HFMA - CERTIFIED REVENUE CYCLE
REPRESENTATIVE EXAM
QUESTIONS AND ANSWERS
Learning 8b4rwObjective 8b4rw1/2: 8b4rwDiscuss 8b4rwthe 8b4rwcomponents 8b4rwof 8b4rwthe
8b4rw3 8b4rwHFMA 8b4rwrevenue 8b4rwcycle 8b4rwinitiatives 8b4rwcollectively 8b4rwcalled
8b4rwHealthcare 8b4rwDollars 8b4rw& 8b4rwSense. 8b4rw- 8b4rwANSWERS--n/a
Learning 8b4rwObjective 8b4rw2/2: 8b4rwSummarize 8b4rwthe 8b4rwbest 8b4rwpractices 8b4rwfor
8b4rweach 8b4rwof 8b4rwthe 8b4rw3 8b4rwHealthcare 8b4rwDollars 8b4rw& 8b4rwSense
8b4rwInitiatives. 8b4rw- 8b4rwANSWERS--n/a
Healthcare 8b4rwDollars 8b4rw& 8b4rwSense 8b4rwis 8b4rwthe 8b4rwname 8b4rwgiven 8b4rwto
8b4rwwhat 8b4rw3 8b4rwHFMA 8b4rwrevenue 8b4rwcycle 8b4rwinitiatives? 8b4rw- 8b4rwANSWERS-
-- 8b4rwPatient 8b4rwfinancial 8b4rwcommunications 8b4rwbest 8b4rwpractices
- 8b4rwBest 8b4rwpractices 8b4rwfor 8b4rwprice 8b4rwtransparency
- 8b4rwMedical 8b4rwaccount 8b4rwresolution
What 8b4rwquestion 8b4rwdoes 8b4rwHealthcare 8b4rwDollars 8b4rw& 8b4rwSense 8b4rwanswer
8b4rwfor 8b4rwpatients 8b4rwand 8b4rwconsumers? 8b4rw- 8b4rwANSWERS--to 8b4rwhelp
8b4rwmake 8b4rwsense 8b4rwof 8b4rwprice 8b4rwand 8b4rwvalue 8b4rwin 8b4rwhealthcare.
What 8b4rware 8b4rwthe 8b4rw3 8b4rwcomponents/best 8b4rwpractices 8b4rwof 8b4rwHealthcare
8b4rwDollars 8b4rw& 8b4rwSense 8b4rw- 8b4rwANSWERS--Price 8b4rwTransparency,
8b4rwPatient 8b4rwFinancial 8b4rwCommunications, 8b4rwand 8b4rwMedical 8b4rwAccount
8b4rwResolution.
What 8b4rwis 8b4rwthe 8b4rwEmergency 8b4rwMedical 8b4rwTreatment 8b4rwand 8b4rwActive
8b4rwLabor 8b4rwAct 8b4rw(EMTALA)? 8b4rw- 8b4rwANSWERS--requires 8b4rwER
8b4rwdepartments 8b4rwto 8b4rwprovide 8b4rwa 8b4rwmedical 8b4rwscreening 8b4rwexamination
8b4rwto 8b4rwany 8b4rwindividual 8b4rwwho 8b4rwcomes 8b4rwinto 8b4rwthe 8b4rwER
8b4rwdepartment 8b4rwand 8b4rwrequests 8b4rwan 8b4rwexamination/treatment; 8b4rwprohibits
8b4rwER 8b4rwdepartments 8b4rwfrom 8b4rwrefusing 8b4rwto 8b4rwexamine 8b4rwor 8b4rwtreat
8b4rwindividuals 8b4rwwith 8b4rwan 8b4rwemergency 8b4rwcondition.
In 8b4rwan 8b4rwED, 8b4rwwhen 8b4rwshould 8b4rwyou 8b4rwengage 8b4rwin 8b4rwfinancial
8b4rwdiscussions 8b4rwwith 8b4rwpatients? 8b4rw- 8b4rwANSWERS--During 8b4rwthe
8b4rwdischarge 8b4rwprocess
In 8b4rwan 8b4rwED, 8b4rwif 8b4rwa 8b4rwpatient 8b4rwdoes 8b4rwnot 8b4rwhave 8b4rwa 8b4rwmedical
8b4rwcondition, 8b4rwwhen 8b4rwshould 8b4rwyou 8b4rwdiscuss 8b4rwthe 8b4rwfinancial
8b4rwdiscussion? 8b4rw- 8b4rwANSWERS--After 8b4rwthe 8b4rwmedical 8b4rwscreening,
8b4rwand 8b4rweither 8b4rwduring 8b4rwthe 8b4rwregistration 8b4rwor 8b4rwdischarge
8b4rwprocess.
