CHSA CHSA Healthcare Finance & Revenue Cycle 2

Question 1

In healthcare budgeting, a 'zero-based budget' requires department managers to:

Accepted Answer

Justify every expense from a baseline of zero each budget cycle

Answer

Zero-based budgeting requires managers to justify all expenditures anew each period rather than simply adjusting last year's figures.

Question 2

Which type of healthcare budget forecasts the expected revenues and expenses related to patient care services?

Accepted Answer

Operating budget

Answer

The operating budget covers day-to-day revenues (patient services, ancillary income) and expenses (salaries, supplies, utilities) for a defined period.

Question 3

The term 'capitation' in managed care refers to a payment model where providers receive:

Accepted Answer

A fixed per-member per-month (PMPM) payment regardless of services used

Answer

Under capitation, the provider accepts financial risk by receiving a fixed monthly amount per enrolled member, whether or not that member receives services.

Question 4

A healthcare administrator reviewing a payer's Explanation of Benefits (EOB) would use it primarily to:

Accepted Answer

Understand how a claim was processed and identify any adjustments or denials

Answer

The EOB details the claim amount billed, amount allowed, adjustments made, and patient responsibility, guiding any appeals or patient billing.

Question 5

Which federal program provides health coverage to low-income individuals and is jointly funded by federal and state governments?

Accepted Answer

Medicaid

Answer

Medicaid is a joint federal-state program that covers low-income adults, children, pregnant women, elderly, and people with disabilities.

CHSA - Certified Health Service Administrator Practice Test

CHSA - Certified Health Service Administrator Practice Test

CHSA CHSA Healthcare Finance & Revenue Cycle 2