CHSA CHSA Healthcare Finance & Reimbursement

Question 1

Under Medicare's Inpatient Prospective Payment System (IPPS), what is the primary basis for determining hospital reimbursement?

Accepted Answer

Diagnosis-Related Groups (DRGs)

Answer

Actual cost of services provided

Answer

Number of hospital days used

Answer

Number of procedures performed

Question 2

Which financial statement shows a healthcare organization's revenues, expenses, and net income over a specific time period?

Accepted Answer

Statement of Operations (Income Statement)

Answer

Balance Sheet

Answer

Cash Flow Statement

Answer

Statement of Changes in Net Assets

Question 3

A hospital's net patient revenue is calculated by taking gross charges and subtracting what?

Accepted Answer

Contractual adjustments, bad debt, and charity care

Answer

Operating expenses

Answer

Capital depreciation costs

Answer

Administrative overhead allocations

Question 4

What does Case Mix Index (CMI) measure in hospital financial management?

Accepted Answer

The average relative weight of all DRGs for a hospital's Medicare patients

Answer

The percentage of patients covered by different payer types

Answer

The ratio of inpatient to outpatient revenue

Answer

The hospital's market share in its service area

Question 5

Under the Stark Law (Physician Self-Referral Law), what is prohibited without meeting a specific exception?

Accepted Answer

Physicians referring Medicare/Medicaid patients to entities where they have a financial relationship

Answer

Physicians billing Medicare for services provided in their own office

Answer

Physicians accepting gifts from pharmaceutical representatives

Answer

Physicians contracting with multiple insurance payers simultaneously

Question 6

What is the primary purpose of a healthcare organization's days cash on hand metric?

Accepted Answer

Indicating how many days the organization can operate using only its available cash

Answer

Measuring how quickly the organization collects payments from payers

Answer

Tracking the average number of days accounts receivable remain unpaid

Answer

Measuring the ratio of current assets to current liabilities