HFMA CRCR FINAL EXAM STUDY GUIDE
2026/2027 | COMPLETE QUESTIONS |
VERIFIED ANSWERS | GRADED A + | PASS
GUARANTEED | RECENT UPDATE
Medicare benefits provide coverage for: - ANSWER Inpatient hospital services,
skilled nursing care. And home health care
HFMA best practices call for patient financial discussions to be reinforced: -
ANSWER By issuing a new invoice to the patient
All of the following are steps in safeguarding collections EXCEPT: -
ANSWER Placing collections in a lock-box for posting review the next business
day
The code indication of the disposition of the patient at the conclusion of service is
called the: - ANSWER Patient discharge status code
HIPAA has adopted Employer Identification Numbers (EINs) to be used in
standard transactions to identify the employer of an individual described in a
transaction. EINs are created and assigned by: - ANSWER The Internal
Revenue Service
, The purpose of the ACA mandated Community Health Needs Assessment is: -
ANSWER To provide community benefit outreach to those without insurance
and who have not had a physical within the past 2 years
What is Continuum of Care: - ANSWER The coordination and linkage of
resources needed to avoid the duplication of services and the facilitation of
seamless movement among care settings.
Account Receivable (A/R) aging reports - ANSWER Identify past due accounts
likely to become bad debt
Applying the contracted payment amount to the amount of total charges yields: -
ANSWER An estimated price for the patient's responsibility
Most major health plans, including Medicare and Medicaid, offer: -
ANSWER Electronic and/or web portal verification
What are some elements of a board-approved financial assistance policy: -
ANSWER Eligibility application process and nonpayment collection activities
Which of the following is usually covered on a Conditions of Admissions form: -
ANSWER Patient's bill of rights.
What do business/organizational ethics represent? - ANSWER principles &
standards by which organizations operate
, ethical behavior - ANSWER the right thing to do, not just what is required by
law
Concept of ethical standards - ANSWER actions that are hoped for & expected
by the individual & management within the healthcare
In Ethics, it is important for staff and management - ANSWER to uphold the
business ethics and act as a peer role model
ACO - ANSWER Accountable Care Organization
Defy Accountable Care Organization - ANSWER Physicians, hospitals, and
other healthcare providers coordinate the care of a patient population
What is the intended outcome of collaborations made through ACO? -
ANSWER appropriateness of care, no dup services, prevent medical errors for
the patient
ACA - ANSWER Affordable Care Act
ACA was designed - ANSWER to reform the healthcare system that rewards
great value, improves care, and increases efficiency in the delivery of services
What is CMS's target of moving Medicare payments - ANSWER from volume-
based to value-based payments
, What is important to understand in moving from volume-based to value-based
initiatives - ANSWER QUALITY
reserve amounts on providers' financial statements - ANSWER contractual
allowances, bad debts, charity care
How to report a provider's revenue accurately - ANSWER calculate the
difference between gross revenue and net revenue
How to determine net revenue - ANSWER financial services estimate the dollar
amount of contractual discount allowance that will be applied against those
revenues
KPI - ANSWER Key Performance Indicator
Key Performance Indicators - ANSWER standards for accounts receivable A/R
and provide a method of measuring the collection and control of AR
How are days in AR calculated - ANSWER based on the value of the total
accounts receivable on a specific date
When can AR day calculates can be done - ANSWER for specific payers to
evaluate the collection efficiency & payment progress on 3rd party payers or self-
pay patients
2026/2027 | COMPLETE QUESTIONS |
VERIFIED ANSWERS | GRADED A + | PASS
GUARANTEED | RECENT UPDATE
Medicare benefits provide coverage for: - ANSWER Inpatient hospital services,
skilled nursing care. And home health care
HFMA best practices call for patient financial discussions to be reinforced: -
ANSWER By issuing a new invoice to the patient
All of the following are steps in safeguarding collections EXCEPT: -
ANSWER Placing collections in a lock-box for posting review the next business
day
The code indication of the disposition of the patient at the conclusion of service is
called the: - ANSWER Patient discharge status code
HIPAA has adopted Employer Identification Numbers (EINs) to be used in
standard transactions to identify the employer of an individual described in a
transaction. EINs are created and assigned by: - ANSWER The Internal
Revenue Service
, The purpose of the ACA mandated Community Health Needs Assessment is: -
ANSWER To provide community benefit outreach to those without insurance
and who have not had a physical within the past 2 years
What is Continuum of Care: - ANSWER The coordination and linkage of
resources needed to avoid the duplication of services and the facilitation of
seamless movement among care settings.
Account Receivable (A/R) aging reports - ANSWER Identify past due accounts
likely to become bad debt
Applying the contracted payment amount to the amount of total charges yields: -
ANSWER An estimated price for the patient's responsibility
Most major health plans, including Medicare and Medicaid, offer: -
ANSWER Electronic and/or web portal verification
What are some elements of a board-approved financial assistance policy: -
ANSWER Eligibility application process and nonpayment collection activities
Which of the following is usually covered on a Conditions of Admissions form: -
ANSWER Patient's bill of rights.
What do business/organizational ethics represent? - ANSWER principles &
standards by which organizations operate
, ethical behavior - ANSWER the right thing to do, not just what is required by
law
Concept of ethical standards - ANSWER actions that are hoped for & expected
by the individual & management within the healthcare
In Ethics, it is important for staff and management - ANSWER to uphold the
business ethics and act as a peer role model
ACO - ANSWER Accountable Care Organization
Defy Accountable Care Organization - ANSWER Physicians, hospitals, and
other healthcare providers coordinate the care of a patient population
What is the intended outcome of collaborations made through ACO? -
ANSWER appropriateness of care, no dup services, prevent medical errors for
the patient
ACA - ANSWER Affordable Care Act
ACA was designed - ANSWER to reform the healthcare system that rewards
great value, improves care, and increases efficiency in the delivery of services
What is CMS's target of moving Medicare payments - ANSWER from volume-
based to value-based payments
, What is important to understand in moving from volume-based to value-based
initiatives - ANSWER QUALITY
reserve amounts on providers' financial statements - ANSWER contractual
allowances, bad debts, charity care
How to report a provider's revenue accurately - ANSWER calculate the
difference between gross revenue and net revenue
How to determine net revenue - ANSWER financial services estimate the dollar
amount of contractual discount allowance that will be applied against those
revenues
KPI - ANSWER Key Performance Indicator
Key Performance Indicators - ANSWER standards for accounts receivable A/R
and provide a method of measuring the collection and control of AR
How are days in AR calculated - ANSWER based on the value of the total
accounts receivable on a specific date
When can AR day calculates can be done - ANSWER for specific payers to
evaluate the collection efficiency & payment progress on 3rd party payers or self-
pay patients
