NAB BOOK Questions

Question 1

Which of the following statements is not true regarding the MEDICARE PPS for Skilled Nursing Facilities?
1-Facilities located in different urban areas receive different rates that reflect differences in area wage rates?
2-The System is CASE MIX based
3-Facilities must submit bills to be reimbursed
4-There are separate prospective rates for capital-related costs.

Answer 1

p.144 NAB Book
4-There are separate prospective rates for capital related costs.

• **The RUG RATE that the facility receives is expected to cover all expenses.
• ** Medicaid bases costs on a PER DIEM RATE (COST PER RESIDENT PER DAY) Some states will impose ceilings of allowable costs, and even further will impose ceilings of costs by categories: Direct Care / Support / Administrative / Capital costs. – all based on the Per Diem Rate.

Question 2

Completion of the Medicare cost report requires carrying out all except which one of the following tasks?
1-Cost Finding
2-Apportioning the costs for caring for Medicare residents from the for caring for non-Medicare residents
3-aging of accounts receivables
4-determination of allowable costs.

Answer 2

3-Aging of accounts receivables