exam; Questions with Complete Solutions
(Latest Update)
Which of the following statements are true of HFMA's Patient Financial
Communications Best Practices?
✔Ans✔ 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.
The patient experience includes all of the following except: ✔Ans✔ 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.
Corporate compliance programs play an important role in protecting the
integrity of operations and
,Certified Revenue Cycle Representative - CRCR
exam; Questions with Complete Solutions
(Latest Update)
ensuring compliance with federal and state requirements. The code of conduct
is: ✔Ans✔ A critical tool
to ensure compliance, essential and integral component, fosters an
environment, (all of the above)
Specific to Medicare free-for-service patients, which of the following payers
have always been liable for
payment? ✔Ans✔ Black lung service programs, veteran affairs program, working
aged programs, ESRD,
and disability
Provider policies and procedures should be in place to reduce the risk of ethics
violations. Examples
include: ✔Ans✔ financial misconduct, theft of property, applying policies in
inconsistent manner (all of
the above)
, Certified Revenue Cycle Representative - CRCR
exam; Questions with Complete Solutions
(Latest Update)
What is the intended outcome of collaborations made through an ACO delivery
system for a population
of patients? ✔Ans✔ To eliminate duplicate services, prevent medical errors and
ensure appropriateness
of care
What is the new terminology now employed in the calculation of net patient
service revenues? ✔Ans✔
explicit price concessions and implicit price concessions
What are the two KPIs used to monitor performance related to the production
and submission of claims
to third party payers and patients (self-pay)? ✔Ans✔ Elapsed days from
discharge to final bill and
elapsed days from final bill to claim/bill submission
What happens during the post-service stage? ✔Ans✔ Final coding of all services,
preparation and