, If 8b4rwan 8b4rwED 8b4rwpatient 8b4rwdoes 8b4rwnot 8b4rwhave 8b4rwan 8b4rwemergency
8b4rwmedical 8b4rwcondition, 8b4rwcan 8b4rwyou 8b4rwthen 8b4rwengage 8b4rwin 8b4rwfinancial
8b4rwdiscussions? 8b4rw- 8b4rwANSWERS--No, 8b4rwyou 8b4rwmust 8b4rwensure 8b4rwthe
8b4rwmedical 8b4rwscreening 8b4rwis 8b4rwcomplete 8b4rwfirst.
Outside 8b4rwthe 8b4rwED 8b4rwsetting, 8b4rwwhen 8b4rwcan 8b4rwyou 8b4rwhave 8b4rwfinancial
8b4rwdiscussions 8b4rwwith 8b4rwpatients? 8b4rw- 8b4rwANSWERS--Either 8b4rwduring
8b4rwthe 8b4rwregistration 8b4rwor 8b4rwdischarge 8b4rwprocess 8b4rw- 8b4rwas 8b4rwlong 8b4rwas
8b4rwthe 8b4rwpatient 8b4rwflow 8b4rwis 8b4rwnot 8b4rwdisrupted.
According 8b4rwto 8b4rwbest 8b4rwpractices, 8b4rwwhen 8b4rwshould 8b4rwyou 8b4rwmake 8b4rwa
8b4rwreasonable 8b4rwattempt 8b4rwto 8b4rwhave 8b4rwa 8b4rwfinancial 8b4rwdiscussion
8b4rwwith 8b4rwa 8b4rwpatient? 8b4rw- 8b4rwANSWERS--Before 8b4rwa 8b4rwfinancial
8b4rwobligation 8b4rwis 8b4rwincurred 8b4rw(before 8b4rwcare 8b4rwis 8b4rwprovided).
Why 8b4rwdoes 8b4rwbest 8b4rwpractices 8b4rwsupport 8b4rwfinancial 8b4rwdiscussions
8b4rwbefore 8b4rwcare 8b4rwis 8b4rwprovided? 8b4rw- 8b4rwANSWERS--To 8b4rwensure
8b4rwthat 8b4rwpatients 8b4rware 8b4rwaware 8b4rwof 8b4rwtheir 8b4rwfinancial 8b4rwobligations
8b4rwand 8b4rwthat 8b4rwproviders 8b4rware 8b4rwaware 8b4rwof 8b4rwthe 8b4rwpatient's
8b4rwability 8b4rwto 8b4rwpay 8b4rwor 8b4rwthe 8b4rwsource 8b4rwof 8b4rwpayment.
Routine 8b4rw& 8b4rwComplex 8b4rwScenarios: 8b4rwthe 8b4rwbest 8b4rwpractices
8b4rwspecifies 8b4rwthat 8b4rwpatients 8b4rwshould 8b4rwbe 8b4rwgiven 8b4rwthe
8b4rwopportunities 8b4rwto 8b4rwrequest 8b4rwwhat 8b4rwto 8b4rwhelp 8b4rwthem 8b4rwwith
8b4rwfinancial 8b4rwdiscussions? 8b4rw- 8b4rwANSWERS--a 8b4rwpatient 8b4rwadvocate,
8b4rwfamily 8b4rwmember, 8b4rwor 8b4rwother 8b4rwdesignee 8b4rwto 8b4rwhelp 8b4rwthem 8b4rwin
8b4rwthe 8b4rwdiscussions.
For 8b4rwRoutine 8b4rwScenarios: 8b4rwfor 8b4rwpatients 8b4rwwith 8b4rwinsurance
8b4rwcoverage 8b4rwor 8b4rwa 8b4rwknow 8b4rwability 8b4rwto 8b4rwpay, 8b4rwwho 8b4rwshould
8b4rwbe 8b4rwinvolved 8b4rwin 8b4rwthe 8b4rwfinancial 8b4rwdiscussions? 8b4rw-
8b4rwANSWERS--the 8b4rwpatient 8b4rwor 8b4rwguarantor 8b4rwand 8b4rwproperly 8b4rwtrained
8b4rwprovider 8b4rwrepresentatives.
