Medicare Part A
The maximum number of midnights a resident can be out of the building and still be considered an interrupted stay?
What is two
This federal law protects patient health information and sets privacy standards.
What is HIPAA
Your remaining income after allowable deductions becomes what?
What is share of cost?
What form do we use if we are missing a required document?
What is missing documentation form
CAPLICO is a core values of Ensign. What does the Acronym stand for.
What is
C - Customer Second
A - Accountability
P - Passion for Learning
L - Love one another
I - Intelligent risk taking
C - Celebration
O - Ownership
If a Medicare Advantage resident is admitted to a facility with an open hospice period in the same month of admission, who do we bill
Who is Medicare A
This agency oversees Medicare and Medicaid compliance for skilled nursing facilities.
What is CMS
When do you change a resident to Medicaid pending status?
After the application has been submitted
True or false - All balances must be written off at the same time if a resident is discahrged?
What is True
The number of states Ensign have facilities in?
What is 17.
Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington, and Wisconsin
Number of wellness days required before a Medicare beneficiary regenerates a new 100 days?
What is 60
This type of audit reviews medical records and billing to ensure claims are accurate and compliant.
What is a RAC (Recovery Audit Contractor) audit
What is the asset limit for married couples as of 2026
What is $195,000
What date is used when running the transaction log for a private pay refund?
What is date of admission
What year was Ensign founded
What is 1999
What happens when an ABN is NOT delivered?
If a beneficiary does not get written notice when required, they may not be financially liable if Medicare denies payment, and the provider or supplier may be financially liable
No one person handles all accounting functions.
The same associate can only do one of the following:
1.prepare the deposit/take the deposit to the bank 2.Post cash batches
What is segregation of duties?
How do you submit the Medicaid application?
Online, in person or via mail
Where do you locate refund and write-off checklists and QRC?
What is the Ensign portal
Who is the President of California?
Who is Adam Willits
The SNF believes covered skilled care is no longer medically necessary, and the beneficiary disagrees
What is a demand bill
Ensigns Chief Compliance Officer
Who is Debbie Miller?
Medi-Cal is the name of this Federal program in CA.
What is Medicaid?
GL Code used to post refunds in PCC?
What is GL 000-2025
The number of facilities Ensign owns in CA
What is 395 - 360 SNF's and 35 ALF's