HSA 305 FINAL EXAM WITH ALL CORRECT & 100%
VERIFIED ANSWERS|LATEST VERSION|ALREADY
GRADED A+
which piece of legislation called for the first hospital inpatient prospective payment system? This
piece of legislation also allowed some hospital setting to retain their cost-based payment systems.
✔Correct Answer-tax equity and fiscal responsibility act (TEFRA)
what is the average of the sum of the relative weights of all patients treated during a specified time
period? ✔Correct Answer-case mix index
PPS cases with unusually high costs ✔Correct Answer-outlier
discharge of a patient from a hospital and readmission to another facility ✔Correct Answer-
transfer
medical conditions that arise during an inpatient hospitalization ✔Correct Answer-complications
type and volume of patients treated by a healthcare organization ✔Correct Answer-case-mix
computer program using specific data elements to assign patients to MS-DRG categories ✔Correct
Answer-grouper
when comparing Medicare's IPPS and IPF PPS which of the following statements is false ✔Correct
Answer-both PPSs utilize a case rate reimbursement methodology.
What is the rate year (RY) for IPPS ✔Correct Answer-October-September
in the IPPS what is the term for each hospitals unique standardized amount based on its costs per
medicare discharge ✔Correct Answer-base payment rate
the MS-DRG payment includes reimbursement for all of the following services except ✔Correct
Answer-physician services
not all psychiatric patients have the same condition, and some are more intense than others. this
adjustment provides additional payment for more intensive cases ✔Correct Answer-MS_DRG
additional payment is provided to facilities that teach students to become physicians. the additional
payment supports the teaching program ✔Correct Answer-teaching hospital
additional payment is provided to a facility. this allows the facility to adequately treat patients with
pre-existing conditions ✔Correct Answer-comorbid condition
studies showed that as the patient gets older their cost of healthcare in a psychiatric facility increases
✔Correct Answer-age of patient
accounts for how much it costs to employ workers in the area where the facility is located
✔Correct Answer-wage index
, additional payment the facility receives when a patient has this noninvasive procedure ✔Correct
Answer-electroconvulsive therapy
add-on payment for facilities that are located in a rural location because it costs more to treat
patients in these areas ✔Correct Answer-rural location
accounts for the cost of doing business in the area where the facility is located. examples include the
cost of property, supplies, utilities, and transportation ✔Correct Answer-cost of living
studies showed that the cost of care decreases each day a patient is in a psychiatric facility
✔Correct Answer-length of stay
------------------------------------------------------------------ ✔Correct Answer-
Scrubbers are used by hospitals to identify which of the following errors that can cause claims
rejections or denials? ✔Correct Answer-all of these are errors that can be identified by the
scrubber
in a typical acute care setting, charge entry is located in which revenue cycle area? ✔Correct
Answer-claims processing
in a typical acute-care setting, which revenue cycle area uses an internal auditing system (scrubber)
to ensure that error free claims (clean claims) are submitted to third-party payers? ✔Correct
Answer-claims processing
in a typical acute care setting, patient education of payment policies is located in which revenue cycle
area? ✔Correct Answer-pre-claims submission
manages the patient accounts owed to a facility ✔Correct Answer-accounts receivable
includes activities that occur before services arerendered ✔Correct Answer-pre-claims submission
Claims reconciliation and collection ✔Correct Answer-works to ensure that expected
reimbursement is collected from the payer and the patient
capture of billable services that are reported on the claim form ✔Correct Answer-claims
processing
logic within software that evaluates hospital outpatient claims data for inconsistencies and other
errors ✔Correct Answer-outpatient code editor
often monitored by 30 data increments ✔Correct Answer-accounts receivable
internal claim auditing system used to ensure that claims are complete and accurate before
submission to third party payers ✔Correct Answer-scrubber
uses the CDM to code repetitive or noncomplex services ✔Correct Answer-hard coding
hospital specific code used to identify an item or service ✔Correct Answer-charge code
VERIFIED ANSWERS|LATEST VERSION|ALREADY
GRADED A+
which piece of legislation called for the first hospital inpatient prospective payment system? This
piece of legislation also allowed some hospital setting to retain their cost-based payment systems.
