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Post-test Questions - Module I

1. Federal regulations require that each family planning project have a schedule of fees for the services provided. The flowing should be considered when setting the fee schedule.

   Charges must be based on a cost analysis of all services provided by the project
   Fees should be realistic and the cost of operation, yet be competitive to the local market
   A schedule of discounts is required for individuals with family incomes between 101% and 250% of the Federal poverty level
   All of the above

2. Why is developing cost-based fees considered good business?

   Provides information to help your program know the cost of providing services
   Assists agencies in negotiating rates with various rate payers
   Helps you know what it really costs to provide services
   All of the above

3. The minimal set of recommended cost center for family planning clinics includes medical, laboratory, and pharmacy.

   True
   False

4. There is only one right way to collect cost data and allocate costs to each functional cost center.

   True
   False

5. When doing a time study, each person who has worked during the reporting period should be allocated into only one functional cost center.

   True
   False

6. It is important to allocate staff based precisely on the functions they provide, not on job title.

   True
   False

7. The Nuva ring should be refrigerated at the clinic.
   True
   False

8. The acronym CPT stands for:

   Cost Per Treatment
   Current Procedure Terminology
   Codes for Patient Treatment
   None of the above

9. Wisconsin's Medicaid Family Planning Waiver does not require CPT coding of procedures when facilitating reimbursement to clinics.

   True
   False

10. A relative value is a number that relates one service to all other services based on the amount of:

    Time
    Materials
    Level of skill
    All of the above
    None of the above

11. Relative values indicate the monetary value of one procedure in relation to another procedure.

    True
    False

12. When completing Form One: Medical Cost Center, it is important to enter your current fees so you can evaluate whether your fees are appropriate in relationship to your costs.

    True
    False

13. On Form Two: Counseling Cost Center, you capture routine counseling provided to all patients as part of a comprehensive visit.

    True
    False

14. When completing Form Three: Laboratory Cost Center, the first step is entering the average cost of outside labs (purchase price).

    True
    False

15. When completing Form Three: Laboratory Cost Center, the first step is entering the average cost of outside labs (purchase price).

    True
    False

16. How often should your fee schedule be evaluated?

    Monthly
    Twice a year
    Annually
    Every five years

17. In general, discounted fees are based on family size and income and are directly related to the poverty level.

    True
    False

18. When comparing your fees to the Medicaid reimbursement rate, your fees must be equal to or lower than their rates.
    True
    False

19. Third party reimbursement is defined as: receiving payments from a source other than the patient.

    True
    False

20. Various insurers usually cover the same services and reimburse at the same rates.

    True
    False

21. There are several ways to improve your ability to bill a client. They include:

    “Set the stage” when the patient calls or walks in by discussing billing practices
    Ask “How do you intend to pay your bill?” like a private physician’s office would
    Get relevant billing and insurance information before the patient sees the provider
    All of the above

22. A “prompt pay” discount, which provides a time value to money, can be offered to:

    Anyone or any entity settling an account at the time of service
    Allow for the scale to go above 250% in family planning programs
    Both of the above
    None of the above

23. When CPT coding, you should identify all diagnoses, symptoms, conditions, problems, complaints, or reason for service or procedure, as well as including “probable”, “suspected”, “rule out”, or “questionable” diagnoses.

    True
    False

24. Accounts receivable (A/R) is defined as how much money you are owed when bill payment is pending.

    True
    False

25. Using a collection agency is encouraged by Title X.

    True
    False

 

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