HFMA - Certified Revenue Cycle Representative Revenue Cycle Introduction Questions and Answers

Learning Objective 1/2: Discuss the components of the 3 HFMA revenue cycle initiatives collectively called Healthcare Dollars & Sense. - n/a Learning Objective 2/2: Summarize the best practices for each of the 3 Healthcare Dollars & Sense Initiatives. - n/a Healthcare Dollars & Sense is the name given to what 3 HFMA revenue cycle initiatives? - - Patient financial communications best practices - Best practices for price transparency - Medical account resolution What question does Healthcare Dollars & Sense answer for patients and consumers? - to help make sense of price and value in healthcare. What are the 3 components/best practices of Healthcare Dollars & Sense - Price Transparency, Patient Financial Communications, and Medical Account Resolution. What is the Emergency Medical Treatment and Active Labor Act (EMTALA)? - requires ER departments to provide a medical screening examination to any individual who comes into the ER department and requests an examination/treatment; prohibits ER departments from refusing to examine or treat individuals with an emergency condition. In an ED, when should you engage in financial discussions with patients? - During the discharge process In an ED, if a patient does not have a medical condition, when should you discuss the financial discussion? - After the medical screening, and either during the registration or discharge process. If an ED patient does not have an emergency medical condition, can you then engage in financial discussions? - No, you must ensure the medical screening is complete first. Outside the ED setting, when can you have financial discussions with patients? - Either during the registration or discharge process - as long as the patient flow is not disrupted. According to best practices, when should you make a reasonable attempt to have a financial discussion with a patient? - Before a financial obligation is incurred (before care is provided). Why does best practices support financial discussions before care is provided? - To ensure that patients are aware of their financial obligations and that providers are aware of the patient's ability to pay or the source of payment. Routine & Complex Scenarios: the best practices specifies that patients should be given the opportunities to request what to help them with financial discussions? - a patient advocate, family member, or other designee to help them in the discussions.