Answers
(1.1) Which of the following statements are true of HFMA's Patient
Financial Communications Best Practices?
A. The best practices were developed specifically to help patients
understand the cost of services, their individual insurance benefits,
and their responsibility for balances after insurance, if any.
B. Although patients have a primary service provider, other
physician may be involved with the services being provided. It is not
necessary to enumerate these providers, as they typically bill
separately for their services.
C. Providers who are recognized for adopting HFMA's Patient
Financial Communications Best Practices are able to provide service
line price information in a clear and understandable manner.
D. Within the Healthcare Dollars & Sense initiative, HFMA only
developed guidance for price transparency and resolution of
medical debt. -
correct answer ✅A. The best practices were developed specifically
to help patients understand the cost of services, their individual
insurance benefits, and their responsibility for balances after
insurance, if any.
,CRCR - HFMA Exam Questions And
Answers
HFMA's Patient Financial Communications Best Practices focus on
transparency in healthcare pricing, helping patients understand:
The cost of services before receiving care
Their insurance coverage and benefits
Their financial responsibility after insurance payments
Why the other choices are incorrect?
B. "It is not necessary to enumerate other providers" → ❌
Incorrect. Best practices encourage transparency about all potential
charges, including services from providers who bill separately (e.g.,
anesthesiologists, radiologists).
C. "Providers recognized for best practices provide service line price
info clearly" → ❌ While price transparency is a key aspect,
recognition is not solely based on this—it also includes billing
clarity, financial assistance, and collections practices.
D. "HFMA only developed guidance for price transparency and
medical debt resolution" → ❌ Incorrect. HFMA's initiative also
covers financial assistance, billing, collections, and patient
communication practices.
(1.2) The patient experience includes all of the following except:
,CRCR - HFMA Exam Questions And
Answers
A. Recognition that revenue cycle processes must be patient-centric
and efficient. This is especially true in the areas of scheduling,
registration, admitting, financial counseling and account resolution
conversation with patients.
B. Patient accounting is responsible for providing statements that
are easy to understand and supported by access to revenue cycle
staff during extended business hours and via a variety of contact
options.
C. Ensuring that rework is minimized to avoid the adverse impact of
missing authorizations or the provision of care that is not medically
necessary in the place of service where care was provided
D. The average number of positive mentions received by the health
system or practice and the public comments refuting unfriendly
posts on social media sites. -
correct answer ✅D. The average number of positive mentions
received by the health system or practice and the public comments
refuting unfriendly posts on social media sites.
The patient experience focuses on direct interactions between the
patient and the healthcare system, including scheduling, billing,
financial counseling, and overall ease of navigation within the
healthcare process. It does not include social media reputation
, CRCR - HFMA Exam Questions And
Answers
management, as that is more related to marketing and public
relations rather than direct patient care.
Why the other choices are correct:
A. Recognition that revenue cycle processes must be patient-centric
and efficient.
The patient experience includes financial processes, ensuring they
are clear, efficient, and patient-friendly in areas such as scheduling,
registration, financial counseling, and billing.
B. Patient accounting is responsible for providing clear statements
and accessible support.
Patients should receive easy-to-understand bills and have multiple
ways to contact the revenue cycle team for clarification, which
improves the patient experience.
C. Ensuring that rework is minimized to avoid issues with
authorizations or unnecessary care.
Preventing billing errors, unnecessary treatments, or authorization
issues ensures a smoother experience for the patient.
Since social media interactions are not a core part of the patient
experience within the revenue cycle, D is the correct answer.