CHA Financial Management & Compliance 2

Question 1

Under the Medicare hospice benefit, Routine Home Care is paid at two rates. When does the lower RHC rate begin?

Accepted Answer

Day 61 of hospice care

Answer

Since 2016, RHC pays a higher rate for days 1-60 and a lower rate from day 61 onward.

Question 2

What is the inpatient day limitation for Medicare hospice providers?

Accepted Answer

Inpatient days (GIP + respite) may not exceed 20% of total patient care days

Answer

Total inpatient days (general inpatient plus respite) cannot exceed 20% of a hospice's total Medicare patient days in a cap year.

Question 3

The Service Intensity Add-on (SIA) payment applies to which visits?

Accepted Answer

RN and social worker visits during the last 7 days of life on RHC days

Answer

SIA pays an hourly rate (up to 4 hours/day) for RN and social worker visits in the final 7 days of life when the patient is on RHC.

Question 4

A hospice that fails to submit required Hospice Quality Reporting Program data faces what penalty, effective FY2024?

Accepted Answer

A 4 percentage point reduction to its annual payment update

Answer

The Consolidated Appropriations Act, 2021 raised the HQRP non-compliance penalty from 2 to 4 percentage points starting FY2024.

Question 5

Continuous Home Care is billable only when care is provided during a crisis for at least how many hours in a 24-hour day?

Accepted Answer

8 hours, more than half by nurses

Answer

CHC requires a minimum of 8 hours in a 24-hour day, with more than half provided by an RN or LPN.

CHA - Certified Hospice Administrator Practice Test