Health Care Administration

Category: Objective Test
Type: Individual


60-minute test administered during the NLC.

Objective Test Competencies: Managing Office Procedures; Medical Terminology; Legal & Ethical Issues; Communication Skills; Managing Financial Functions; Health Insurance; Records Management; Infection Control; Medical History; Technology

Skills: Health care administrators manage the business side of health services, ensuring effective use of resources to ensure the best medical care to the community. These skills include managing office activities, enhancing communication skills, identifying legal and ethical issues in healthcare practices, managing financial functions, and enhancing employability skills.


Objective Test

Objective Test Guidelines

  • No materials may be brought to the testing site.
  • Electronic devices must be turned off and out of sight.
  • No calculators may be brought into the testing site; calculators will be provided.
  • Bring a writing instrument.

The general event guidelines below are applicable to all national competitive events. Please review and follow these guidelines when competing at the national level. When competing at the state level, check the state guidelines since they may differ.


  • Dues: Competitors must have paid FBLA national and state dues by 11:59 p.m. Eastern Time on April 1 of the current school year.
  • NLC Registration: Participants must be registered for the NLC and pay the national conference registration fee in order to participate in competitive events.
  • Deadlines: The state chair, or designee, must register each state competitor on the official online entry forms by 11:59 p.m. Eastern Time on the second Friday in May.
  • Each state may submit four (4) entries in all events except LifeSmarts, Virtual Business Finance Challenge, and Virtual Business Management Challenge.
  • Each competitor can only compete in one (1) individual/ team event and one (1) chapter event.
  • Each competitor must compete in all parts of an event for award eligibility.
  • A team shall consist of two or three members. Exceptions are Parliamentary Procedure which must be a team of four or five members, and LifeSmarts which must be a team of two members.
  • All members of a team must consist of individuals from the same chapter.

Repeat Competitors

Competitors are not permitted to compete in an event more than once at the national level unless one of the following circumstances applies:

  • Modified Events: A competitor may compete in the same event when the event is modified. Note, if the only modification is a name change, competitors may not compete in the renamed event.
  • Team Events: One (1) competitor of the team may have competed in the same event at one (1) previous NLC; however, they may not compete more than twice in the event at the national level.
  • Chapter Events: Competitors may compete in a chapter event more than once (American Enterprise Project, Community Service Project, and Partnership with Business Project).
  • Individual Entry: A competitor who competed as an individual entry in a team event at the national level may compete in the same event a second time as part of a team, but not a second time as an individual.
  • Parliamentary Procedure: Two (2) competitors of the team may have competed in this event at a previous NLC; however, they may not compete more than twice at the national level.
  • Pilot Event: Competition in a pilot event does not disqualify a competitor from competing in the same event if it becomes an official competitive event. The participant may compete in another event as well as a pilot event.

Breaking Ties

  • Objective Tests: Ties are broken by comparing the correct number of answers to the last 10 questions on the exam. If a tie remains, the competitor who completed the test in a shorter amount of time will place higher. If this does not break the tie, answers to the last 20 questions will be reviewed and determine the winner.
  • Objective and Production Tests: The production test scores will be used to break a tie.
  • Objective Tests and Performances: The objective test score will be used to break a tie based on the tie-breaking criteria of objective tests.
  • Reports/Projects and Performances: The report/project scores will be used to break a tie.
  • Performances: Judges must break ties and all judges’ decisions are final.

National Deadlines

  • State chair/adviser must register all competitors for NLC competitive events online by 11:59 p.m. Eastern Time on the second Friday in May.
  • All prejudged components (report PDFs, resume/letter of application PDFs, and project URLs) must be received by 11:59 p.m. Eastern Time on the second Friday in May.
  • All URLs and PDFs for prejudged projects and reports will be submitted by the state adviser via the competitive events registration form.
  • All production tests must be received at FBLA-PBL by 11:59 p.m. Eastern Time on the third Friday in May.
  • All production tests must be uploaded online.
  • State chair/adviser may make name changes only (no additional entries) by 11:59 p.m. Eastern Time on the first Friday in June. Competitor drops are the only changes allowed after this date and onsite.

National Awards

The number of competitors will determine the number of winners. The maximum number of winners for each competitive event is 10. Only one (1) award is given to the schools competing in chapter events (American Enterprise Project, Community Service Project, Local Chapter Annual Business Report, and Partnership with Business Project).

Additional Materials

Certain events may allow the use of additional materials. Please refer to event guidelines.

Americans with Disabilities Act (ADA)

FBLA‑PBL meets the criteria specified in the Americans with Disabilities Act for all participants who submit a special needs form.

Recording of Presentations

No unauthorized audio or video recording devices will be allowed in any competitive event. Participants in the performance events should be aware the national association reserves the right to record any performance for use in study or training materials.


