HIMT Revenue Final UPDATED Exam Questions and CORRECT Answers
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HIMT Revenue
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HIMT Revenue
HIMT Revenue Final UPDATED Exam
Questions and CORRECT Answers
Which reimbursement methodology is used for the SNF PPS? - Correct Answer- Per diem
Skilled nursing facility services are covered under Medicare Part A. Under this benefit
Medicare beneficiaires are eligible for up to ____ days of ...
HIMT Revenue Final UPDATED Exam
Questions and CORRECT Answers
Which reimbursement methodology is used for the SNF PPS? - Correct Answer- Per diem
Skilled nursing facility services are covered under Medicare Part A. Under this benefit
Medicare beneficiaires are eligible for up to ____ days of SNF-covered services per benefit
period? - Correct Answer- 100
In Medicare's prospective payment system for skilled nursing facilities, what classification
model is used to adjust for case mix? - Correct Answer- PDPM
Which of the following PDPM components of care is not adjusted by characteristics of the
resident? - Correct Answer- Non-case-mix
Felix is a Medicare Resident in a SNF. He is recovering from a hip replacement and has a
function score of 7. What is PT case-mix index used in the per diem reimbursement
calculation? - Correct Answer- 1.70
Macy is a Medicare Resident in a SNF. Macy has lung cancer and has a function score of 13.
What is the OT case-mix group used in the per diem reimbursement calculation? - Correct
Answer- TK
Which of the following does not impact the CMG used in the SNF Services Payment
System? - Correct Answer- Number of therapy hours per week
The variable day adjustment policy is applied to which PDPM components? - Correct
Answer- PT/OT and NTA
Sal is a Medicare resident in a SNF. Sal has septicemia (serious medical condition I) and
depression. His function score is 6. What is the PDPM nursing CMG used in the per diem
reimbursement calculation? - Correct Answer- HBC2
, Renee is a Medicare resident in a SNF. Renee has pneumonia, which requires complex
medical care. Her function score is 16. What is the nursing case-mix index used in the per
diem reimbursement calculation? - Correct Answer- 0.94
Which PDPM component is adjusted by 18 percent to account for the additional resource
intensity required to treat residents living with HIV/AIDS? - Correct Answer- Nursing
Which of the following statements about SNF per diem payment is false? - Correct Answer-
There is only one per diem rate per resident stay.
Which answer displays the correct order of steps for per diem payment determination? -
Correct Answer- Choose base rate;
wage index adjust;
adjust for case mix;
adjust for day of stay;
sum the components
CMS withholds of SNF PPS payments to fund the Nursing Facility VBP Program? - Correct
Answer- 2 percent
What percent of the withhold is redistributed to high performing SNFs under the Nursing
Facility VBP Program? - Correct Answer- 60 percent
For the five PDPM components that are adjusted for resident characteristics, the CMG
assigned for the resident has an associated ______ that is a proxy for resource intensity. -
Correct Answer- Case-mix index
Which of the following reimbursement methodologies is not utilized in the Outpatient
Hospital Services Payment System? - Correct Answer- Percent of billed charges
Reimbursement for minor ancillary services associated with a significant procedure are
combined into a single payment for the procedure. This is the definition of: - Correct Answer-
Packaging
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