✔Correct Answer-tax equity and fiscal responsibility act (TEFRA)
what is the average of the sum of the relative weights of all patients treated during a specified time
period? ✔Correct Answer-case mix index
PPS cases with unusually high costs ✔Correct Answer-outlier
discharge of a patient from a hospital and readmission to another facility ✔Correct Answer-
transfer
medical conditions that arise during an inpatient hospitalization ✔Correct Answer-complications
type and volume of patients treated by a healthcare organization ✔Correct Answer-case-mix
computer program using specific data elements to assign patients to MS-DRG categories ✔Correct
Answer-grouper
when comparing Medicare's IPPS and IPF PPS which of the following statements is false ✔Correct
Answer-both PPSs utilize a case rate reimbursement methodology.
What is the rate year (RY) for IPPS ✔Correct Answer-October-September
in the IPPS what is the term for each hospitals unique standardized amount based on its costs per
medicare discharge ✔Correct Answer-base payment rate
the MS-DRG payment includes reimbursement for all of the following services except ✔Correct
Answer-physician services
not all psychiatric patients have the same condition, and some are more intense than others. this
adjustment provides additional payment for more intensive cases ✔Correct Answer-MS_DRG
additional payment is provided to facilities that teach students to become physicians. the additional
payment supports the teaching program ✔Correct Answer-teaching hospital
additional payment is provided to a facility. this allows the facility to adequately treat patients with
pre-existing conditions ✔Correct Answer-comorbid condition
studies showed that as the patient gets older their cost of healthcare in a psychiatric facility increases
✔Correct Answer-age of patient
accounts for how much it costs to employ workers in the area where the facility is located
✔Correct Answer-wage index
, additional payment the facility receives when a patient has this noninvasive procedure ✔Correct
Answer-electroconvulsive therapy
add-on payment for facilities that are located in a rural location because it costs more to treat
patients in these areas ✔Correct Answer-rural location
accounts for the cost of doing business in the area where the facility is located. examples include the
cost of property, supplies, utilities, and transportation ✔Correct Answer-cost of living
studies showed that the cost of care decreases each day a patient is in a psychiatric facility
✔Correct Answer-length of stay
------------------------------------------------------------------ ✔Correct Answer-
Scrubbers are used by hospitals to identify which of the following errors that can cause claims
rejections or denials? ✔Correct Answer-all of these are errors that can be identified by the
scrubber
in a typical acute care setting, charge entry is located in which revenue cycle area? ✔Correct
Answer-claims processing
in a typical acute-care setting, which revenue cycle area uses an internal auditing system (scrubber)
to ensure that error free claims (clean claims) are submitted to third-party payers? ✔Correct
Answer-claims processing
in a typical acute care setting, patient education of payment policies is located in which revenue cycle
area? ✔Correct Answer-pre-claims submission
manages the patient accounts owed to a facility ✔Correct Answer-accounts receivable
includes activities that occur before services arerendered ✔Correct Answer-pre-claims submission
Claims reconciliation and collection ✔Correct Answer-works to ensure that expected
reimbursement is collected from the payer and the patient
capture of billable services that are reported on the claim form ✔Correct Answer-claims
processing
logic within software that evaluates hospital outpatient claims data for inconsistencies and other
errors ✔Correct Answer-outpatient code editor
often monitored by 30 data increments ✔Correct Answer-accounts receivable
internal claim auditing system used to ensure that claims are complete and accurate before
submission to third party payers ✔Correct Answer-scrubber
uses the CDM to code repetitive or noncomplex services ✔Correct Answer-hard coding
hospital specific code used to identify an item or service ✔Correct Answer-charge code
