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CHFP KEY TERMS & CONCEPTS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED $9.99   Add to cart

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CHFP KEY TERMS & CONCEPTS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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CHFP KEY TERMS & CONCEPTS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Medicare Cost Report Annual report that institutional providers participating in the Medicare program must submit to their Medicare administrative contractor. For providers paid prospectively, the cost report ...

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  • November 7, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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CHFP KEY TERMS & CONCEPTS EXAM QUESTIONS AND

ANSWERS WITH COMPLETE SOLUTIONS VERIFIED


Medicare Cost Report

Annual report that institutional providers participating in the Medicare program must

submit to their Medicare administrative contractor. For providers paid prospectively, the

cost report determines reimbursement for certain add on payments but does not affect

the overall payment rate. For providers paid retrospectively, the cost report determines

the payment rate. CMS uses cost report data to update DRG and APC weights and

determine market basket updates.

Medicare trust fund

A portion of FICA taxes that pays for Medicare part a and part B. Unless Medicare is

reformed or payroll taxes are increased, the trust fund is expected to be depleted within

the next 10 years.

Value-based purchasing

Links provider payments to improved performance.

Patient protection and affordable care act

PPACA 1) reformed HealthCare 2) expanded Medicaid and 3) accelerated healthcare

delivery system

Medical loss ratio

The percentage of premium revenue spent on medical expenses. >80%

Individual mandate

, Requirement that individuals get health insurance or pay a tax penalty to the federal

government.

Employer mandate

A legal requirement for employers to help pay for their employees' health insurance.

Double entry system

A system that records the two-sided effect of each transaction in appropriate accounts

Accounting equation

Assets = Liabilities + Owner's Equity

The matching principle

Revenues earned in a given. Must be matched with the corresponding expenses

incurred in earning that revenue

Accrual

Records an asset for a service rendered but for which payment has not been collected

for a matching cost incurred but not yet paid.

Cash basis accounting

Revenue equal cash receipts and expenses equal cash disbursements

Income statement or statement of activities

Summarizes revenues expenses and income for an organization over a specified period

of time. Ties to the balance sheet through net assets.



Net assets plus net income equal net assets at the end of the period.

Balance sheet or statement of financial position

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