Certified Revenue Cycle Representative - CRCR (2021)
1. The best practices were developed specifically to help patients understand
the cost of services, their individual insurance benefits, and their responsi-
bility for balances after insurance, if any.: Which of the following statements are
true of HFMA's Financial Communications Best Practices
2. 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 includes all of the following except:
3. All of the above: Corporate compliance programs play an important role in
protecting the integrity of operations and ensuring compliance with federal and state
requirements. The code of conduct is:
4. Public health service programs, Federal grant programs, veteran affairs
programs, black lung program services and work-related injuries and acci-
dents (worker' compensation claims): Specific to Medicare fee-for-service pa-
tients, which of the following payers have always been liable for payment?
5. All of the above: Provider policies and procedures should be in place to reduce
the risk of ethics violations. Examples of ethics violations include:
6. To eliminate duplicate services, prevent medical errors and ensure appro-
priateness of care.: Providers are now being reimbursed with a focus on the value
of the services provided, rather than volume, which requires collaboration among
providers.
What is the intended outcome of collaborations made through an ACO delivery
system for a population of patients?
7. Explicit prices concessions and implicit price concessions: Historically, rev-
enue cycle has delt with contractual adjustments, bad debt and charity deductions
from gross revenue. Although deductions continue to exist, the definition of net
revenue has been modified through the implementation of ASC 606. Developed by
the Financial Accounting Standards Board (FASB), this change became effective in
2018.
What is the new terminology now employed in the calculation of net patient services
revenues?
8. Elapsed days from discharge to final bill and elapsed days from final bill
to claim/bill submission.: Key performance indicators set standards for A/R and
provide a method for measuring the control and collection of A/R.
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)?
, Certified Revenue Cycle Representative - CRCR (2021)
9. True
**False: Consents are signed as part of the post-services process.
10. **True
False: Patient service costs are calculated in the pre-service process for schedule
patients
11. True
**False: The patient is scheduled and registered for service is a time-of-service
activity
12. True
**False: The patient account is monitored for payment is a time-of-service activity
13. True
**False: Case management and discharge planning services are a post-service
activty
14. True
**False: Sending the bill electronically to the health plan is a time-of-service activity
15. **A. Final coding of all services, preparation and submission of claims,
payment processing and balance billing and resolution.
B. Orders are entered, results are reported, charges are generated, and diag-
nostic and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor informa-
tion is obtained and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to the
clinical care provided for the patient.: What happens during the post-service
stage?
16. **Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers about
scheduled services
**Be consistent in key aspects of account resolution
Report to healthcare plans when the patient's account is transferred to collec-
tion agency
**Follow best practices for communication: The following statements describe
best practices established by the Medical Debt Task Force. Check the box next to
the True statements
1. The best practices were developed specifically to help patients understand
the cost of services, their individual insurance benefits, and their responsi-
bility for balances after insurance, if any.: Which of the following statements are
true of HFMA's Financial Communications Best Practices
2. 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 includes all of the following except:
3. All of the above: Corporate compliance programs play an important role in
protecting the integrity of operations and ensuring compliance with federal and state
requirements. The code of conduct is:
4. Public health service programs, Federal grant programs, veteran affairs
programs, black lung program services and work-related injuries and acci-
dents (worker' compensation claims): Specific to Medicare fee-for-service pa-
tients, which of the following payers have always been liable for payment?
5. All of the above: Provider policies and procedures should be in place to reduce
the risk of ethics violations. Examples of ethics violations include:
6. To eliminate duplicate services, prevent medical errors and ensure appro-
priateness of care.: Providers are now being reimbursed with a focus on the value
of the services provided, rather than volume, which requires collaboration among
providers.
What is the intended outcome of collaborations made through an ACO delivery
system for a population of patients?
7. Explicit prices concessions and implicit price concessions: Historically, rev-
enue cycle has delt with contractual adjustments, bad debt and charity deductions
from gross revenue. Although deductions continue to exist, the definition of net
revenue has been modified through the implementation of ASC 606. Developed by
the Financial Accounting Standards Board (FASB), this change became effective in
2018.
What is the new terminology now employed in the calculation of net patient services
revenues?
8. Elapsed days from discharge to final bill and elapsed days from final bill
to claim/bill submission.: Key performance indicators set standards for A/R and
provide a method for measuring the control and collection of A/R.
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)?
, Certified Revenue Cycle Representative - CRCR (2021)
9. True
**False: Consents are signed as part of the post-services process.
10. **True
False: Patient service costs are calculated in the pre-service process for schedule
patients
11. True
**False: The patient is scheduled and registered for service is a time-of-service
activity
12. True
**False: The patient account is monitored for payment is a time-of-service activity
13. True
**False: Case management and discharge planning services are a post-service
activty
14. True
**False: Sending the bill electronically to the health plan is a time-of-service activity
15. **A. Final coding of all services, preparation and submission of claims,
payment processing and balance billing and resolution.
B. Orders are entered, results are reported, charges are generated, and diag-
nostic and procedural coding is initiated.
C. The encounter record is generated, and the patient and guarantor informa-
tion is obtained and/or updated as required.
D. The focus is on the patient and his/her financial care, in addition to the
clinical care provided for the patient.: What happens during the post-service
stage?
16. **Educate Patients
**Coordinate to avoid duplicate patient contacts
Exercise moderate judgement when communicating with providers about
scheduled services
**Be consistent in key aspects of account resolution
Report to healthcare plans when the patient's account is transferred to collec-
tion agency
**Follow best practices for communication: The following statements describe
best practices established by the Medical Debt Task Force. Check the box next to
the True statements
