EXAMS PREP GUIDE 2026
⩥ Pre-Service patient experience. Answer: Scheduling, Pre-reg,
insurance verificaiton,
pre-certification, price estimation, financial counseling, cashiering
(scheduled patients)
⩥ Time of service patient experience. Answer: Arrival, validation and
activation, financial clearance, patient care delivery, clinical
documentation and revenue recognition, case/referral management.
(scheduled and unscheduled patients)
⩥ Post-service patient experience. Answer: Claim processing, remittance
processing, denial processing, payer payment analysis, third-[arty follow
up, customer service, self-pay collection, collection agency. (after
patient discharge)
⩥ Healthcare dollars and sense. Answer: Name given to ID 3 HFMA
revenue cycle initiatives: Financial counseling, price transparency, and
medical account resolution
⩥ Price transparency best practice. Answer: ACA allows for open
market insurance with clear pricing info. Patient needs price
transparency in healthcare and a consumer guide with pricing
information (1.2)
, ⩥ Consents are signed as part of the post-service process, true or false?.
Answer: False
⩥ In what manner do case managers assist revenue cycle staff?. Answer:
By providing assistance with written appeals to health plans related to
utilization and other care issues
⩥ True or false? The patient is scheduled and registered for service is a
time-of-service activity. Answer: False-the patient is scheduled and
registered prior to the time of service
⩥ Which option is NOT a HFMA best practice?
A. Coordinate the resolution of bad debt accounts with a law firm
B. Establish policies and ensure that they are followed
C. Coordinate account resolution activities with business affiliates
D. Report back to credit bureaus when an account is resolved. Answer:
A. Coordinate the resolution of bad debt accounts with a law firm
⩥ Which option is NOT a specific managed care requirement?
A. Referrals
B. Notification
C. Preferred Provider Organization
D. Discharge Planning. Answer: C. Preferred Provider Organization