Question: Overall aggregate payments made to a hospice are subject to a computed “cap amount” calculated by

Answer: The Medicare Administrative Contractor (MAC) at the end of the hospice cap period

Question: Which of the following is required for participation in Medicaid

Answer: Meet Income and Assets Requirements

Question: In choosing a setting for patient financial discussions, organizations should first and foremost

Answer: Respect the patients privacy

Question: A nightly room charge will be incorrect if the patient’s

Answer: Transfer from ICU (intensive care unit) to the Medical/Surgical

floor is not reflected in the registration system

Question: The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small businesses can

Answer: Purchase qualified health benefit plans regardless of insured’s

health status

Question: A portion of the accounts receivable inventory which has NOT qualified for billing includes:

Answer: Charitable pledges

Question: What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare?

Answer: Revenue codes

Question: 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

Answer: Patient bill of rights

Question: The activity which results in the accurate recording of patient bed and level of care assessment, patient transfer and patient discharge status on a real-time basis is known as

Answer: Case management

Question: Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation?

Answer: Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by the on-duty physician