Certified Revenue Cycle Representative Exam
Questions and Verified Answers
100% Guarantee Pass
Contents (Brief):
Revenue Cycle Operations
Coding Standards (ICD, CPT, HCPCS, CCI)
Insurance Verification & Managed Care
Financial Communication & Patient Access
Case Management & Discharge Planning
Compliance & Audit Preparation
1. The following statements best describe best practice established by the
Medical debt task force.
A. Educate patients
,B. Coordinate to avoid duplicate patient contacts
C. Exercise moderate judgment when communicating with providers about
scheduled service
D. Be consistent in key aspects of account resolution
E. Report to healthcare plans when the patient's account is transferred to
collection agency
F. Follow best practice for communication
Ans>> Educate patients
B. Coordinate to avoid duplicate patient contacts
D. Be consistent in key aspects of account resolution
F. Follow best practice for communication
2. Which is Not a main HFMA healthcare Dollar & Sense revenue cycle
Initiative?
A.Patient Financial Communications B.Price
Transparency
C.Medical Account Resolution
D.Process Compliance
Ans>> Process compliance
This option refers to a patient financial communications best practice. Annual
, observation, monitoring, and tracking of results make up the process compliance
evaluation required to document compliance with the best practices. This
evaluation may be performed by any organization independent of the department
that is being audited, such as internal audit, compliance quality, or a third party.
The evaluation should be comprehensive and should cover all scenarios addressed
by the practices that are relevant to a particular organization.
3. Which option is NOT a department that supports and collaborates with the
revenue cycle?
A. Information Technology
B. Clinical Services
C.Finance
C. Assisted Living Services
Ans>> Assisted Living
4. Which option is NOT a continuum of care provider?
A. Physician
B.Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
Ans>> Health Plan Contracting
Questions and Verified Answers
100% Guarantee Pass
Contents (Brief):
Revenue Cycle Operations
Coding Standards (ICD, CPT, HCPCS, CCI)
Insurance Verification & Managed Care
Financial Communication & Patient Access
Case Management & Discharge Planning
Compliance & Audit Preparation
1. The following statements best describe best practice established by the
Medical debt task force.
A. Educate patients
,B. Coordinate to avoid duplicate patient contacts
C. Exercise moderate judgment when communicating with providers about
scheduled service
D. Be consistent in key aspects of account resolution
E. Report to healthcare plans when the patient's account is transferred to
collection agency
F. Follow best practice for communication
Ans>> Educate patients
B. Coordinate to avoid duplicate patient contacts
D. Be consistent in key aspects of account resolution
F. Follow best practice for communication
2. Which is Not a main HFMA healthcare Dollar & Sense revenue cycle
Initiative?
A.Patient Financial Communications B.Price
Transparency
C.Medical Account Resolution
D.Process Compliance
Ans>> Process compliance
This option refers to a patient financial communications best practice. Annual
, observation, monitoring, and tracking of results make up the process compliance
evaluation required to document compliance with the best practices. This
evaluation may be performed by any organization independent of the department
that is being audited, such as internal audit, compliance quality, or a third party.
The evaluation should be comprehensive and should cover all scenarios addressed
by the practices that are relevant to a particular organization.
3. Which option is NOT a department that supports and collaborates with the
revenue cycle?
A. Information Technology
B. Clinical Services
C.Finance
C. Assisted Living Services
Ans>> Assisted Living
4. Which option is NOT a continuum of care provider?
A. Physician
B.Health Plan Contracting
C. Hospice
D. Skilled Nursing Facility
Ans>> Health Plan Contracting
