HSA 305 FINAL EXAM | QUIZ 4-8 QUESTIONS AND
ANSWERS | 2025/2026 UPDATE | WITH COMPLETE
SOLUTION!!
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. 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? Answer - case mix index
PPS cases with unusually high costs Answer - outlier
discharge of a patient from a hospital and readmission to another facility
Answer - transfer
medical conditions that arise during an inpatient hospitalization Answer -
complications
type and volume of patients treated by a healthcare organization Answer -
case-mix
, computer program using specific data elements to assign patients to MS-DRG
categories Answer - grouper
when comparing Medicare's IPPS and IPF PPS which of the following
statements is false Answer - both PPSs utilize a case rate reimbursement
methodology.
What is the rate year (RY) for IPPS Answer - October-September
in the IPPS what is the term for each hospitals unique standardized amount
based on its costs per medicare discharge Answer - base payment rate
the MS-DRG payment includes reimbursement for all of the following services
except 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 Answer - MS_DRG
additional payment is provided to facilities that teach students to become
physicians. the additional payment supports the teaching program Answer -
teaching hospital
additional payment is provided to a facility. this allows the facility to
adequately treat patients with pre-existing conditions Answer - comorbid
condition
studies showed that as the patient gets older their cost of healthcare in a
psychiatric facility increases Answer - age of patient
ANSWERS | 2025/2026 UPDATE | WITH COMPLETE
SOLUTION!!
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. 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? Answer - case mix index
PPS cases with unusually high costs Answer - outlier
discharge of a patient from a hospital and readmission to another facility
Answer - transfer
medical conditions that arise during an inpatient hospitalization Answer -
complications
type and volume of patients treated by a healthcare organization Answer -
case-mix
, computer program using specific data elements to assign patients to MS-DRG
categories Answer - grouper
when comparing Medicare's IPPS and IPF PPS which of the following
statements is false Answer - both PPSs utilize a case rate reimbursement
methodology.
What is the rate year (RY) for IPPS Answer - October-September
in the IPPS what is the term for each hospitals unique standardized amount
based on its costs per medicare discharge Answer - base payment rate
the MS-DRG payment includes reimbursement for all of the following services
except 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 Answer - MS_DRG
additional payment is provided to facilities that teach students to become
physicians. the additional payment supports the teaching program Answer -
teaching hospital
additional payment is provided to a facility. this allows the facility to
adequately treat patients with pre-existing conditions Answer - comorbid
condition
studies showed that as the patient gets older their cost of healthcare in a
psychiatric facility increases Answer - age of patient