For 8b4rwComplex 8b4rwScenarios: 8b4rwfor 8b4rwpatients 8b4rwwith 8b4rwnon-routine 8b4rwor
8b4rwcomplex 8b4rwscenarios, 8b4rwsuch 8b4rwas 8b4rwuninsured 8b4rwor 8b4rwunderinsured
8b4rwpatients, 8b4rwwho 8b4rwshould 8b4rwbe 8b4rwinvolved 8b4rwin 8b4rwthe 8b4rwfinancial
8b4rwdiscussions? 8b4rw- 8b4rwANSWERS--the 8b4rwpatient 8b4rwand 8b4rwfinancial
8b4rwcounselor 8b4rwor 8b4rwsupervisor.
Routine 8b4rwActivities: 8b4rwProvision 8b4rwof 8b4rwCare: 8b4rwwho 8b4rwshould 8b4rwbe
8b4rwinformed 8b4rwthat 8b4rwtheir 8b4rwability 8b4rwto 8b4rwpay 8b4rwwill 8b4rwnot 8b4rwinterfere
8b4rwwith 8b4rwtreatment 8b4rwor 8b4rwany 8b4rwemergency 8b4rwmedical 8b4rwcondition?
8b4rwThe 8b4rwinsured 8b4rw/ 8b4rwable 8b4rwto 8b4rwpay 8b4rwor 8b4rwthe 8b4rwuninsured? 8b4rw-
8b4rwANSWERS--all 8b4rwpatients 8b4rwshould 8b4rwbe 8b4rwinformed.
Routine 8b4rwActivities: 8b4rwProvision 8b4rwof 8b4rwCare: 8b4rwwhen 8b4rwhaving 8b4rwa
8b4rwfinancial 8b4rwdiscussion 8b4rwwith 8b4rwuninsured 8b4rwED 8b4rwpatients, 8b4rwyou
8b4rwshould 8b4rwexplain 8b4rwthe 8b4rwgoal 8b4rwof 8b4rwcollecting 8b4rwinformation 8b4rwto
REPRESENTATIVE EXAM
QUESTIONS AND ANSWERS
Learning 8b4rwObjective 8b4rw1/2: 8b4rwDiscuss 8b4rwthe 8b4rwcomponents 8b4rwof 8b4rwthe
8b4rw3 8b4rwHFMA 8b4rwrevenue 8b4rwcycle 8b4rwinitiatives 8b4rwcollectively 8b4rwcalled
8b4rwHealthcare 8b4rwDollars 8b4rw& 8b4rwSense. 8b4rw- 8b4rwANSWERS--n/a
Learning 8b4rwObjective 8b4rw2/2: 8b4rwSummarize 8b4rwthe 8b4rwbest 8b4rwpractices 8b4rwfor
8b4rweach 8b4rwof 8b4rwthe 8b4rw3 8b4rwHealthcare 8b4rwDollars 8b4rw& 8b4rwSense
8b4rwInitiatives. 8b4rw- 8b4rwANSWERS--n/a
Healthcare 8b4rwDollars 8b4rw& 8b4rwSense 8b4rwis 8b4rwthe 8b4rwname 8b4rwgiven 8b4rwto
8b4rwwhat 8b4rw3 8b4rwHFMA 8b4rwrevenue 8b4rwcycle 8b4rwinitiatives? 8b4rw- 8b4rwANSWERS-
-- 8b4rwPatient 8b4rwfinancial 8b4rwcommunications 8b4rwbest 8b4rwpractices
- 8b4rwBest 8b4rwpractices 8b4rwfor 8b4rwprice 8b4rwtransparency
- 8b4rwMedical 8b4rwaccount 8b4rwresolution
What 8b4rwquestion 8b4rwdoes 8b4rwHealthcare 8b4rwDollars 8b4rw& 8b4rwSense 8b4rwanswer
8b4rwfor 8b4rwpatients 8b4rwand 8b4rwconsumers? 8b4rw- 8b4rwANSWERS--to 8b4rwhelp
8b4rwmake 8b4rwsense 8b4rwof 8b4rwprice 8b4rwand 8b4rwvalue 8b4rwin 8b4rwhealthcare.
