CHA CHA Regulatory and Legal Framework 2

Question 1

Which Medicare hospice election period allows unlimited recertification as long as the patient continues to meet eligibility criteria?

Accepted Answer

Subsequent 60-day benefit periods

Answer

After the initial and second 90-day periods, patients may receive hospice in subsequent 60-day benefit periods with physician recertification, with no cap on the number of periods.

Question 2

The Stark Law (Physician Self-Referral Law) prohibits physicians from referring Medicare patients to a hospice in which the physician has a financial relationship unless:

Accepted Answer

A specific statutory or regulatory exception applies

Answer

The Stark Law bans self-referrals to entities with which the physician has a financial relationship unless a statutory or regulatory exception applies.

Question 3

Which document must be signed by the patient or representative when electing the Medicare Hospice Benefit, acknowledging the patient understands the scope of the benefit?

Accepted Answer

Election statement

Answer

The election statement is the required form that the patient or representative signs to formally elect the Medicare Hospice Benefit and acknowledge its scope.

Question 4

State hospice licensure requirements are typically administered by which state agency?

Accepted Answer

State Department of Health

Answer

Most states delegate hospice licensure authority to the Department of Health, which issues and renews operating licenses and may conduct state surveys.

Question 5

Under CMS hospice regulations, which level of care must a hospice provide when a patient's pain or symptoms cannot be managed at home and require short-term inpatient nursing care?

Accepted Answer

General inpatient care

Answer

General inpatient care (GIP) is required when pain or symptom management cannot be achieved in the home setting and requires inpatient nursing care.

CHA - Certified Hospice Administrator Practice Test

CHA - Certified Hospice Administrator Practice Test

CHA CHA Regulatory and Legal Framework 2