HSA Quality Improvement 4

Question 1

A QI review finds members who enrolled in Medicare at 66 kept contributing to their HSA. What risk does this create?

Accepted Answer

Excess contributions, since Medicare Part A can be retroactive up to 6 months

Answer

Retroactive Part A coverage of up to 6 months can make contributions in that window ineligible, so members should stop contributing about 6 months before enrolling.

Question 2

Which metric best captures member experience in an HSA call center improvement project?

Accepted Answer

First-contact resolution rate

Answer

First-contact resolution measures whether members get their issues resolved without having to call again.

Question 3

An employer contributes to HSAs outside a cafeteria plan, and an audit finds unequal contributions among comparable employees. What penalty could the employer face?

Accepted Answer

A 35% excise tax on aggregate employer HSA contributions

Answer

Failing the comparability rules for HSA contributions made outside a cafeteria plan triggers a 35% excise tax on the employer's total contributions.

Question 4

During the 'Act' phase of PDCA, a successful pilot of electronic receipt uploads should be:

Accepted Answer

Standardized and rolled out across all accounts

Answer

'Act' standardizes a successful change, or adjusts it and runs the cycle again.

Question 5

A process map shows HSA rollover requests passing through four approval handoffs that add no value. Which Lean waste is this?

Accepted Answer

Overprocessing/unnecessary motion

Answer

Extra approval steps that add no value to the member are overprocessing waste in Lean.

HSA - Health Savings Account Certification Practice Test

HSA - Health Savings Account Certification Practice Test

HSA Quality Improvement 4