What 8b4rware 8b4rwthe 8b4rw3 8b4rwcomponents/best 8b4rwpractices 8b4rwof 8b4rwHealthcare
8b4rwDollars 8b4rw& 8b4rwSense 8b4rw- 8b4rwANSWERS--Price 8b4rwTransparency,
8b4rwPatient 8b4rwFinancial 8b4rwCommunications, 8b4rwand 8b4rwMedical 8b4rwAccount
8b4rwResolution.
What 8b4rwis 8b4rwthe 8b4rwEmergency 8b4rwMedical 8b4rwTreatment 8b4rwand 8b4rwActive
8b4rwLabor 8b4rwAct 8b4rw(EMTALA)? 8b4rw- 8b4rwANSWERS--requires 8b4rwER
8b4rwdepartments 8b4rwto 8b4rwprovide 8b4rwa 8b4rwmedical 8b4rwscreening 8b4rwexamination
8b4rwto 8b4rwany 8b4rwindividual 8b4rwwho 8b4rwcomes 8b4rwinto 8b4rwthe 8b4rwER
8b4rwdepartment 8b4rwand 8b4rwrequests 8b4rwan 8b4rwexamination/treatment; 8b4rwprohibits
8b4rwER 8b4rwdepartments 8b4rwfrom 8b4rwrefusing 8b4rwto 8b4rwexamine 8b4rwor 8b4rwtreat
8b4rwindividuals 8b4rwwith 8b4rwan 8b4rwemergency 8b4rwcondition.
In 8b4rwan 8b4rwED, 8b4rwwhen 8b4rwshould 8b4rwyou 8b4rwengage 8b4rwin 8b4rwfinancial
8b4rwdiscussions 8b4rwwith 8b4rwpatients? 8b4rw- 8b4rwANSWERS--During 8b4rwthe
8b4rwdischarge 8b4rwprocess
In 8b4rwan 8b4rwED, 8b4rwif 8b4rwa 8b4rwpatient 8b4rwdoes 8b4rwnot 8b4rwhave 8b4rwa 8b4rwmedical
8b4rwcondition, 8b4rwwhen 8b4rwshould 8b4rwyou 8b4rwdiscuss 8b4rwthe 8b4rwfinancial
8b4rwdiscussion? 8b4rw- 8b4rwANSWERS--After 8b4rwthe 8b4rwmedical 8b4rwscreening,
8b4rwand 8b4rweither 8b4rwduring 8b4rwthe 8b4rwregistration 8b4rwor 8b4rwdischarge
8b4rwprocess.
, If 8b4rwan 8b4rwED 8b4rwpatient 8b4rwdoes 8b4rwnot 8b4rwhave 8b4rwan 8b4rwemergency
8b4rwmedical 8b4rwcondition, 8b4rwcan 8b4rwyou 8b4rwthen 8b4rwengage 8b4rwin 8b4rwfinancial
8b4rwdiscussions? 8b4rw- 8b4rwANSWERS--No, 8b4rwyou 8b4rwmust 8b4rwensure 8b4rwthe
8b4rwmedical 8b4rwscreening 8b4rwis 8b4rwcomplete 8b4rwfirst.
Outside 8b4rwthe 8b4rwED 8b4rwsetting, 8b4rwwhen 8b4rwcan 8b4rwyou 8b4rwhave 8b4rwfinancial
8b4rwdiscussions 8b4rwwith 8b4rwpatients? 8b4rw- 8b4rwANSWERS--Either 8b4rwduring
8b4rwthe 8b4rwregistration 8b4rwor 8b4rwdischarge 8b4rwprocess 8b4rw- 8b4rwas 8b4rwlong 8b4rwas
8b4rwthe 8b4rwpatient 8b4rwflow 8b4rwis 8b4rwnot 8b4rwdisrupted.
According 8b4rwto 8b4rwbest 8b4rwpractices, 8b4rwwhen 8b4rwshould 8b4rwyou 8b4rwmake 8b4rwa
8b4rwreasonable 8b4rwattempt 8b4rwto 8b4rwhave 8b4rwa 8b4rwfinancial 8b4rwdiscussion
8b4rwwith 8b4rwa 8b4rwpatient? 8b4rw- 8b4rwANSWERS--Before 8b4rwa 8b4rwfinancial
8b4rwobligation 8b4rwis 8b4rwincurred 8b4rw(before 8b4rwcare 8b4rwis 8b4rwprovided).
