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And Answers Most Recent Edition 2024.
__________ costs are influenced by volume and can change each month based on changes in volume. A. Direct B. Variable C. Fixed D. Indirect - ansB. Variable __________ goes hand in hand with planning because this too looks at future trends based on historical data. A. Cost control B. Spending C. Reimbursement D. Forecasting - ansD. Forecasting __________ is a managed care benefit for the elderly and features a comprehensive medical and social service delivery system using an interdisciplinary team approach. A. HMO B. TANF C. PACE D. CHIP - ansC. PACE __________ is a type of organization that provides healthcare services through a contractual arrangement between a hospital or hospitals and a physician or multiple physicians. A. PHO
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B. IDS
C. IPO
D. none of these are correct - ansA. PHO __________ is also known as Medicare Advantage. It is an alternative to the traditional Medicare plan for beneficiaries to choose from instead of Medicare Part A or Part B. A. Medicare Part D B. Medicare Part C C. Medigap D. both A and C E. none of these are correct - ansB. Medicare Part C __________ is an amount due to an outside vendor for the purchase of supplies, equipment, or services. A. Asset B. Accounts receivable C. Notes payable D. Accounts payable - ansD. Accounts payable __________ is taking the value of an asset and spreading out its cost over a period of time that is consistent with the accounting practices of the company. A. A write-off B. The expected life C. A mortgage
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A healthcare facility will realize most of its revenue from clinical activities that surround patient care in the form of A. cost control. B. planning. C. reimbursement. D. forecasting. - ansC. reimbursement. A prescription formulary, as part of prescription management, generally is not used as a cost control measure to manage a patient's prescriptions. - ansFalse A typical reason for a budget variance can be A. an increase in contract labor. B. a lack of funds for a budgeted expense. C. a decrease in payroll. D. all of these are correct - ansD. all of these are correct A(n) __________ is a voluntary health plan that will provide healthcare services to its members in return for a monthly premium for their membership. A. HMO B. PPO C. POS D. EPO E. IDS - ansA. HMO
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ABNs given to a patient or authorized representative who is __________ cannot be considered to be a proper notice. A. under great duress B. in a calm situation C. both A and B D. none of these are correct - ansA. under great duress According to CMS, in order for a patient to be eligible for home health services under both Medicare Part A and Part B, the physician needs to attest that the patient in fact needs home care and is confined to his or her home. - ansTrue According to GAAP, the two categories of accounting principles are recognition and A. disclosure. B. preparation. C. auditing. D. budgeting. - ansA. disclosure. An appeal letter should be formatted in all the following ways EXCEPT A. spell out all dates. B. use a small font size no larger than 10 points. C. use bullet-points. D. spell out procedure codes. - ansB. use a small font size no larger than 10 points.
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D. Social Security E. none of these are correct - ansD. Social Security Deposits in a bank may be guaranteed by the federal government; however, __________ can lose their value. A. stocks B. bonds C. other types of securities D. all of these are correct E. none of these are correct - ansD. all of these are correct Equipment is considered to be a __________ and because some equipment has a low price, it is up to the individual organization as to how it records the equipment. A. short-term liability B. long-term liability C. short-term asset D. long-term asset - ansD. long-term asset Examples of nonoperating revenue are investment income and the money generated from the gift shop that is run by the volunteer organization in the hospital - ansTrue For a Medicare beneficiary who is on hospice, written certification must include three items EXCEPT A. a statement that the individual's medical prognosis is a life expectancy of 6 months or less.
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B. specific clinical findings or other documentation supporting the life expectancy of 6 months or less. C. signatures of the physician(s) and the date signed along with benefit period dates. D. all of these are correct E. none of these are correct - ansD. all of these are correct In __________, an organization provides a service to a customer who agrees to pay for the services after they are completed. A. accounts payable B. accounts receivable C. inventory D. none of these are correct - ansB. accounts receivable In a(n) __________ the HMO will directly employ the physicians and various other healthcare professionals to provide healthcare services to its members. A. Group Model HMO B. Staff Model C. Network Model HMO D. Integrated Delivery System E. Exclusive Provider Organizations - ansB. Staff Model In contract management, if a plan or provider underestimates the utilization for the population they are serving, the outcome will be a negative one in that the utilization will be higher than projected and the plan or provider loses money. - ansTrue In the Forbes article, which of these is not a present application discussed about virtual reality?
