requirements are being followed.
Appreciate the role of claims editing in the bill submission process. - CORRECT
ANSWER: -Both providers & payers use claims editing software to find errors in claims.
-Spelling errors, missing data & internal validity.
Be aware of the most important aspects of the patient protection & affordable care act of
2010 as it relates to financial management in the post-reform environment. Describe
how the ACA's three pillars- insurance reforms, care delivery system reforms, &
financial savings reforms-are changing the American healthcare system. - CORRECT
ANSWER: -Medicare-shared Savings Program (MSSP)
-National Pilot Program on Payment Bundling
-Payment adjustment for conditions acquired in hospitals.
-Hospital Re-addmissions Reduction Program (HRRP).
-Patient-Centered Medical Homes (PCMH).
Define a Health Maintenance Organization (HMO). - CORRECT ANSWER: -
Organizations that receive premium dollars from subscribers in exchange for a promise
to provide all healthcare required by that subscriber for a defined period.
-Staff model
-Group model
-IPA
, -Network model
Define basic methods of payment for healthcare firms. - CORRECT ANSWER: -
Historical cost.
-Bundled services.
-Billed services.
-Capitated services.
-Specific services.
Define the basic characteristics of Charge Masters. - CORRECT ANSWER: -Charge
code.
-Item description.
-Department number.
-Charge/price.
-Revenue code.
-CPT/HCPCS code.
Define the two major bill types used in healthcare firms. - CORRECT ANSWER: -DRGS
& APCs: both used by Medicare for hospital payment & also many commercial payers.
Describe factors that influence the financial viability of a healthcare organization. -
CORRECT ANSWER: -The HCO must receive dollar payments from the community in
an amount at least equal to the dollar amount it makes to its suppliers.
Describe Fraud & Abuse. ( One of the most common federal Regulatory Issues). -
CORRECT ANSWER: -Fraud: intentional acts of deception.
-Abuse: Involves improper acts that are inconsistent with standard practices & may
result in overpayment & over utilization.
2025-2026 Exam 100 Questions with 100%
Verified Correct Answers Guaranteed A+
____________ Asset values do not equal the amount of money that could be realized if
the assets were sold. - CORRECT ANSWER: -Cost of Valuation.
_______________ The primary financial criterion that should be used to evaluate &
target financial performance for voluntary not-for-profit health organizations. -
CORRECT ANSWER: -Return on Equity.
___________________ Can be different than the legal entity but is the entity which the
accounting it being completed. - CORRECT ANSWER: Accounting entity.
_____________________ In year 2000 the dollar is considered to be equal to the value
of the dollar in year 2009. - CORRECT ANSWER: -Stable Monetary Unit.
A __________________ has the right to appeal any decision about the beneficiary's
Medicare services regardless of the coverage plan. - CORRECT ANSWER: -Medicare
beneficiary.
A transaction must be able to be expressed & translated into monetary terms
_________________. - CORRECT ANSWER: -Money measurements.
An effective compliance plan should contain what items? - CORRECT ANSWER: -
Adoption of reasonable compliance standard of conduct & procedures.
-Appointment of a high-level compliance officer.
-Employee education & systemic compliance training.
-Development of effective lines of communication.
,-Consistent and continuous enforcement of compliance standards through well-
publicized disciplinary standards.
-Development of auditing & monitoring programs.
-Development of a mechanism for reporting detected violations agency.
Appreciate the consequences of failing to manage the finances of an HCO with regard
for the complex & ever changing array of laws & regulations that are unique to this
industry. - CORRECT ANSWER: -Develop a compliance plan that is well-written & helps
an organization's employees understand how laws & regulations relate to their jobs &
enables management to know that these legal requirements are being followed.
Appreciate the role of claims editing in the bill submission process. - CORRECT
ANSWER: -Both providers & payers use claims editing software to find errors in claims.
-Spelling errors, missing data & internal validity.
Be aware of the most important aspects of the patient protection & affordable care act of
2010 as it relates to financial management in the post-reform environment. Describe
how the ACA's three pillars- insurance reforms, care delivery system reforms, &
financial savings reforms-are changing the American healthcare system. - CORRECT
ANSWER: -Medicare-shared Savings Program (MSSP)
-National Pilot Program on Payment Bundling
-Payment adjustment for conditions acquired in hospitals.
-Hospital Re-addmissions Reduction Program (HRRP).
-Patient-Centered Medical Homes (PCMH).
Define a Health Maintenance Organization (HMO). - CORRECT ANSWER: -
Organizations that receive premium dollars from subscribers in exchange for a promise
to provide all healthcare required by that subscriber for a defined period.
-Staff model
-Group model
-IPA
, -Network model
Define basic methods of payment for healthcare firms. - CORRECT ANSWER: -
Historical cost.
-Bundled services.
-Billed services.
-Capitated services.
-Specific services.
Define the basic characteristics of Charge Masters. - CORRECT ANSWER: -Charge
code.
-Item description.
-Department number.
-Charge/price.
-Revenue code.
-CPT/HCPCS code.
Define the two major bill types used in healthcare firms. - CORRECT ANSWER: -DRGS
& APCs: both used by Medicare for hospital payment & also many commercial payers.
Describe factors that influence the financial viability of a healthcare organization. -
CORRECT ANSWER: -The HCO must receive dollar payments from the community in
an amount at least equal to the dollar amount it makes to its suppliers.
Describe Fraud & Abuse. ( One of the most common federal Regulatory Issues). -
CORRECT ANSWER: -Fraud: intentional acts of deception.
-Abuse: Involves improper acts that are inconsistent with standard practices & may
result in overpayment & over utilization.
