Quality Improvement Flashcards
7 cards from real HSA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Improvement flashcards as text
A QI review finds members using the last-month rule did not understand the testing period. What education should be added?
Answer: They must stay HSA-eligible through the following 12-month testing period or owe income tax plus a 10% additional tax
Members who fail the 12-month testing period include the excess contributions in income and owe an extra 10% tax.
Which data source would a trustee mainly use to reconcile reported contributions against IRS reporting?
Answer: Form 5498-SA
Trustees report HSA contributions on Form 5498-SA, so it is the main reconciliation record.
An HSA team sees reimbursement errors spike every January. Which tool best shows this time-based pattern?
Answer: Run chart
A run chart plots data over time, which shows seasonal patterns like January spikes.
A member's non-qualified distribution was coded as qualified due to a system error. What is the quality impact for a member under 65?
Answer: The member may underreport income and miss the 20% additional tax
Non-qualified distributions before 65 are taxable and subject to a 20% additional tax, so miscoding can lead to inaccurate member filings.
Which approach best keeps frontline HSA staff engaged in continuous improvement?
Answer: Regular improvement huddles where staff suggest and test changes
Kaizen-style huddles give frontline staff ownership of small, ongoing improvements.
An administrator wants to confirm that a new contribution-limit alert really lowered excess contributions. What is the strongest evaluation design?
Answer: Compare excess-contribution rates before and after, or against a control group without the alert
Comparing outcomes against a baseline or control group isolates the alert's real effect on excess contributions.
An audit finds members making prior-year contributions after April 15. Which control fixes this?
Answer: Block prior-year contribution designations after the tax filing deadline (without extensions)
Prior-year HSA contributions have to be made by the unextended tax filing deadline, usually April 15.
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Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- credly.com — Exam format, passing score · verified Oct 2026
- ecfc.org — Eligibility, fees, renewal, test dates, score validity, test delivery, retake fee, time limit · verified Oct 2026