Healthcare Financial Management Association
HFMA
HFMA Healthcare Financial Management Association
Certification Exam
HFMA Professional Certification Exams
Course Title and Number: HFMA Certification Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
3. Please Ensure all you answer each question below and click Submit
when you have completed the Exam.
4. This test has a time limit, The test will save and submit automatically
when the time expires
5. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
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HFMA Revenue Cycle Certification Exam Review HFMA Certified
Healthcare Financial Management Association HFMA Exam
Questions and Answers | 100% Pass Guaranteed | Graded A+ |
2025- 2026
HFMA Healthcare Financial Management Association
Certification Exam
HFMA Professional Certifications
Healthcare Financial Management Association HFMA.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Dr. Newton provides a service for which the Fee Schedule
payment amount is $100. Assume the patient has already paid
the deductible for that year. Medicare would pay 80 percent, or
$80. The coinsurance is $20.
How much does the patient owe?
what is the max that Dr. newton can charge? - =Answer>>
If Dr. Newton does not accept assignment, he may charge the
patient no more that $115.
Thus, the patient would owe Dr. Newton $35
What happens if a valid POA code is not given? -
=Answer>> If hospitals do not report a valid POA code for
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each diagnosis on the claim, the claim will be returned to the
hospital for correct submission of the POA code. Conditions that
arise after admission may result in a reduced payment for the
patient's stay.
Why is the "present on admission" code used? - =Answer>>
CMS has identified that certain services should not be
reimbursed or fully reimbursed when they result in the use of
additional resources and could have potentially be prevented
by the provider.
Three primary reasons for precertification: - =Answer>>
Capture data for financial (that is, IBNR and contractual
allowances) accruals.
Ensure that care takes place in the most appropriate setting.
Notify utilization management (UM), so that they will be able to
prepare discharge planning ahead of time, as well as review the
case during concurrent review rounds;
Two approaches to control hospital utilization: - =Answer>>
1 Max -LOS= patient length-of-stay on the basis of the
admission diagnosis, and that is all the payer will authorize for
payment.
The MaxLOS is determined by the ICD-9-CM code, or diagnostic
code,
2. Use of "care plans" or "care paths," which are common
timelines and expectations for particular disease states or
procedures.
When does discharge planning start? - =Answer>>
Discharge planning starts as soon as a patient is admitted into
the facility, or even before.
Define Discharge planning - =Answer>> Discharge planning
includes
How long the patient will be in the hospital.
What the expected outcome will be.
Whether there will be any special requirements on discharge.
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What needs to be facilitated to effectively discharge the
patient.
T
Role of coding and case management - =Answer>> Case
management is involved in ensuring the documentation in the
record supports the level of care at which the patient is being
treated, their efforts support those of the coding professionals
Define Revenue Cycle - =Answer>> REVENUE CYCLE ----- is
the series of events and services provided prior to, during, and
after the course of treatment
Departments that contribute to the Revenue Cycle. -
=Answer>> Departments that contribute to the Revenue
Cycle.
1. Access
2. Health information management/ Medical records
3. Case-management
4. Patient Care Services
5. Patient Financial Services
What led the creation of revenue management services? -
=Answer>> The emphasis on the revenue cycle has
resulted in the need to organize its components differently and
created a new business unit known as revenue integrity or
revenue management services.
Benefit of Electronic transactions? - =Answer>> Electronic
transactions."------ transactions are associated with revenue
capture and collection activities. The implementation of
electronic data interchange (EDI) allows actions previously
conducted by telephone/ manual methods to be performed
electronically ( improves workflow).
5010 Transaction Set Function? - =Answer>> 5010
Transaction Set------new transaction processing system with
new transaction standards. These standards will:
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HFMA
HFMA Healthcare Financial Management Association
Certification Exam
HFMA Professional Certification Exams
Course Title and Number: HFMA Certification Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
3. Please Ensure all you answer each question below and click Submit
when you have completed the Exam.
4. This test has a time limit, The test will save and submit automatically
when the time expires
5. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
📝
Are you Struggling with University Exams or Job Certification
Assessments?? 📌I Got You Covered 💯.!!!
✍I Specialize in Taking the Exam On your Behalf.