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Medicare covers beneficiaries who are __________ and have elected to pay a premium for coverage. A. entitled to Social Security B. entitled to Railroad Retirement disability C. most persons who have ESRD D. both A and C E. all of these are correct - ansE. all of these are correct Medicare Part A is financed through separate payroll contributions paid for by employees, employers, and self-employed persons, and then the proceeds are deposited to an account called the Federal Hospital Insurance Trust Fund. - ansTrue Medicare Part B is financed by monthly premiums from those beneficiaries that voluntarily enroll in the program. The funds generated by the collection of premiums are deposited in a separate account known as the Federal Supplementary Medical Trust Fund. - ansTrue Medicare will make payments for services that are furnished to alien beneficiaries who are not lawfully present in the United States on the date the services were rendered. - ansFalse Name one barrier to utilizing virtual reality in a more wide spread setting? - ans1. Cost 2. resistance 3. public support One way to make sure all expenses and revenues are allocated to the correct department is the use of general ledger accounts; each department in the organization will have its own department codes that will identify its expenses and revenue to its department. - ansTrue People with Amyotrophic Lateral Sclerosis (ALS) were given eligibility for Medicare without having to wait for the customary 24-month waiting period. - ansTrue
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Prospective payment does not allow the third-party payers, including Medicare and Medicaid, to reduce costs in comparison to the former fee-for-service environment. - ansFalse Public Health programs like the 4 A's help to stop the spread of what communicable disease? a. Meningitis b. Hepatitis C c. MRSA d. Syphilis - ansb. Hepatitis C Revenue categories are operating and nonoperating revenue. An example of operating revenue is patient services revenue. - ansTrue The __________ is intended to demonstrate how much money a company is making or losing by subtracting all of the costs of production of goods that have been sold during the period and other expenses of running the company from the revenues generated by sales. A. cost control B. statement of cash flows C. balance sheet D. income statement - ansD. income statement The __________ method allocates costs associated with overhead costs that will be distributed to some overhead departments that provide services to each other. A. direct method B. step-down allocation C. double distribution
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The Affordable Care Act established __________ that limit enrollment to Continuing Care Retirement Communities residents who are receiving health-related services under an agreement that is in place for a specified period or the life of the enrollee. A. Senior Housing Facility Plans B. Medicare Medical Savings Accounts C. Private Fee-for-Service Plans D. Employer Group Health Plans - ansA. Senior Housing Facility Plans The case manager helps the patient to identify appropriate out-of-network providers that fit the patient's needs and to ensure the continuum of care for the patient is uninterrupted by having to change providers. - ansFalse -- you want them to be in-network The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a comprehensive healthcare program where the Veterans Affairs (VA) shares the cost of care for covered services and supplies. - ansTrue The Federal Accounting Standards Advisory Board's mission is to serve the __________ interest by improving federal financial reporting through issuing federal financial accounting standards. A. private citizen's B. federal government's C. public's D. American business's - ansC. public's The federal/state entitlement program that came out of the Title XIX of the Social Security Act that pays for medical assistance for individuals with low income is called Medicaid. It became law in 1965, and it is funded only by the individual state governments. - ansFalse -- also funded by the federal government
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The group model HMO enters into an agreement with a physician group that is a multispecialty group that can provide medical services to the plan members. The group may provide services to other plan types that are not an HMO and they may agree to devote a specific percentage of the practice to serving the members of the managed care. - ansTrue The overall success of the __________ Department is based on the accuracy of the charge description master and the accuracy of the clinical staff who are recording the transactions in the patients' accounts. A. Patient Accounts B. Clinical Services C. Health Information Management D. Administration - ansA. Patient Accounts The PCP does not control patients' access, guide patients through the services that they may need, or monitor that they are managing costs based on the plan guideline and network providers.
- ansFalse The SEC accomplishes effective oversight through its ability to enforce the laws through civil enforcement actions against corporations and individuals that violate these laws - ansTrue The structure of a __________ can change with regards to adding consultants, independent contractors, or employees. A. sole proprietorship B. partnership C. corporation D. all of these are correct - ansC. corporation
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a. The beneficiary has given written permission to the supplier to make contact by telephone b. The contact is regarding a covered item that the supplier has already furnished the beneficiary c. The supplier has furnished at least one covered item to the beneficiary during the preceding 15 months d. All of the above - ansd. All of the above Which of these was not a benefit to having freelance physicians in a facility: a. Lower malpractice insurance b. Higher continuity of care c. More skilled physicians in more remote areas d. Ability to fill staffing shortages quicker - ansb. Higher continuity of care