General Competitive Events Tips
Event Tips
Sample Practice Materials

Format Guide

Website Resources
Managing Office Procedures
1. Determine commonly used documents that are composed in a medical office.
2. List procedures to maintain healthcare provider's schedule.
3. Demonstrate procedures to schedule patient appointments.
4. Identify procedures to register patient.
5. Identify the parts of a patient chart.
6. State rules to maintain patient confidentiality according to Health Insurance Portability and Accountability Act (HIPAA)regulations.
7. Identify procedures to sort and process mail.
8. Identify procedures for handling emergencies in medical office.
9. Prepare treatment rooms and exam tables.
10. Determine procedures to clean instruments, equipment, and work areas.
11. Determine maintenance requirements for supplies and equipment.
12. Identify procedures to maintain, stock, and inventory of supplies and equipment.
13. Identify unsafe conditions.
14. Coordinate meetings, events, and activities.
15. Select effective time management techniques.
16. Identify resources needed to complete a job assignment.
Medical Terminology
1. Define medical root words.
2. Define what specific suffixes mean in a medical terminology context.
3. Define what specific prefixes mean in a medical terminology context
4. Define common medical abbreviations.
5. Communicate information using medical terms.
6. Differentiate between medical various specialties.
7. Use anatomical terminology to describe body parts and functions.
Legal & Ethical Issues
1. State healthcare facility policies and procedures.
2. Identify National, State, and Local standards for workplace safety.
3. Determine laws governing healthcare professionals.
4. State the purpose of a patient's "Bill of Rights".
5. Explain laws and standards associated with employment and labor.
6. Explain the purpose of Material Data Safety Sheets (MSDS) used in a healthcare setting.
7. Explain laws associated with harassment.
8. Determine licensure and certification needed by healthcare professionals.
9. Identify standards of the Health Insurance Portability and Accountability Act (HIPAA).
10. Maintain patient confidentiality.
11. Identify threats to patient confidentiality.
12. Define expressed, implied and informed consent.
13. Identify practices and behaviors that result in malpractice, liability, and/or negligence.
14. Identify ethical issues related to healthcare.
15. Identify appropriate work habits and ethics.
Communication Skills
1. Describe the various forms of communication common to healthcare.
2. Discuss the role of letters, memos, and reports in the healthcare business.
3. Manage telephone communications and use appropriate techniques to gather and record information.
4. Describe and analyze the impact of cultural diversity on the communication process.
5. Employ appropriate communication strategies for dealing with dis-satisfied customers (e.g., face-to-face discussions, electronic correspondence and writing).
6. Identify techniques to respond to the emotional needs of patients and families (e.g. supportive listening.
7. Assist practitioner in management of communication activities.
8. Identify appropriate responses to difficult patient's behavior.
9. List purposeful activities for cognitive skills.
10. Analyze the need for effective communication with members of interdisciplinary teams.
Managing Financial Functions
1. Identify procedures for payment on accounts.
2. Identify procedures for and complete a balance sheet.
3. List procedures to bill patient.
4. Define procedures for processing past-due accounts.
5. Identify procedures for and make a bank deposit.
6. Identify procedures to open a new patient account.
7. Identify procedure for and reconcile a bank statement.
8. Process an accounts payable invoice.
9. Identify procedures to maintain a petty cash fund.
10. Identify common financial forms used in healthcare.
Health Insurance
1. List types of health insurance coverage (HMO, PPO, Medicare, etc.)
2. Identify procedure for obtaining insurance authorization for patient treatment or testing.
3. Identify commonly used insurance forms and statements.
4. List commonly used International Classification of Diseases (ICD-9) codes for billing purposes and insurance claims.
5. Identify procedure for processing referrals.
6. Prepare a billing statement.
7. Interpret an explanation of benefits (EOB's) form.
8. Identify procedures for submitting insurance.
Records Management
1. Identify components of the medical record
2. Determine procedures to code medical records.
3. Identify procedures for filing medical records manually or electronically.
4. Identify the phases of the record life cycle.
5. List medical record charge-out procedures.
6. Manage electronic file storage through the use of file and disk management techniques.
Infection Control
1. List procedures for aseptic hand washing.
2. Identify infection control techniques to prevent transmission of infectious disease.
3. Describe OSHA and CDC standards for infection control.
4. Identify procedures to dispose of bio-hazardous materials.
5. Detail proper technique for handling clean and soiled linens and clothing.
6. Identify standard precautions used in healthcare (i.e. gown, mask, gloves, cap, and protective eyewear.)
7. Detail procedures to clean, sterilize, and prepare instruments and supplies.
8. List factors that promote and inhibit growth of microorganisms.
9. Identify ways the body protects against microorganisms and infection.
Medical History
1. Identify common elements of a patient’s medical history.
2. List procedures to record and report vital signs.
3. Interpret readings on various metering devices.
4. List patient responses during testing or treatment.
5. Record/file patient's data or lab test results manually and electronically.
6. Answer inquiries concerning patients from medical staff using correct medical terminology.
7. Carry out plan of care/orders.
8. Identify charting techniques.
9. Identify and use the correct chart forms
1. Define basic computer terminology.
2. Identify software and its common applications to the healthcare industry.
3. Explain the purpose, operation, and care of hardware components.
4. Identify tools, diagnostic procedures and troubleshooting techniques for components and operating systems for personal computers, laptops and portable devices.
5. Apply basic commands and navigate the operating systems.
6. Input data and commands using peripherals (e.g. keyboard, touchscreen, scanner, and voice recognition.)
7. Identify key words used to search and navigate the Internet using a search engine.
8. Identify the different parts of a browser window (pull-down menus, toolbar, address box, status bar, scroll bar, close button, maximize and minimize buttons and title bar).
9. Analyze emerging technologies used by the healthcare industry.
10. Identify tools and diagnostic procedures to troubleshoot printers and scanners.
11. Identify and use appropriate resources to obtain assistance (e.g., Help menu, manuals, Web site)


NBEA Standards
  • Management
Career Clusters
  • Business Management & Administration
  • Finance
  • Government & Public Administration
  • Human Services
  • Information Techology
  • Law & Public Safety


States may submit up to 4 entries.
Competitors must be registered for NLC and pay registration fee.
Competitors must pay dues by 11:59 p.m. Eastern on April 1.


Test: 1 hour