💻 Get Professional Exam Assistance with 100% Pass
Guaranteed.⏬ GET STARTED HERE CLICK LINK BELOW ⏬
https://yourassignmenthandlers.ck.page/92498b9b86
, I can Help BYPASS PROCTORED EXAM 📑
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!!
💬 Chat with us here: 📧
Click Here To <<ORDER NOW >> Follow Link
https://yourassignmenthandlers.kit.com/93b2309b47
!!!.ORDER NOW.!!! << TO GET INSTANT EXPERT HELP >> !!!.ORDER
NOW.!!!
HFMA Revenue Cycle Certification Exam Review HFMA Certified
Healthcare Financial Management Association HFMA Exam
Questions and Answers | 100% Pass Guaranteed | Graded A+ |
2025- 2026
HFMA Healthcare Financial Management Association
Certification Exam
HFMA Professional Certifications
Healthcare Financial Management Association HFMA.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Dr. Newton provides a service for which the Fee Schedule
payment amount is $100. Assume the patient has already paid
the deductible for that year. Medicare would pay 80 percent, or
$80. The coinsurance is $20.
How much does the patient owe?
what is the max that Dr. newton can charge? - =Answer>>
If Dr. Newton does not accept assignment, he may charge the
patient no more that $115.
Thus, the patient would owe Dr. Newton $35
What happens if a valid POA code is not given? -
=Answer>> If hospitals do not report a valid POA code for
Need Writing 📝Help? We've Got You Covered! ✍️
100% NO A I or Plagiarism Guaranteed🎯
💬 Chat with us here: 📧
, I can Help BYPASS PROCTORED EXAM 📑
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!!
💬 Chat with us here: 📧
each diagnosis on the claim, the claim will be returned to the
hospital for correct submission of the POA code. Conditions that
arise after admission may result in a reduced payment for the
patient's stay.
Why is the "present on admission" code used? - =Answer>>
CMS has identified that certain services should not be
reimbursed or fully reimbursed when they result in the use of
additional resources and could have potentially be prevented
by the provider.
Three primary reasons for precertification: - =Answer>>
Capture data for financial (that is, IBNR and contractual
allowances) accruals.
Ensure that care takes place in the most appropriate setting.
Notify utilization management (UM), so that they will be able to
prepare discharge planning ahead of time, as well as review the
case during concurrent review rounds;
Two approaches to control hospital utilization: - =Answer>>
1 Max -LOS= patient length-of-stay on the basis of the
admission diagnosis, and that is all the payer will authorize for
payment.
The MaxLOS is determined by the ICD-9-CM code, or diagnostic
code,
2. Use of "care plans" or "care paths," which are common
timelines and expectations for particular disease states or
procedures.
When does discharge planning start? - =Answer>>
Discharge planning starts as soon as a patient is admitted into
the facility, or even before.
Define Discharge planning - =Answer>> Discharge planning
includes
How long the patient will be in the hospital.
What the expected outcome will be.
Whether there will be any special requirements on discharge.
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, I can Help BYPASS PROCTORED EXAM 📑
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💬 Chat with us here: 📧
What needs to be facilitated to effectively discharge the
patient.
T
Role of coding and case management - =Answer>> Case
management is involved in ensuring the documentation in the
record supports the level of care at which the patient is being
treated, their efforts support those of the coding professionals
Define Revenue Cycle - =Answer>> REVENUE CYCLE ----- is
the series of events and services provided prior to, during, and
after the course of treatment
Departments that contribute to the Revenue Cycle. -
=Answer>> Departments that contribute to the Revenue
Cycle.
1. Access
2. Health information management/ Medical records
3. Case-management
4. Patient Care Services
5. Patient Financial Services
What led the creation of revenue management services? -
=Answer>> The emphasis on the revenue cycle has
resulted in the need to organize its components differently and
created a new business unit known as revenue integrity or
revenue management services.
Benefit of Electronic transactions? - =Answer>> Electronic
transactions."------ transactions are associated with revenue
capture and collection activities. The implementation of
electronic data interchange (EDI) allows actions previously
conducted by telephone/ manual methods to be performed
electronically ( improves workflow).
5010 Transaction Set Function? - =Answer>> 5010
Transaction Set------new transaction processing system with
new transaction standards. These standards will:
Need Writing 📝Help? We've Got You Covered! ✍️
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