and Answers Already Graded A+ 2026
T/F Consents are signed as part of the post-service process ANSWER >>> False
T/F Patient service costs are calculated in the pre-service process for scheduled
patients ANSWER >>> True
T/F The patient is scheduled and registered for service is a time-of-service activity
ANSWER >>> False
T/F The patient account is monitored for payment is a time-of-service activity ANSWER
>>> False
T/F Case management and discharge planning services are a post-service activity
ANSWER >>> False
T/F Sending the bill electronically to the health plan is a time-of-service activity
ANSWER >>> False
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,Revenue Cycle Initiatives ANSWER >>> Healthcare Dollars & Sense:pt financial comm.
best practices, best practices for price transparency, medical accounts resolution
PFC Best Practices ANSWER >>> 6 areas:Annual staff training, training program
topics, process observation, executive level metrics reporting, technology verification,
feedback and response
Where individuals and small businesses can compare and purchase qualified health
benefit plans ANSWER >>> Health Insurance Marketplace/Health Insurance exchange
Medical Debt Task Force ANSWER >>> developed a best practice workflow that builds
off of HFMA's previous patient friendly billingwork and spansthe patient-centric revenue
cycle.
The following statements describe best practices established by the Medical Debt Task
Force ANSWER >>> Educate patients, coordinate to avoid duplicate patient contacts,
be consistent in key aspects of account resolution, follow best practices for
communication
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
ANSWER >>> standardized method for evaluating patients' perspective on hospital
care
Hard Costs ANSWER >>> loss of future revenue
Soft Costs ANSWER >>> customer's passing on information about their negative
experience to potential patients or through social media channels
Post Acute Services ANSWER >>> include skilled nursing , home health, durable
medical equipment, hospice, and assisted living
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, Skilled Nursing Facility (SNF) ANSWER >>> institution (skilled nursing
home/rehabilitation center) engaged in provided skilled nursing care for
injured/disabled/sick persons
Durable Medical Equipment (DME) ANSWER >>> Medical equipment that is prescribed
by a doctor for use in the home
Home Health Agency (HHA) ANSWER >>> public agency or private organization
Level 1 Modifier ANSWER >>> usually provide info about performance of a
procedures/apply to CPT/consist of 2 numbers
Level 2 Modifiers ANSWER >>> used for OPPS/provide addtl detail ab out an
anatomical location or about a procedure or service/apply to HCPCS codes/consist of
either 2 letters or a 1 letter & 1 number
Correct Coding Initiative(CCI) E ANSWER >>> purpose is to ensure that the most
comprehensive groups of codes, rather than the component parts, are billed. THe
program consists of edits that are implemented within providers' claim processing
systems
Ethics Violations ANSWER >>> Financial misconduct/Overcharging/Theft of property/
Falsifying records to boos reimbursement/miscoding claims
Affordable Care Act (ACA) ANSWER >>> includes provisions to improve the quality of
care/reform the healthcare delivery system/encourage pricing transparency and
modernized financing systems/address the issues of waste,fraud, and abuse
Accountable Care Organization (ACO) ANSWER >>> delivery system of physicians,
hospitals, and other healthcare providers, who work collaboratively to manage and
coordinate the care of a patient population. Includes appropriateness of care,
elimination of duplicate services, and prevention of medical errors for a population of
patients
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