CNA Financial Management & Budgeting 3 — Questions and Answers
Question 1: Which Medicare part primarily covers skilled nursing facility (SNF) care after a qualifying hospital stay?
- Medicare Part A (Correct answer)
- Medicare Part B
- Medicare Part C
- Medicare Part D
Correct answer: Medicare Part A
Medicare Part A covers inpatient hospital stays and up to 100 days of skilled nursing facility care following a qualifying 3-day hospital stay.
Question 2: A resident's family disputes a charge on the monthly billing statement. To whom should the CNA direct this concern?
- The facility's billing or business office (Correct answer)
- The state health department
- The attending physician
- Another CNA supervisor
Correct answer: The facility's billing or business office
Billing disputes should be directed to the facility's billing or business office, which handles financial records and account reconciliation.
Question 3: What is the purpose of a resident trust fund account maintained by a nursing facility?
- To safeguard resident funds for personal use (Correct answer)
- To pay for the facility's operational costs
- To cover unpaid medical bills
- To fund the resident's life insurance policy
Correct answer: To safeguard resident funds for personal use
A resident trust fund account holds and manages the resident's personal money for day-to-day expenses while keeping it separate from facility funds.
Question 4: How often must a nursing facility provide a resident with a statement of their personal trust fund account activity?
- Quarterly (Correct answer)
- Monthly
- Annually
- Only upon discharge
Correct answer: Quarterly
Federal regulations require nursing facilities to provide residents with a quarterly statement of their personal trust fund account activity.
Question 5: A resident on Medicaid wants to purchase a television for their room. Where would this personal expense typically be paid from?
- The resident's Personal Needs Allowance (Correct answer)
- The Medicaid benefit
- The facility's discretionary fund
- Medicare Part B
Correct answer: The resident's Personal Needs Allowance
Personal items like a television are paid from the resident's Personal Needs Allowance, the small monthly stipend Medicaid allows residents to keep.
Question 6: Which of the following is an example of financial abuse of a nursing home resident?
- A staff member forging a resident's signature on a check (Correct answer)
- A resident paying their monthly room and board bill
- A family member visiting and bringing gifts
- A resident donating to a charity of their choice
Correct answer: A staff member forging a resident's signature on a check
Forging a resident's signature on any financial document is financial abuse and a criminal act.
Question 7: When a Medicaid resident dies, the facility must return the resident's trust fund balance within how many days?
- 30 days (Correct answer)
- 60 days
- 90 days
- 7 days
Correct answer: 30 days
Federal law requires nursing facilities to return a deceased Medicaid resident's trust fund balance to the estate or appropriate party within 30 days.
CNA Financial Management & Budgeting 3
Which Medicare part primarily covers skilled nursing facility (SNF) care after a qualifying hospital stay?