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HSA 528 Midterm Exam – Questions & Correct Solutions
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HSA 528 Midterm Exam – Questions & Correct Solutions
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HSA 528 Midterm Exam – Questions & CorrectSolutions
Culver County Hospital has the lowest cost of an hospital in its region.
However, it has continually reported very large operating losses and has
depended upon tax support for the county. Assuming that positive
operating margins are an objective of Culver County Hospital, the hospital
could be described as: Correct Ans - efficient but not effective
One use of financial information is to assess the efficiency of operations. In
that context, efficiency refers to: Correct Ans - the ratio of the
organization's outputs to its inputs.
The controller in a hospital is usually responsible for which of the following
activities (choose all that apply): Correct Ans - 1. collection of
accounts receivable
2. filing Medicare cost reports
3. developing budgets
T or F: governmental health care organizations are able to raise funds
through equity investments. Correct Ans - False
T or F: one of the advantages of a nonprofit organization compared with an
investor-owned company is that the investor-owned company is subject to
federal income taxes. Correct Ans - True
T or F: the earnings of a standard ("C") corporation can be subject to
double taxation. Correct Ans - True
What is the primary goal of a NFP healthcare organization? Correct Ans
- To serve the community through the provision of health care services.
T or F: both DRGs and APCs are assigned based upon data in the CMS-1500
form. Correct Ans - False
T or F: CMS developed the National Correct Coding Initiative (NCCI) to
promote national correct coding methodologies and to control improper
, coding that leads to inappropriate payment of Part B health insurance
claims. Correct Ans - True
T or F: claims editing is initiatied once the claim has been submitted to the
payer for payment. Correct Ans - False
T or F: data in the medical record is the primary source for documenting
the provision of services. Correct Ans - True
T or F: HIPAA requires that two categories of information be reported to
payers: diagnosis codes and procedure codes. Correct Ans - True
T or F: healthcare facilities use CPT coding in order to be reimbursed
inpatient procedures provided to patients. Correct Ans - False
T or F: lost charges resulting from improper documentation or poor coding
and billing practices do not have a major impact on the finances of
healthcare providers. Correct Ans - False
T or F: Medicare payment for hospital outpatient services is based on APCs
and each APC is related to one of more HCPCS/CPT code. Correct Ans -
True
T or F: Payers, as well as providers, often employ some type of claim-
editing software. Correct Ans - True
T or F: since most hospitals are NFP, they are not generally business
oriented. Correct Ans - False
T or F: a hospital that is caring for a Medicare patient on an inpatient basis
generally can increase its reimbursement by providing additional services.
Correct Ans - False
T or F: a hospital that is caring for a Medicare patient on an outpatient
basis generally can increase its reimbursement by providing additional
services. Correct Ans - True
T or F: all outpatient procedures have an assigned Ambulatory Payment
Classification (APC) code. Correct Ans - False
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