Why 8b4rwdoes 8b4rwbest 8b4rwpractices 8b4rwsupport 8b4rwfinancial 8b4rwdiscussions
8b4rwbefore 8b4rwcare 8b4rwis 8b4rwprovided? 8b4rw- 8b4rwANSWERS--To 8b4rwensure
8b4rwthat 8b4rwpatients 8b4rware 8b4rwaware 8b4rwof 8b4rwtheir 8b4rwfinancial 8b4rwobligations
8b4rwand 8b4rwthat 8b4rwproviders 8b4rware 8b4rwaware 8b4rwof 8b4rwthe 8b4rwpatient's
8b4rwability 8b4rwto 8b4rwpay 8b4rwor 8b4rwthe 8b4rwsource 8b4rwof 8b4rwpayment.
Routine 8b4rw& 8b4rwComplex 8b4rwScenarios: 8b4rwthe 8b4rwbest 8b4rwpractices
8b4rwspecifies 8b4rwthat 8b4rwpatients 8b4rwshould 8b4rwbe 8b4rwgiven 8b4rwthe
8b4rwopportunities 8b4rwto 8b4rwrequest 8b4rwwhat 8b4rwto 8b4rwhelp 8b4rwthem 8b4rwwith
8b4rwfinancial 8b4rwdiscussions? 8b4rw- 8b4rwANSWERS--a 8b4rwpatient 8b4rwadvocate,
8b4rwfamily 8b4rwmember, 8b4rwor 8b4rwother 8b4rwdesignee 8b4rwto 8b4rwhelp 8b4rwthem 8b4rwin
8b4rwthe 8b4rwdiscussions.
For 8b4rwRoutine 8b4rwScenarios: 8b4rwfor 8b4rwpatients 8b4rwwith 8b4rwinsurance
8b4rwcoverage 8b4rwor 8b4rwa 8b4rwknow 8b4rwability 8b4rwto 8b4rwpay, 8b4rwwho 8b4rwshould
8b4rwbe 8b4rwinvolved 8b4rwin 8b4rwthe 8b4rwfinancial 8b4rwdiscussions? 8b4rw-
8b4rwANSWERS--the 8b4rwpatient 8b4rwor 8b4rwguarantor 8b4rwand 8b4rwproperly 8b4rwtrained
8b4rwprovider 8b4rwrepresentatives.
For 8b4rwComplex 8b4rwScenarios: 8b4rwfor 8b4rwpatients 8b4rwwith 8b4rwnon-routine 8b4rwor
8b4rwcomplex 8b4rwscenarios, 8b4rwsuch 8b4rwas 8b4rwuninsured 8b4rwor 8b4rwunderinsured
8b4rwpatients, 8b4rwwho 8b4rwshould 8b4rwbe 8b4rwinvolved 8b4rwin 8b4rwthe 8b4rwfinancial
8b4rwdiscussions? 8b4rw- 8b4rwANSWERS--the 8b4rwpatient 8b4rwand 8b4rwfinancial
8b4rwcounselor 8b4rwor 8b4rwsupervisor.
Routine 8b4rwActivities: 8b4rwProvision 8b4rwof 8b4rwCare: 8b4rwwho 8b4rwshould 8b4rwbe
8b4rwinformed 8b4rwthat 8b4rwtheir 8b4rwability 8b4rwto 8b4rwpay 8b4rwwill 8b4rwnot 8b4rwinterfere
8b4rwwith 8b4rwtreatment 8b4rwor 8b4rwany 8b4rwemergency 8b4rwmedical 8b4rwcondition?
8b4rwThe 8b4rwinsured 8b4rw/ 8b4rwable 8b4rwto 8b4rwpay 8b4rwor 8b4rwthe 8b4rwuninsured? 8b4rw-
8b4rwANSWERS--all 8b4rwpatients 8b4rwshould 8b4rwbe 8b4rwinformed.
Routine 8b4rwActivities: 8b4rwProvision 8b4rwof 8b4rwCare: 8b4rwwhen 8b4rwhaving 8b4rwa
8b4rwfinancial 8b4rwdiscussion 8b4rwwith 8b4rwuninsured 8b4rwED 8b4rwpatients, 8b4rwyou
8b4rwshould 8b4rwexplain 8b4rwthe 8b4rwgoal 8b4rwof 8b4rwcollecting 8b4rwinformation 8b4rwto
